INTEGRATING GENDER INTO THE NEW FUNDING MODEL

OF THE GLOBAL FUND TO FIGHT AIDS,

TUBERCULOSIS, AND MALARIA

JUNE 2014

United Nations Development Programme

Together we can…

Index

Gender perspective in the response to HIV, TB and malaria

Understanding the NFM Integrating Gender into the New Funding

Model/checklist Q&A Supporting tools for integrating gender into the

NFM and NSPs (UNDP’s “On course”; Whatworksforwomenandgirls.org; UNAIDS’ gender assessment tool; and UN Women, et.al. gender and HIV indicators)

Q&A Experiences of integrating gender into GF

processes, including W4GF Final Q&A

Gender equality and HIV

Gender & HIV: key facts

The number of new HIV infections among adults in low- and middle-income countries in 2012 was 30% lower than in 2001.

Still, HIV is the leading cause of death for women of reproductive age: every minute, 1 young woman acquires HIV.

52% of all PLHIV in low and middle income countries are women rising to 58% in sub Saharan Africa

New infections among women are rising in Europe and Central Asia and the Middle East and North Africa.

UNAIDS Global Report. 2013

Gender and HIV (2)

Though data remains scarce, evidence suggests that women from key populations are particularly vulnerable to acquiring HIV

Women living with HIV also face a heightened risk of cervical cancer

Unequal gender norms undermine effective HIV responses for men as well as for women

UNAIDS; Francheschi, S. and Guglielmo, R. (2010). The prevention of cervical cancer in HIV-infected women. AIDS, 16: 2579–2580.

Gender and malaria

Gender, TB and malaria

In 2012, about 2.9 million women contracted TB, 410,000 women died of TB more than half of TB cases among women went undetected,

compared to less than 40% among men. were 50% of PLHIV who died of TB were women In 2012, pregnant women were four times more likely to

acquire malaria than other adults In many contexts, men decide who can seek treatment

and care for malaria. Lack of female health care workers often limits women’s access to treatment and care

PLHIV are at high biological risk of contracting malaria. This rises to a severe risk for women with dual HIV and malaria

WHO, Fact Sheet on gender and TB

Women and TB

Some relevant gender policies

Gender Equality Strategy of GF (2008) and Action Plan (2014)

Information note on gender for GF UNAIDS

Agenda for Accelerated Country Action for Women, Girls, Gender Equality and HIV

UNDP Gender Equality Strategy 2014-2017

Global Fund New Funding Model

• Bigger impact: focus on countries with the highest disease burden and lowest ability to pay, while keeping the portfolio global

• Predictable funding: process and financing levels become more predictable, with higher success rate of applications

• Ambitious vision: ability to elicit full expressions of demand and reward ambition

• Flexible timing: in line with country schedules, context, and priorities

• More streamlined: for both implementers and the Global Fund

Principles of the new funding model

http://www.theglobalfund.org/en/events/2014-04-02_Regional_Meeting_Ecuador/

Principles

of the new

funding model

The country dialogue process is essential to achieving the objectives of the New Funding

Model, including with informed and meaningful participation of women and key populations

living with and affected by HIV, TB and malaria

Concept Note

Grant-Making

Ongoing Country Dialogue

National Strategic

Plandetermined by country

Grant Implement

ation3 years

Govt-led

CCM-led

PR-led

CCM/PR-led

Country owned process

What does country dialogue entail?

*Country dialogue is a country-owned, on-going process that should include the meaningful participation of women, girls and key populationshttp://www.theglobalfund.org/en/events/2014-04-06_Regional_Meeting_Namibia/

The term used by the Global Fund to refer to the ongoing discussion that occurs at country level to prioritize how to fight the three diseases and strengthen health and community systems

Country Dialogue

Who plays a role in country dialogue?

Country Dialogue

Technical

partners

Civil society/

key populations

Private sector

Country governm

entOther donors

Global Fund

These actors meet in the CCM, but the dialogue should expand beyond the CCM

Academia

http://www.theglobalfund.org/en/events/2014-04-06_Regional_Meeting_Namibia/

Integrating Gender into the New Funding Model

Entry-points for integrating gender

Overview of the UNDP Checklist

1. Strengthening of National Strategic Plans

2. Country dialogue process3. Development of concept

note4/5. Independent review by

TRP/Determination of upper budget ceiling

6/7/8. Grant agreement*Monitoring and Evaluation

How to use the Checklist

The Checklist provides concrete and practical guidance to integrate gender transformative components into the implementation of programmes supported by the Global Fund

Strengthen attention paid to gender in the implementation of programmes supported by the Global Fund through the roll out of the Global Fund’s New Funding Model

Follows the procedures set out in the NFM of the Global Fund.

A gender-responsive/transformative approach requires additional actions that can transform unequal power relations and promote respect for human rights.

