South & East Asia Regional WorkshopAchieving Impact: The New Funding Model Update
Barriers to Accessing Services
Emilie Pradichit, UNDP APRCUnited Nations Development Programme
Asia-Pacific Regional Centre16 June 2014, Phnom Penh, Cambodia
1. Identify Barriers to Accessing Services
Stigma and Discrimination
Criminalization: Fear of arrestForced sterilization
Gender inequality
Migrants lack ID cards
Lack of legal aid
Police abuse
No right to register an NGO
Prison overcrowding
Denial that key pops exist
Availability of facilities
Financial barriers
Harmful gender norms
Gender-based violenceBarriers to health services
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The Global Commission on HIV & the Law (2010-2012)
• Laws and Practices That Effectively Criminalise People Living With HIV and Vulnerable to HIV
• Laws and Practices That Mitigate or Sustain Violence and Discrimination as Lived by Women
• Issues of Law and HIV pertaining to children and young people
• Laws and Practices that Facilitate or Impede Access to Affordable Medicines
The Global Commission on HIV & the Law: Key Findings
1. Epidemic of bad laws is fueling the spread of HIV, resulting in human rights violations and costing lives
2. Epidemic of bad laws is limiting effectiveness and efficiency of HIV and health investments
3. Good laws and practices that protect human rights and build on public health evidence already exist - they strengthen the global AIDS response, and they must be replicated
www.hivlawcommission.org
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The Global Commission on HIV & the Law: Key Recommendations
• Remove all legal barriers that impede access to HIV and health commodities and services for Key Populations
• Respect, give force to domestic and international human rights obligations to protect and promote equality of all people within their borders
• Repeal laws criminalizing consensual sex between adults of the same sex and transgender identity
• Respect existing civil and religious laws and guarantees related to privacy
www.hivlawcommission.org
The Global Commission on HIV & the Law: Key Recommendations
www.hivlawcommission.org
• Removing legal barriers to community organizing, socializing of LGBT
• End all forms of violence, harassment, brutality against Key Populations
End police abuse and harassment of NGO workers and members of Key Populations
Effective methods to lodge complaints, prosecute police personnel, and access justice
Invest in training police, public safety officials, judges
The Global Commission on HIV & the Law: Key Recommendations
www.hivlawcommission.org
• Parliaments must explicitly prohibit HIV-related discrimination
• Requires education on HIV and the law – of people living with HIV, the judiciary, law makers, healthcare workers, school systems, lawyers, employers and trade unions
• Donors, civil society actors and the private sector to hold governments accountable to their human rights commitments
2. Design Disease Programs using a Human Rights-Based Approach
3. Remove Barriers to Access
Community Mobilization: Access to Justice,
Advocacy, Capacity Building,
Strategic Information
Addressing Attitudes & Bad Practices:
Stigma, Discrimination, Prejudices
Improved Policy Environment
“SAFE SPACE”Enabling Environment
Combined Interventions
Strategic Information - Creating / Improving the evidence base: National Dialogue & Action Planning on HIV and the Law Size Estimation study to identify and size KAPs
Addressing Attitudes & Bad Practices: Media & Religious Leader Sensitization Law enforcement, Police & Health Sector Training
Improving Legal & Policy Environment: Legal environment assessments/reviews Legislative Reform Judicial Sensitization / Judicial Advocacy Parliamentarian Sensitization / Legislative Advocacy
Community Mobilization: “Know your Rights & Advocate” Access to Justice – Legal Literacy & Legal Services
Millions have a drug problem.
They can’t get any.
4. Remove Financial Barriers
Policy Advocacy for Access to Affordable Medicines
Community Mobilization +
Officials Sensitization
Key Tools to Remove Barriers
✔ Key Populations Checklist for NFM
1. Strengthening the NSP
2. Country Dialogue Process
3. Concept Note
4/5. Independent review by
TRP/Determination of upper budget
ceiling
6/7/8. Grant making/Approval by GAC/Approval
by GF
M&E
← KP Assessment using appropriate Tools including programmatic mapping and size estimations.
← Data, targets and indicators on specific key populations← Identify key priorities← Develop timeline
← Involve KP stakeholders← Capture recommendations of
consultations← Include findings from the KP
and HIV analysis of NSP
← Capture KP & HIV analysis of NSP
← Define impacts of HIV among key populations
← Develop strong KP-focused proposals
Monitor Fund Portfolio Managers Keep stakeholders informed of
outcomes Set out activity costs and funding for
key population interventions
→ Ensure KP progammes are-implemented----
→ Ensure KP-sensitive approaches at activity level
→ Include budgeting for KP programmes
→ Outline key population programme responsibilities-of SSR and SRs
→ Ensure M&E framework includes indicators for KP programming
→ Ensure evidence on KP interventions collected and documented
Funding for HIV programming for key populations
Entry points into the NFM
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