Moving Towards Universal Access: Asia Pacific Regional Civil Society Forum Meeting Notes
UNAIDS, Bangkok, 25 August 2006
INTRODUCTION
The Regional Consultation in Pattaya and the High Level Meeting recognized and acknowledged that civil society is a critical partner in efforts towards achieving the goal of moving towards Universal Access. UNAIDS Regional Support Team for Asia and the Pacific (RST-AP) organized a Civil Society Forum on 25 August in Bangkok to follow up on the above-mentioned meetings leading up towards universal access. A total of 42 representatives of Regional Networks and NGOs working on HIV/AIDS in the region and some civil society partners from countries, attended the one-day meeting (please see participant list). Specifically, the consultation explored approaches and mechanisms for stronger participation of civil society.
Countries in Asia and the Pacific are in the process of developing national strategic plans and targets, as well as costing their operational plans. Once missed, this opportunity may not occur again within the next five years. These processes can be seen as a window of opportunity for meaningful involvement of the civil society to partner with the national authorities in setting ambitious targets to increase coverage for HIV prevention, treatment, care and support and achieving the goals of universal access.
KEY DISCUSSION POINTS AND RECOMMENDATIONS
The consultation focused on the following core areas.
1. The process of moving towards meaningful participation of civil society at the country level
A key concern shared and discussed at this consultation is the question of how to create an enabling environment and a suitable platform that will allow the civil society at the national and grassroots level to participate meaningfully in developing national strategic plans and setting targets at the country level. Below are the key recommendations.
1.1 Develop a framework for strong and meaningful civil society participation. This framework should address:
· minimum standards for civil society involvement (the forum proposed that the civil society develop the framework, and that this exercise be driven by in-country civil society).
· systematic and equitable representation of civil society, including people living with HIV and vulnerable groups[1] in the official mechanisms (e.g. national AIDS authority, CCM) and process of setting targets and developing national strategic plan, as well as operational plan including monitoring and evaluation.
1.2 Strengthen capacity of the civil society in both knowledge and skills.
· Knowledge – civil society at all levels need to fully understanding the concept and implications of Universal Access, and their roles
· Skills – skills for grassroots organizations to carry out effective interventions with vulnerable groups on a long term basis; skills to effectively advocate and to express their concerns and perspectives, and to negotiate, etc.
Participants noted that strengthening the capacity of civil society needs to be a long-term and on-going process that requires sufficient allocation of resources and technical support on an ongoing basis. Technical Support Facility (TSF) and AIDS Strategy and Action Plan Service (ASAP) of World Bank could be a resource which civil society can utilize to get technical assistance in capacity building.
1.3 Provide adequate preparation for civil society participation.
The forum raised the issue of pressure to perform and inadequate preparations and lead time given to civil society. For example, the civil society is expected to work with national authorities in setting targets but yet there is little preparation and unclear mechanisms as well as a tight deadline for civil society involvement at the country level.
Specific suggestions include:
§ translation of global policy, declarations and commitments into the local context and languages
§ briefing of civil society including familiarizing the civil society on relevant issues
1.4 Develop indicators to measure civil society participation.
It is important to measure civil society involvement in order to prove their accountability. The capacity of civil society must be strengthened so that they can be effectively involved in the monitoring and evaluation process, and take part in the national M&E mechanism.
1.5 Document structured case studies of how civil society organizations have been involved at the country and regional levels to help assess progress made and lessons learned.
Key follow up actions:
- Civil society representatives to initiate a country-led process to develop minimum standards for civil society involvement (Participants to identify lead person/s)
- Follow up with TSF Manager to utilize technical assistance in building capacity of civil society
- Communicate with civil society organizations at all level on the concept and implications of universal access, and their potential roles
2. Key targets for 2010
A working group of participants was tasked to identify a set of recommendations on targets, to be considered by the forum. A list of quantitative targets was prepared and discussed, according to the indicators listed in the annex to SG’s report and the 9 indicators for low and concentrated epidemic countries. A representative of the group reported back to the forum after lunch.
The group divided the key targets into two components: the Program itself and the Contributing factors. Prevention and Treatment, Care & Support fall under the program and Capacity building and Enabling environment fall under the Contributing factors.
2.1. The participants endorsed the following overall broad targets as most critical in making major impact.
Note: The following targets endorsed by participants at the regional civil society forum have been regrouped in line with the UNGASS targets and those indicated in the annex to the note by UN Secretary General on assessment by UNAIDS on universal access.
Please find attached the list of core targets as annex at the end of this report.
2.1.1. Prevention for most at-risk populations (MARPs) including children and young people
2.1.1.1.Service coverage - target 80%
2.1.1.2.Behaviour change - target 60%
2.1.2. ARV Treatment for those who need it - target 80% coverage of eligible population.
Recognizing the diversity of the epidemic and country realities, participants agreed that target setting should be a country led process. This principle also applies to the following indicators.
