Civil Society & Scaling Up Critical enablers

1. A Convincing Story of communities

A coherent narrative of the role of communities and civil society in health

Speaks to:• Real community systems (research needed)

• Public health and its non-medical components

• Niche responses of community vs the state

• The value add of communities in and to health

2 A Convincing Story of Critical Enablers

A coherent narrative of the role of critical enablers in both the HIV response and health more broadly

QuantificationIn Brazil, if teenage girls were able to delay pregnancy until their early twenties, its

economy would be $3.5 billion more productive. In India, this number jumps to $7.7 billion. (World Bank)

InteractionGirls who experience sexual violence are three times more likely to have an

unwanted pregnancy, and girls ages 10 to 14 who are pregnant are five times more likely to die in childbirth than women ages 20 to 24. (Together for Girls)

3. The Other Integration: SRHR and HIV

Too much policy focus too little problematizing

Exceptional focus, integrated response

NCD link

4. A new Narrative on Rights

What’s wrong with the old one?

ICPD, CSW and and the revenge of previously marginalized conservatives

Rights as a particular geo-political agenda

Findings leverage in the right places

5. Unpacking National Ownership

Unintended consequences

Disappearing resourcing for civil society responses

Similar for structural responses: the ART dilemma

Re-medicalization of the response

6. Priority stakeholders

Refocus on vulnerability

Women and girls (special focus on informal urban)

Adolescents (including positive and key population)

Key populations

Denial of rights, denial of sex, denial of voice

7. Growing antagonism towards civil society

Increasing restrictions on CSOs

State chauvinism

Alternative development paradigms

New development models

Implications for democracy, the rule of law, and issues of plurality and diversity in countries

8. Production of scientific quality evidence

World Bank: Investing in communities achieves results (2012)

Policy requires publication

CSO – academia – policy links

9. Social entrepreneurship

A need to move from ‘charity’ to investment

Sustainability of community interventions

Unusual suspects

10. An Investment Framework

Venture capitalists and social capitalists

Start-up support

bridging finance

structural adjustment loans

surety

insurance

Community Systems for Critical Enablement