Presented by Dr. Gemma Oberth gemma@aidsaccountability

1. Strengthening Africa’s Country Coordinating Mechanisms Presented by Dr. Gemma Oberthgemma@aidsaccountability.org Building Capacity for the Meaningful Participation of Women, Girls and Groups Marginalized by Sexual Orientation and Gender Identities (SOGI).

2. About AIDS Accountability

3. What We Do Take complex data and put it into a simple format that is easy to read and simple to understand.

4. How We Do It AAI believes that strong and accountable leadership is necessary to ensure effective responses to HIV and related health challenges. We do this by • Increasing transparency • Promoting dialogue and • Supportingaction to improve the response. Needs-driven, evidence-based research and advocacy that measures performance against the commitments that have been made by governments.

5. x” “ Human rights are the basis for creating strong and accountable states without which there can be no political stability or social progress. ~ Irene Khan

6. Brief Introduction to AAI’s CCM Project

7. 2007 The Global Fund to Fight AIDS, Tuberculosis and Malaria identify the need to address women, girls and SOGI vulnerabilities. 2009 The development of the Gender Equality (GE) Strategy and the Global Fund Strategy in Relation to Sexual Orientation and Gender Identities (SOGI)

8. The efforts of the Global Fund to incorporate gender and sexual orientation strategies are positive steps forward (Fuleihan et al., 2011; Seal et al., 2011). • However, much more should be done to foster the Gender Equality Strategy and Sexual Orientation and Gender Identities strategy to achieve meaningful participation (Ashburn et al., 2009; Grover, 2011; Pangea, 2011; Seale et al., 2010).

9. “The Global Fund encourages the participation of vulnerable groups in CCMs, but it must go further and require CCM membership for the most relevant at-risk populations” (Grover, 2011, p. 20) Implementation of the Gender Strategy was being compromised by a lack of political will from the Global Fund leadership. (Pangea, 2011)

10. The Quantitative Analysis CCM Composition Data & AAI Survey Results

11. PLWD constituency is smaller in Southern African than in Latin America (11%) • KAP constituency is slightly larger in Southern African than the global average (3%). Average CCM Composition in Southern Africa (Global Fund, 2011)

12. SURVEY QUESTION for CCM Members - Please evaluate the current level of participation of these groups in the Country Coordinating Mechanism.

13. The Community Consultation Interview data from more than 70 CCM members, Fund recipients and Fund Portfolio Managers from 7 African Countries

14. Challenges “Part of what has driven the agenda on the CCM, is the realization that there is a generalized epidemic. Programs tends to keep generalizing any issue to a nation-wide level, and when you do that, the specific need of a sub-group tends to be muted or disappear” – Key Informant, CCM Member Zimbabwe

15. Challenges “In this recourse constrained environment, one of the things that a lot of us are pushing on is the fact that now you have to start making choices. That kind of a discussion doesn’t happen. If you do a prioritization workshop, everything’s a priority. Nothing is a priority because everything is a priority. We don’t make choices” – Key Informant, CCM Member Malawi

16. Challenges “There’s no strong civil society here and the government is too strong” “I’m not sure about girls though. You don’t really have an organized entity for young girls or an organization where they can channel their interests” – Dundu Macha, CCM Member, Network of People Living with HIV & AIDS, Botswana – Key informant CCM Member, PEPFAR Namibia

17. How do these challenges affect Global Fund proposals and programmes? 11 % 2% of Round 8 and 9 Global Fund proposals included activities for young girls of Global Fund New Funding Model $ went to civil society in Zimbabwe

18. Weltschmerz (n.) literally “world-pain”; the depression you feel when the world as it is does not reflect what you think it should be

19. So what are we doing? AAI is holding a series of in-country workshops which aim to: • Increase the capacity of civil society to participate meaningfully on the CCM • SOGI and GE Strategy • New Funding Model • Investment Framework (Critical Enablers) • Promote the collaboration of civil society, so that constituencies are consulted and objectives can be voiced on the CCM in a coordinated manner

20. Outcome The Civil Society Priorities Charter

21. What do Swazi Civil Society want from the Global Fund New Funding Model? • Orphans and vulnerable children were prioritized as top key population • PMTCT should focus on patient tracking and home visits, especially around 18 months.

22. What do Zambian Civil Society want from the Global Fund New Funding Model? • Community led service delivery through self-forming groups for more efficient collection of TB medicines. • Emphasis on neo-natal male circumcision

23. What do Malawian Civil Society want from the Global Fund New Funding Model? • Economic empowerment of young girls so they can make decisions about their behaviour • Sex workers and men who have sex with men as top key populations for HIV, and prisoners for TB.

24. Meliorism (n.) the belief that the world gets better; the belief that humans can improve the world

25. What can you do? • Find out more about our work at http://www.aidsaccountability.org • Subscribe to our newsletter on our website (see sidebar on the right of the page) and get updates on meetings, discussions, advocacy tools and trainings. • Like us on Facebook (AIDS Accountability International) • Follow us on Twitter: @AAI_AIDSwatch • Join the discussion at the AIDS Accountability International Sexual and Reproductive Health and Rights LinkedIn Discussion Forum

26. Dr. Gemma Oberth Senior Researcher gemma@aidsaccountability.org +27 (0)72 114 8819 Thank You Download all CCM Reports from our website: www.aidsaccountability.org This project was made possible by the generous support of