Localizing aids response in the philippines (2012)

Experience from UNDP Philippines

Philippine Philippine AIDSAIDS Situation Situation

2000: 1 new case every 3 days

2007: 1 new case every day

2009: 2 new cases a day




Changes in Incidence Rate of HIV Infection, 2001 to 2009, Selected Countries




Weak national AIDS Council (PNAC)Decentralization has relegated implementation of national AIDS policy to local governments;Low coverage of HIV programme coupled with low domestic spending;Disjointed and uncoordinated responseLack of strategic information among most-at-risk populations to inform effective interventions.Conservative forces in societyStrong stigma and discrimination against PLHIV

UNDP Country Programme on UNDP Country Programme on AIDSAIDS



Strategies:

Strengthen technical support mechanism (i.e. Regional AIDS Assistance Teams) on AIDS response for local governments and develop tools;

Enhance institutional capacity of local government coordinating bodies; and

Establish institutional mechanisms within DILG


Strategies:

Develop profile of MSM and their changing behaviors;

Map and assess existing programs, services, and interventions for MSM and transgender;

Recommend strategies for advocacy and cost of intervention packages; and

Strengthen local MSM groups to participate in local governance

Programme OutcomesProgramme Outcomes

Institutional Arrangements

Integration of HIV and AIDS in the Orientation Programme for Newly Elected Officials of the Local Government Academy;

Development and implementation of policies in support to local action;

Development of Local Response Framework/Strategy in support for the implementation and localization of the 5th AIDS Medium Term Plan; and

Instituting award mechanism for best local AIDS response to encourage proactive LGU response.

I. Strengthened capacities of national, sub-national and local government institutions in responding to HIV and AIDS.


Knowledge Increased capacities of Regional AIDS Assistance Teams (RAATs) and local AIDS champions in provision of technical assistance to LGUs through continued capacity trainings;

Development of online resource on HIV and AIDS for RAATs and LGUs (i.e., www.lga.gov.ph/hiv); and

Development of a step-by-step guide in establishing local AIDS response for local government officials, including tools to assess the local AIDS situation and monitor response (i.e., Localizing the HIV and AIDS Response: Local Government Guide for Practical Action).


http://www.lga.gov.ph/hiv


Accountability Assessment of local HIV and AIDS policies in selected sites (i.e., Quezon City and Pasay City) in terms of its relevance, responsiveness and implementation, which afforded recommendations in enhancing current policy environment and programme implementation among LGUs; and

Consultations conducted between LGUs and MSM and TG groups to facilitate greater engagement and collaborative efforts in AIDS response.



Established and revitalized 99 Local AIDS Councils in different local governments across the country;

Identified 250 local AIDS Champions; and

Developed 44 local AIDS policies.

II. Increased commitment and engagement of local institutions to addressing HIV and AIDS challenges.


18 community community-based groups and about 200 MSM and transgender individuals were trained on sexual health, organizational development and programme development

Series of consultation workshops paved the way for collaborative and coordinated initiatives from both the MSM and TG groups and their respective local government units .

III. Improved engagement of MSM and transgender groups in local governance process.


Informed development of the 5th AIDS Medium Term Plan, particularly strategic response for MSM and TG;

Helped concretize the National Strategic HIV Comprehensive Plan for MSM and TG;

Guided localization of AIDS response;

Helped assess programme and policy gaps; and

Served as advocacy tools.

IV. Enhanced strategic information to advise AIDS policy and programming.

Innovative ApproachesInnovative Approaches

Facilitated dialogues between community-based MSM and transgender groups and local governments

Advancing MSM Interventions with Local Governments


Hosted Multi-Country Training on Strategic Information on HIV among MSM and Transgender People

South-to-South Sharing of Information


Human Soul: A Multimedia Exhibit on the Fight against Discrimination, which leveraged support for passage of anti-discrimination legislations in Philippine Congress and local governments.

Fighting Discrimination against MSM and Transgender


Large and multi-sectoral delegation to regional meeting of the Commission on HIV and the Law (Commission on Human Rights, Parliamentarians, Department of Justice, CSOs)

Adoption of the approach at national level led by CHR

Conducted training on HIV for CHR officials

“Nationalizing” the Commission on HIV and the Law


In partnership with Starbucks Philippines, brought AIDS education to clientele and employees with a series of HIV and AIDS Dialogues in Starbucks branches and posting of informational materials;

Assisted the company in setting up HIV workplace policy and programme.

Building Private Sector Partnership in Promoting AIDS Awareness

Lessons LearnedLessons Learned

The need for buy-in and ownership;

Defining expected roles and responsibilities of all relevant actors;

Flexibility on leadership roles within the team;

Importance of participatory process.

Lessons LearnedLessons Learned

Enactment of policy

Active coordinating mechanism

Multi-sectoral partnership

Allocation of resources

Strong political leadership

5 Key Elements for Sustained and Effective Local AIDS Response

Ways ForwardWays Forward

UNDAF Sub-outcome

By 2018, more people at-most-risk, living with and affected by HIV have access to quality HIV prevention, treatment, care and support services.

UNDAF Outputs Policy reform

Development of standards and

guidelines

Capacity development for NGAs, LGUs and CSOs

PNAC institutional

strengthening

Joint Programme Outcome

Coverage of quality prevention services expanded towards Universal Access.

Joint Programme Outputs

Policy reform at the national

and local levels

Development of HIV prevention

guidelines

Community mobilization

Capacity dev’t of CSOs and

LGUs

PNAC and LAC institutional

strengthening

CP OutputsPolicy reform at

the national and local levels

Development of standards and

guidelines

Community mobilization(MSM/TG)

Capacity dev’t for NGAs,

RAATs, LGUs and CSOs

PNAC and LAC institutional

strengthening

THANK YOUTHANK YOU

Localizing aids response in the philippines (2012)

Health & Medicine

local aids policies

local aids champions

local aids situation

local aids councils

best local aids response

local msm groups

local government institutions

aids challenges