JOINT WORKING - QUESTION 2
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JOINT WORKING - QUESTION 2
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HIV should be better integrated in Cosponsors' own strategic frameworks and their major global initiatives
ReplyDeleteBecause AIDS touches upon so many diverse issues, the Joint Programme should look at increasing partnerships/collaborations across movements to both take AIDS out of isolation and to raise awareness within other sectors about the HIV response. For instance, making stronger linkages to reproductive health organizations and access to justice organizations can help make HIV a stronger priority within these movements. Moreover, working with other actors, such as professional associations of physicians and other health care workers, would also bring UNAIDS' message to new audiences.
ReplyDeleteAs indicated under governance, it is key to establish a multipartnership approach in implementing HIV/ AIDS programs in the field, and getting more strategic linking with FBOs in the health sector in General.
ReplyDeletePaRD is happy to facilitate this under the envisaged Workstream Health. especially with Focus on Capacity development for smaller FBOs and implementing agencies in mostly effected countrries.
1. Mainstreaming AIDS into the cosponsor agency programmes is one way. Supporting sector programmes to mainstream AIDS in all their plans and budgets will ensure that all sectors contribute to the AIDS response in any country.
ReplyDelete2. We need to recognise the achievements of all sectors as contributing to the AIDS response and not creating AIDS programmes everywhere. For example reducing poverty by a sector working on development contributes to the response. If the education sector improves the enrollment and completion of the girl child, that addresses one of the key determinants for HIV transmission and so on.
We need to see the epidemic in context. Both in terms of countries, and affected populations. It is important to recognize success where we have achieved it and to be realistic.
ReplyDeleteTo mainstream HIV might currently be “en vogue” (and it might lead into the right direction) but we should not forget what we have achieved by being very focused in particular related to the needs of the various vulnerable groups, listening to their voices, integration their human resources. If you want to priorities you have to make sure that the right arguments (and the voices of those who are addressed) come across.
ReplyDeleteL'ONUSIDA est une des rares agences qui ne se contente pas de jouer son rôle de leadership et coordination au sein du SNU. elle sait valoriser les autres agences selon le rôle qu'il doivent jouer au regard de la division du travail. l'itégration de la lutte contre le VIH et SIDA dans le domaine de la santé est évidente et nécéssaire au stade actuelle le réponse car on est face à une infection (à VIH) et face à une maladie (SIDA) ayant pour cause un virus. De nos jours les questions d'urgences et humanitaires ne sont plus seulement sanitaires (épidémies, explosion de nouvelles maladies) mais ont des fondements socio-culturels (religions, exclusions etniques), politiques (instauration de la démocratie, lutte contre la dictature) et économiques mettant en mal la paix et la sécurité dans le monde et favorisant l'expansion du terrorisme. l'action humanaire pend le pas sur le developpement e là l'ONUSIDA n'a pas su trouver la stratégie où l'agence du SNU à même de proposer la porte d'entrée pratique et efficace dans le contexte humanitaire, c-a-d en utilisant le concept de "lives saving". Des ressources importante son alloué aux agences DU SNU l'humanitaire sans qu'il adresse efficacement le VIH et SIDA. Il est plus que urgent pour l'ONUSIDA de trouver cette approche car c'est un domaine où il y a un vide et aucune agences pour bien le combler ....Il est temps de s'intégrer dans l'humanitaire en aidant le système de santé à se renforcer pour la lutte contre vih et sida chez les populations déplacées, refugiées.
ReplyDeleteLes coparrainant devraient également faire connaitre à l'ONUSIDA au trois niveaux (siège, régions et Pays) leur stratégie d'intervention en matière de VIH et SIDA dans le domaine défini par la division du travail. Sinon les fonds ne sont pas utilisés de façon stratégique et pas canalisés vers un objectif commun dans le pays où le SNU peu avoir pus d'impact. depuis l'inStauration de 2011 les fonds sont chez les coparrainants et l'ONUSIDA traverse des années très difficile
ReplyDeleteHIV/AIDS need to be better reflected in Corporate Frameworks so it's not a stand-alone activity of projects without any links with the rest (WASH, education, social protection, food security ...).
ReplyDeleteBy prioritising resources for the co-sponsors above those for the UNAIDS Secretariat, which was always intended to be a coordination platform rather than a UN agency itself.
ReplyDeleteI think Mr Bridge is mistaken. The orginal vision for UNAIDS was for it be financed by donors *and* Co-Sponsors. The vision was certainly not for the Co-Sponsors to take money away from the Secretariat.
DeleteUniéndose realmente con la SC organizada del país y no hacer acciones desconocidas por muchos, hacen mucho trabajo pero no lo informan
ReplyDeleteThe Agenda 2030 and its focus on the different dimensions of development – social, economic and environmental – could be a new way to see, and act upon, the multi-sectoral nature of the joint programme. Strengthening actions and interventions around gender equality and women’s empowerment, human and labour rights, and social protection and humanitarian programming, would benefit the Joint programme.
