Overview

1. Identifying HIV and AIDS Service Delivery Gaps in Addressing the “Three Zeros”:How to Use the Local AIDS Governance BarometerPhoebe M. MachereAIDS 2012 - JulyWashington DC.

2. Overview • Introduction • Local AIDS Governance Barometer (LAGB) Model • LAGB Purpose • LAGB Application – Kabwe district, Zambia • LAGB’s Contribution to the “Three Zeros”

3. Introduction To assist in making progress towards meeting the goals of: • Zero new HIV infections • Zero discrimination • Zero AIDS-related deaths Idasa applies a Local AIDS Governance Barometerto address the fact that bad governance leads a waste of resources and energy intended to fight HIV and AIDS

4. What is the Local AIDS Governance Barometer? • Local: Local community/district, local government • AIDS:Focus on AIDS sector • Governance: Good/Democratic AIDS Governance – “a set of values, policies, and institutions by which a society manages its multi-sectoral response at all levels through interaction among state and non-state actors” (Cheema: 2000/Idasa: 2012). Values of governance include: Effectiveness & Efficiency; Transparency & Rule of Law; Accountability; Participation & Agency; and Equity. • Barometer: • Tool to measure the perception of the quality of governance and to identify bottlenecks • If the score is below a certain minimum level, urgent action is required to prevent further deterioration

5. LAGB - Purpose • To assess & strengthen HIV/AIDS governance in service delivery at local level • Promote accountability among all stakeholders engaged at various levels of the response to HIV & AIDS • Provide opportunities for multi-stakeholder dialogue to develop creative solutions to challenges in HIV & AIDS service delivery • Improve citizen participation in Local AIDS Governance

6. Effectiveness & Efficiency Effectiveness Efficiency Key Question: To what extent do the implemented activities contribute to achieving the objectives as defined in the National AIDS Strategic Framework? Key Question: Are the HIV/AIDS activities by the district multi-sectoral response implemented in such a way that they yield maximum results from available resources?

7. Transparency and Rule of Law Transparency Rule of Law Key Question: To what extent are all actors sharing information and transparent in their decision-making processes? Key Question: To what extent do all actors in practice adhere to the rules/regulations/ principles/guidelines as set out in the NASF and other statutory instruments?

8. Accountability Administrative Accountability Social Accountability Political Accountability Key Question: To what extent are the executives (office of the Mayor or Chairperson) in the district willing and able to justify their decisions to the council (councillors)? Key Question: To what extent is the district multi-sectoral response willing and able to justify and explain their decisions to the citizens in the district? Key Question: To what extent are the internal controls of the district multi-sectoral response in place and effective to ensure that money is used for the intended purposes?

9. Participation & Agency Created Space Claimed Space Key Question: To what extent are citizens actively engaged in the district multi-sectoral response’s decision-making processes? Key Question: To what extent are citizens directly or indirectly able to express their HIV/AIDS needs and interests to key players in the district multi-sectoral response?

10. Equity Equity in Service Provision Key Question: To what extent is the multi-sectoral response successful in achieving equal access to HIV/AIDS services and decision-making for all citizens in the district?

11. LAGB Application in Kabwe District, Zambia

12. LAGB Application Cont. • Workshop with each stakeholder group separately on HIV & AIDS governance and LAGB scoring process • Filling in of questionnaire and discussion • Score analysis and conversion into governance index; discussion with representatives of all stakeholders • Identification of 3 most important governance issues related to HIV & AIDS service delivery • Collaborative drafting of an Action Plan to resolve identified bottlenecks

15. LAGB Application Kabwe – Core Issues • Poor planning and coordination of HIV & AIDS activities between various service providers in Kabwe district • Lack of administrative, political, and social accountability of all service providers • Low HIV & AIDS rights awareness and lack of participation in the HIV & AIDS response by citizens

16. Quotes from Stakeholders • “Basically the workshop was of help because it personally made me realise the need for my organisation to fully participate as a multi-sectoral [player] and be transparent in the funds used in HIV activities.” – Participant in Choma • “The tool should be presented to the full Council to enable the participation of the councillors in HIV & AIDS activities in the district” - Mayor of Choma • “Now that I understand my HIV & AIDS rights better, I will complain in a more constructive manner” – Citizen, Kabwe • “It was a good platform to share and learn about issues related to HIV/AIDS in the district” - Participant in Choma

17. How LAGB Contributes to Achieving the “Three Zeros” • Identifies and addresses capacity gaps in service delivery • Establishes mutual accountability – all key stakeholders are held accountable based on the decisions made during LAGB implementation • Enhances community knowledge and voice and the capacity to engage with sub-national government • Institutionalisation of LAGB at regional level, i.e. the Alliance of Mayor’s Initiative for Community Action on AIDS at the Local Level (AMICAALL) • Above all, it improves dialogue between elected leaders and the community to allow for common problem definition and resolution

18. To Contact Us: Email: info@idasagap.org.za Tel: +27 (012) 392 0500 Fax: (012) 320 2414/5 Ms.Machere: pmachere@pta.idasa.org.za Thank You!