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Civil Society in the MENA Region and Global Fund Opportunities. 6th MENA Regional Meeting, Amman, Jordanie 21-23 April 2009 Nadia RAFIF, CSAT MENA Coordinator/ The Added Value. Innovation in health service delivery for key affected populations

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Civil Society in the MENA Region

and Global Fund Opportunities

6th MENA Regional Meeting, Amman, Jordanie 21-23 April 2009Nadia RAFIF, CSAT MENA Coordinator/

the added value
The Added Value

Innovation in health service delivery for key affected populations

Rapid response in terms of prevention, treatment and advocacy programs

Importance of CS in roll-out/scale-up of treatment literacy

Scaling-up prevention among key affected populations

National HIV Plans: represent the best speaker on community needs


Civil society in MENA

  • Advocacy, raising awareness and fighting stigma and discrimination.
  • Pioneer in establishment of programs for key affected populations:
    • IDU (Algeria, Egypt, Iran, Lebanon, Libya, Morocco, Syria)
    • Migrants and refugees (Algeria, Djibouti, Morocco, Somalia,

Sudan, Yemen)

    • Sex work (Algeria, Egypt, Iran, Lebanon, Morocco, Somalia,

Syria, Tunisia)

    • MSM (Morocco, Pakistan, Algeria, Lebanon, Tunisia, Egypt)
  • Pioneer in delivering VCT services (Morocco and Algeria) and treatment literacy programs (Morocco)
civil society initiatives
Civil society initiatives
  • .
  • Regional Arab Network against AIDS (RANAA)
  • Various associations to support groups for PLHIV have emerged (Algeria, Morocco, Tunisia, Jordan etc.. )
  • Capacity-building of NGOs in partnership with NAMRU3, RRG of NGOs, RANAA
  • Support from Regional support Team Cairo to build capacities of CSO’s
  • Example: “Empowerment and Support for People Living with HIV in the Middle East and North Africa”, Algiers, Algeria, November 2005/ Support to people living with hiv/aids, Hamamet, Tunisia, 2008
  • Regional Initiatives

Civil society in MENA


  • Smaller number of civil society organizations compared to other regions
  • Weak and fragile structures, mostly volunteer based
  • Difficulty in registration of organizations of people living with HIV
  • Lack of strong networks at the national and regional levels
  • Low visibility at the international level
areas for improvement 1
Areas for Improvement(1)
  • In CCMS
  • The lack of transparency in most of our CCMs, especially in the writing of proposals, the choice of PR and grant oversight,
  • The process of handpicking representatives of NGOs or people living with HIV or TB, and the absence of key affected populations on CCMs,
  • The lack of involvement of key affected populations in program design and implementation,
  • .
areas for improvement 2
Areas for Improvement (2)
  • National NGO as Principal Recipients
  • Capacity building for national NGOs to become PRs
  • National and local NGOs as Sub recipients
  • NGO as SR need more training in grant implementation and more information about grant performance
  • Delays in disbursement of funding by PR
  • .

Technical Support (TS)

  • Training for providers to work with civil society to make technical support specific to civil society needs
  • Promote partnerships with international NGOs as technical support provider
  • Identify NGO innovations relevant to broader HIV program development and implementation.

CSAT is a civil society-led global initiative assisting NGOs to assert themselves politically and technically to implement quality contributions to the GF programs

CSAT aims to help civil society organizations with project proposals and implementation – through brokering technical support and coordinating advocacy nationally, regionally and globally.

Civil society Action Team


the marrakesh workshop april 14 16 2009
The Marrakesh workshopApril 14-16, 2009

55 participants from 15 countries

  • Commitments of the NGO
  • Organisation of transparent elections of NGO representatives at the CCM
  • Accountability of NGO representatives at the CCM to their whole constituency
  • Advocacy for CSS integration within national plans, future grant proposals, grant negotiations and phase II renewals
  • Please see whole Marrakesh declaration