South & East Asia Regional WorkshopAchieving Impact: The New Funding Model Update

Barriers to Accessing Services

Emilie Pradichit, UNDP APRCUnited Nations Development Programme

Asia-Pacific Regional Centre16 June 2014, Phnom Penh, Cambodia

1. Identify Barriers to Accessing Services

Stigma and Discrimination

Criminalization: Fear of arrestForced sterilization

Gender inequality

Migrants lack ID cards

Lack of legal aid

Police abuse

No right to register an NGO

Prison overcrowding

Denial that key pops exist

Availability of facilities

Financial barriers

Harmful gender norms

Gender-based violenceBarriers to health services

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The Global Commission on HIV & the Law (2010-2012)

• Laws and Practices That Effectively Criminalise People Living With HIV and Vulnerable to HIV

• Laws and Practices That Mitigate or Sustain Violence and Discrimination as Lived by Women

• Issues of Law and HIV pertaining to children and young people

• Laws and Practices that Facilitate or Impede Access to Affordable Medicines

The Global Commission on HIV & the Law: Key Findings

1. Epidemic of bad laws is fueling the spread of HIV, resulting in human rights violations and costing lives

2. Epidemic of bad laws is limiting effectiveness and efficiency of HIV and health investments

3. Good laws and practices that protect human rights and build on public health evidence already exist - they strengthen the global AIDS response, and they must be replicated

www.hivlawcommission.org

5

The Global Commission on HIV & the Law: Key Recommendations

• Remove all legal barriers that impede access to HIV and health commodities and services for Key Populations

• Respect, give force to domestic and international human rights obligations to protect and promote equality of all people within their borders

• Repeal laws criminalizing consensual sex between adults of the same sex and transgender identity

• Respect existing civil and religious laws and guarantees related to privacy

www.hivlawcommission.org

The Global Commission on HIV & the Law: Key Recommendations

www.hivlawcommission.org

• Removing legal barriers to community organizing, socializing of LGBT

• End all forms of violence, harassment, brutality against Key Populations

End police abuse and harassment of NGO workers and members of Key Populations

Effective methods to lodge complaints, prosecute police personnel, and access justice

Invest in training police, public safety officials, judges

The Global Commission on HIV & the Law: Key Recommendations

www.hivlawcommission.org

• Parliaments must explicitly prohibit HIV-related discrimination

• Requires education on HIV and the law – of people living with HIV, the judiciary, law makers, healthcare workers, school systems, lawyers, employers and trade unions

• Donors, civil society actors and the private sector to hold governments accountable to their human rights commitments

2. Design Disease Programs using a Human Rights-Based Approach

3. Remove Barriers to Access

Community Mobilization: Access to Justice,

Advocacy, Capacity Building,

Strategic Information

Addressing Attitudes & Bad Practices:

Stigma, Discrimination, Prejudices

Improved Policy Environment

“SAFE SPACE”Enabling Environment

Combined Interventions

Strategic Information - Creating / Improving the evidence base: National Dialogue & Action Planning on HIV and the Law Size Estimation study to identify and size KAPs

Addressing Attitudes & Bad Practices: Media & Religious Leader Sensitization Law enforcement, Police & Health Sector Training

Improving Legal & Policy Environment: Legal environment assessments/reviews Legislative Reform Judicial Sensitization / Judicial Advocacy Parliamentarian Sensitization / Legislative Advocacy

Community Mobilization: “Know your Rights & Advocate” Access to Justice – Legal Literacy & Legal Services

Millions have a drug problem.

They can’t get any.

4. Remove Financial Barriers

Policy Advocacy for Access to Affordable Medicines

Community Mobilization +

Officials Sensitization

Key Tools to Remove Barriers

✔ Key Populations Checklist for 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

← KP Assessment using appropriate Tools including programmatic mapping and size estimations.

← Data, targets and indicators on specific key populations← Identify key priorities← Develop timeline

← Involve KP stakeholders← Capture recommendations of

consultations← Include findings from the KP

and HIV analysis of NSP

← Capture KP & HIV analysis of NSP

← Define impacts of HIV among key populations

← Develop strong KP-focused proposals

Monitor Fund Portfolio Managers Keep stakeholders informed of

outcomes Set out activity costs and funding for

key population interventions

→ Ensure KP progammes are-implemented----

→ Ensure KP-sensitive approaches at activity level

→ Include budgeting for KP programmes

→ Outline key population programme responsibilities-of SSR and SRs

→ Ensure M&E framework includes indicators for KP programming

→ Ensure evidence on KP interventions collected and documented

Funding for HIV programming for key populations

Entry points into the NFM

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Thank you!

UNDP APRC Global Fund Partnership Team

emilie.pradichit@undp.org