Available at: http://on.undp.org/xOcqd (EN, FR, SP)

Gender Checklist for the 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

← Gender Assessment using appropriate Tools

← Gender data, targets and indicators← Identify key priorities← Develop timeline

← Involve gender stakeholders

← Capture recommendations of consultations

← Include findings from the gender analysis of NSP

← Capture gender analysis of NSP

← Define gendered impacts of HIV, and impact of GBV

← Strong gender-sensitive proposals

Monitor Fund Portfolio Managers

Keep stakeholders informed of outcomes

Set out activity costs and funding for gender

→ Ensure gender priorities-implemented----

→ Ensure gender trans’ve approaches at activity level---

→ Include gender-responsive budget

→ Outline gender responsibilities-of SSR and SRs---

---

→ Gender-responsive M&E framework----

→ Gender evidence collected and documented__

Funding for Gender

Transformative HIV

Programming

Entry points into the NFM

Example 1: country dialogue

2. Alignment of the Global Fund’s process to existing country dialogueThe process is built on broad and comprehensive

representation of participants, including government, civil society, and women living with HIV and key populations

The dialogue is designed and implemented to reflect a broad range of perspectives, including those of people living with and affected by HIV and key populations, with specific attention to women and girls

Gender dimensions reflected in the report of the dialogue – including analysis of the gender dimensions of disease and recommendations

Example 2: concept note

3. Design and submission of a concept noteGender assessment/analysis is completedThe concept note includes recommendations for

improving attention to gender dimensions of the three diseases

An investment case has been made for integrating gender-responsive programming into NSP

Explicit attention has been paid to addressing the needs and rights of women and girls

Concept note has focused on gender inequality influencing vulnerabilities of women and men, girls and boys & key populations

A gender sensitive approach has been used in policies and plans for prevention, treatment, care and support

Linkages between GBV and HIV are addressed based on bidirectional understanding of HIV and GBV as causes and consequences as one another

Lessons learned from Zimbabwe The country was also able to organize a pre-

country dialogue “women’s caucus” meeting and a consultation with female sex workers.

They were able to identify priority issues for women and girls to be taken into consideration during the country dialogue meeting.

There also was an enabling environment, such as the national HIV strategic plan which recognizes gender and gender based violence as priority issues.

Women’s representatives were part of the core team developing a concept note.

Questions and comments?

Key resources

Key Resources

On Course: Mainstreaming Gender into National HIV Strategies and Plans UNDP. Available at: http:// on.undp.org/xOcTL (EN, FR, SP)

What Works for Women and Girls (whatworksforwomenandgirls.org)

Gender assessment tool for national HIV responses - UNAIDS. Available at: http://ow.ly/xOd1W

Compendium of indicators of gender equality and HIV. MEASURE, UN Women, USAID, et.al. Available at: http://ow.ly/xOdlj

Women4GF http://women4gf.org

UNDP’s “Roadmap”

A step-by-step guide to: support efforts to systemically integrate gender

issues, factors and concerns into national HIV strategies and plans

develop indicators and track progress in the integration of gender issues in national HIV strategies and plans

Use of the Roadmap formulate gender-responsive NSPs fine-tune and advance plans to reduce gender

inequality and its effects on HIV

What is in the Roadmap?

Specific recommendations for integrating gender equality into strategies and plans, and to monitor progress, organized in specific steps that align with a programming cycle

Methods for designing and costing funding and budgeting processes, including ToRs and M&E tables

Step-by-step guides to:1. respond more effectively to risks of vulnerable groups2. identify and eliminate barriers to gender-sensitive

planning and implementation3. design and cost gender-responsive budgets4. develop gender-sensitive monitoring and evaluation

systems

What Works for Women & Girls

28

Compile evidence on interventions - related to HIV outcomes - that address the needs of women and girls

Translate the evidence into information that may be useful for programming Allow access to the evidence by a wide range of stakeholders

What Works provides: 29

The broad intervention and whether the evidence base falls into “works” or “promising”

The geographic spread of the intervention (regions/ countries)

References

For each study/evaluation under the intervention: the country, date, methodology/sample size, the intervention, the outcomes and the strength of evidence (modified Gray Scale)

What Works Examples: Violence and HIV

What Works: Community-based participatory approaches to

create gender equity (Abraham et al, forthcoming – SASA; Jewkes et al., 2006; Colvin 2010).

Promising strategies: Provision of comprehensive post-rape protocols,

which include post-exposure prophylaxis and emergency contraception (Kim et al., 2009a; Kilonzo et al., 2009a)

Microfinance programs integrated with training on HIV, gender, violence (Kim et al., 2009c).

Training teachers about GBV (James Traore et al., 2004).

UNAIDS Gender Assessment Tool

UNAIDS gender assessment tool (2)

Purpose: To assist countries to assess their HIV

epidemic, context and response from a gender perspective

Identify and develop priority intervention to make HIV responses more gender transformative

Inform submissions to country investment cases and GF NFM

The Tool is aligned to national processes like MTR or development of new NSP, or now to the NFM concept note development.

UNAIDS gender assessment tool (3)

STAGE 1: Preparing

for the Gender

Assessment of the

national HIV response

STAGE 2: Knowing the national HIV epidemic and context

STAGE 3: Knowing the national HIV response and

identifying gaps

STAGE 4: Analyzing the

findings of the

assessment and

identifying interventions for a gender

transformative HIV

response

Gender and HIV indicators compendium

What is the indicators compendium?

Purpose: to provide programme managers, organizations and policy makers with a menu of gender/HIV indicators in order to: Strengthen national and subnational stakeholders’ understanding of

their HIV epidemic and response from a gender equality perspective Monitor progress towards eliminating gender-based inequities in HIV

responses Monitor and evaluate programmes that address specific types of

gender equality interventions in the context of HIV Divided into programmatic areas Indicators already exist Can be measured using existing data collection and information

systems

Conceptual framework

Questions and comments?

United Nations Development Programme, April 2014