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Explore the critical enablers and basic programme activities to achieve objectives in tackling HIV. Focus on key populations, children and mothers, with Social and Political commitment, Laws, Policies, Stigma reduction, and more.
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New Investment Framework CRITICAL ENABLERS BASIC PROGRAMME ACTIVITIES OBJECTIVES Keypopulations Children & mothers • Social enablers • Political commitment & advocacy • Laws, policies & practices • Community mobilization • Stigma reduction • Mass media • Local responses, to change risk environment Stopping new infections Behaviour change Condoms Keeping people alive • Programme enablers • Community-centered design & delivery • Programme communication • Management & incentives • Production & distribution • Research & innovation Care & treatment Male circumcision SYNERGIES WITH DEVELOPMENT SECTORS Social protection; Education; Legal Reform; Gender equality; Poverty reduction; Gender-based violence; Health systems (incl. treatment of STIs, blood safety); Community systems; Employer practices.
Critical enablers: concepts • Complement basic programme activities • Highly context specific • Social enablers “make possible environments conducive for rational HIV responses” • Programme enablers “create demand for and help improve the performance of key interventions”
Social enablers: activities included • Political commitment & advocacy • Laws, policies & practices • Community mobilization (outreach, support, transparency and accountability) • Stigma reduction • Local responses to change risk environment (e.g. closing hours of beer shops, firewood collection in daylight)
Social enablers: problematic categories • Gender violence as it relates directly to HIV risk (not the synergy with gender as a development sector) • Mass media as a creator of a supportive environment (not mass media to change behaviour)
Programme enablers • Community-centered design & delivery • Programme communication • Management & incentives • Procurement & distribution • Research & innovation
Critical enabler costing assumptions Base: ∑ basic programme components + VCT + community mobilization + mass media
Investment Framework: unit cost for community mobilization, regional averages