Embed Size (px)
Citation preview
Community-based approaches to tackling Global Health Challenges
Mike Podmore
2
Jacquelyne Alesi
3
Global consultation with young people living with and
affected by HIV
The key priorities
• Human rights, including sexual and reproductive rights
• Comprehensive sexuality education
• Access to safe, comprehensive services and knowledgeable, ethical, supportive, and qualified health service providers
• Meaningful youth participation in all aspects of decision-making
• Addressing gender-based violence
Community-based approachesThe International HIV/AIDS Alliance model
• Established in 1993
• An innovative alliance of nationally based, independent, civil society organisations
• Dedicated to ending AIDS through community action
Who we are
7
• 40 independent, national Linking Organisations working across four continents
Our model
8
• Community System Strengthening Framework – Global Fund, 2009
Frameworks that firmly position the critical role of civil society in the response:
• Investment Framework – Lancet, June 2011
9
• Most studies are randomized controlled trials to test the efficacy of medical interventions
• Community approaches are difficult to quantify and measure and there have not been enough studies
• In 2012-3 we worked with the London School of Economics and Political Science (LSE) to examine and document the role of community mobilisation across Alliance HIV programming.
• In 2013, the World Bank concluded a three year evaluation of the impact of the community response to HIV and AIDS. This large scale research included country studies in Burkina Faso, India, Kenya, Lesotho, Nigeria, Senegal, South Africa and Zimbabwe and provides strong evidence
The challenge of evidence:
10
1. Peers engaged to deliver services
5 community-based approaches that work
2. Community members take leading roles in programmes
3. Programmes respond holistically to community priorities
4. Enhanced community & social capital
5. Communities socially and politically mobilised
11
Health in the Post-2015 Framework
13
• Universality, solidarity, and gender equality • Health is a human right and a public good• The unfinished business of the MDGs – 4, 5 and 6• Leave no-one behind• Health is a precondition for and outcome of sustainable
development• Evidence-based, include financial targets and have
robust monitoring mechanisms at all levels• Civil society must be recognised as an actor in its own
right and supported as both mobiliser, service provider and advocate
Key principles:
14
• UHC as key instrument to its realisation and would have two interlinked targets:
1) Universal access to quality healthcare
2) Financial risk protection
Plus
3) A target related to health outcomes - ending preventable mortality and morbidity at all stages of life
4) A target related to enabling health behaviour (social determinants of health)
Proposed goal: Ensuring healthy lives at all ages
15
The community has the power to tackle Health challenges if they are recognised and supported to do so.
Mike [email protected]: @alliancemikewww.aidsalliance.org