ReplyDeleteIn this context, the cosponsors – which have a specific technical expertise – should continue to be an integral part of the HIV response. While the document on the Division of Labour (DoL) would require updating based on the new trends and epidemic (maybe around Agenda 2030?), cosponsors should still focus on delivering the technical content of the AIDS response, while the Secretariat should focus on advocacy, coordination, resource mobilization, and some aspects of strategic information as basis for an effective HIV response
AIDS (objectives and activities) issues should be included into strategic plans of each of the co-sponsors
ReplyDeleteCo-Sponsors should increase their own internal resource allocation to HIV/AIDS rather than relying on the Secretariat to fundraise on their behalf. With the Joint Programme experiencing a funding shortfall this is increasingly an unsustainable approach if they are to maintain a strong focus on HIV/AIDS. The apparent limited priority afforded to HIV/AIDS by the Co-Sponsors within their own budgets is a concern.
ReplyDeleteThis can be achieved through integrating HIV in the co-sponsors' strategic frameworks
ReplyDeleteKeep up the good work done so far. Some changes do take time to settle in and, in many countries, the Joint programme’s work is now making a real difference. Multisectoral inputs allow the epidemic be addressed from different and complementary angles. The variety in UN support through the work of the cosponsors also enriches the countries’ response and this resulting comprehensive response helps countries integrate HIV and AIDS into the programmes targeted at reaching the 2030 SDGs.
ReplyDeleteThe multi-sectoral nature of the joint programme can be leveraged through integration of HIV in all major global initiatives, including the key populations. In many of the global initiatives for example where the needs of women are being addressed, the women who use drugs or women in prisons are forgotten.
ReplyDeleteUtilizing new scientific evidence such as U=U to advocate for universal access to ARV and diagnostic tools (VL), and position HIV/AIDS as a key focus of a global campaign for Universal Health Coverage
ReplyDeleteWe have always known that vulnerability to HIV and its impact is a symptom and result of vulnerability to violation of basic human rights. That perspective and the weight of the UN behind it is in need of resurrection. Given the rights focus of the UN system, this is shared across the agencies. The new SDG agenda provides new momentum for rights advocacy, and coordination among agencies along the lines of the UNAIDS model would be a real contribution. The HIV agenda is "waning" but there are 20+ years of experience in multisectoral work on a single issue that should be held up as a useful example.
ReplyDeleteAn "AIDS Programme Pivot" has to be developed. Lesotho successfully led multi-sectoral planning and financing of the HIV response by allocating 1% of each sector's budget to the HIV specific results that particular sector can achieve. This would be one way to go. For example Lesotho spends 6% of its annual budget towards social protection yet the country does not explicitly include people living with HIV and vulnerable people to HIV receive social protection benefits apart from orphans. Another would be to move towards decentralization of HIV funding to target key ministries and sectors to pivot and leverage those sectors' contribution to the AIDS response. For example more than 60% of AIDS Strategies budgets are for ARVs. That budget can go directly to the Ministry of Health. The other would be allocated towards remove the binding constraints that hinder the utilization of services. This would be towards for example performance based financing that awards incentives to health facilities for reaching testing, accessing, linkage and viral suppression targets. The World Bank work has demonstrated for instance that target use of incentive works in encouraging couples to test together assisting in reaching large pools of sero-discordant couples. Without intervention the negative couple is at imminent risk of contracting HIV and can be protected with better multi-sectoral programmes that have the right incentives.
ReplyDeleteUNAIDS mandate should be strengthened and expanded to engage in global health advocacy, while mantaining its core role as the global lead on HIV advocacy,data and technical support. The international community still faces a serious global AIDS pandemic which will never be ended without UNAIDS. But the UNAIDS model for advocacy, technical excellence and community mobilization should also be expanded into other areas of global health and development.
ReplyDeleteEnsure that the HIV/AIDS agenda is taking into consideration by Member States when developing their national action plans to implement Agenda 2030, and that it’s adequately funded by domestic and international resources
ReplyDeleteSvetlana Doltu, NGO AFI:
ReplyDeletePrioritatea HIV necesită integrare la nivel comunitar, ca parte componentă a conceptului de sănătate și bunăstare. Aspectele sociale sunt extrem de importante pentru un program de sănătate, de aici pornind formarea priorităților la nivel național, regional și global.
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ReplyDeleteThere is much good work that has been done here. The convening power of UNAIDS, its capacity to mobilize across the sectors remains a credit to salute. The conveyed message remains in the wider public that UNAIDS is AIDS for/by UN. There is a need foR UNAIDS visibility of UNAIDS in other interrelated sectors and areas that are closely linked with HIV AIDS, and other communicable and non-ciommunicable diseases, without loosing the needed focus and attention. The balance between focus and integration still needs to be reviewed despite the good work that has been done so far.
ReplyDelete