2.2. The participants proposed that the targets listed below need to be worked further at country level.
2.1.1. Prevention:
2.1.1.1. Coverage of Voluntary Counseling and Testing (VCT)
2.1.1.2. Coverage of prevention services to vulnerable population such as young people, women and children including access to PMTCT
2.2.2.Treatment, Care & Support:
2.2.2.1. Second and third line ARV
2.2.2.2. Treatment of Opportunistic Infections (OI)
2.2.2.3. Paediatric AIDS Treatment
2.2.3. Enabling Environment:
2.2.3.1. Civil society involvement/engagement (indicators to be suggested by civil society)
2.2.3.2. Accountability – Independent “watchdog” system
2.2.3.3. Resources – % of national budget for HIV/AIDS (UNAIDS to provide funding gap to Civil Society Organizations)
2.2.3.4. Earmarked budget for NGO capacity building
2.2.3.5.Stigma and discrimination – National policy and practice
2.2.3.6.The participants further felt that one of the key priorities for target setting is the need to establish baseline surveillance (both HSS and BSS) and size estimation of MARPs.
Note: All the above indicators under point 2.3. (except ‘resources’) are captured under the ‘National Composite Policy Index’ which reflect government’s support to the respective components.
Follow up actions:
- Through their country contacts, civil society representatives encourage grassroots and community-based organizations to participate in country universal process at all level.
- UNAIDS to synthesize what had been discussed at the forum in regards to target setting and share this with participants for their final feedback.
- Participants to give their final feedback on the list of targets within one week after receiving the meeting document.
3. Accountability
The Forum noted the need that all partners governments, civil society, UN, donors and other stakeholders - must be held accountable, and that in doing so, mutual accountability must be ensured. It is crucial that civil society organizations consult with and report back to their constituencies and be accountable to the communities they serve.
In order to perform effectively and to be accountable, civil society would require ongoing capacity building to empower themselves with the necessary skills and resources.
It was noted that civil society is by nature, representative of a diverse group that is not homogeneous, independent and autonomous, and that these values cannot be compromised. In addition, civil society must maintain transparency in its participation and operations.
3.1.Develop a mechanism to benchmark the capacity of civil society, to set own targets against minimum standards for civil society participation as well as the capacity of the civil society organizations. This process should build on the existing code of conduct for NGOs.
Follow up action:
- Identify/develop tools to measure civil society’s capacity in meeting the targets, and how they are being met.
4. UNAIDS role in promoting civil society engagement
The Forum made the following recommendations for the role of UNAIDS.
At the country level
4.1.Facilitate partnership between the national authority and civil society at the country level
· facilitate the establishment of autonomous civil society forums for discussion/ collaboration, linked with government forums, involving as many and as diverse civil society organizations as possible
· support, if and as necessary, civil society consortium or similar mechanism to collectively identify representatives through inclusive and transparent process to express their shared voice and concerns in dialogue with government
· bridging with the government, ensuring that civil society representatives are involved meaningfully in consultation and decision making mechanisms as well as implementation level
· encourage the national authority to create mechanisms for civil society involvement in the national process (e.g. representation in official mechanisms such as the Country Coordinating Mechanism)
· support civil society in developing a framework and guiding principles for civil society involvement
4.2.Share information and facilitate actions following meetings, consultations and other developments among the civil society through ongoing communications.
The Forum suggested that UNAIDS appoints a staff to be a focal point for follow-up with civil society (Social Mobilization Officer or staff member who is covering the area).
4.3.Support resource mobilization efforts by and for civil society and to coordinate with donors and government to make sure civil society get equitable access to funds
4.4.Facilitate involvement of civil society in M&E and capacity building among national NGOs and community-based organizations
Regional level
4.5. Advocate with and build capacity of government partners about engaging with civil society in scaling up towards universal access
4.6.Advocacy with donor agencies for development of evidence-based policy and priorities
4.7.Support resource mobilization efforts by and for civil society
Follow-up
§ UNAIDS RST will send information on the division of labour among the UN agencies to the participants.
§ UNAIDS RST will communicate with its Country Coordinators and national authorities to support civil society participation at the country level.
§ UNAIDS to share focal point for civil society contact at the country level (Social Mobilization Officers and staff members who are taking a similar role)
§ UNAIDS requested participants, particularly those who work at the regional level, to support national and grassroots civil society organizations to participate as partners at the national level.
Conclusion
The process: The participants were engaged on the issue of participation of civil society in the target setting process at the countries. Many expressed the lack of confidence in governments engaging them as equal partners in the target setting and the NSP preparation process, as evidenced by the experiences they shared.
Many of them are apprehensive about the process and feel that their participation will still be tokenistic and one of routine consultation at some stage in the whole process. The participants believe that the onus is on governments to establish mechanisms and provide opportunities for civil society to be meaningfully engaged.
Many of them strongly expressed that unless UNAIDS plays a supporting role and that of an honest broker, this process will end up in tokenism. UNAIDS should relook at its role in a new light and emphasize the process as much as the targets themselves in this entire exercise.
The representatives from the Pacific cited the low representation and participation from the Pacific in the regional processes related to UA. They expressed the need to address this gap in future regional consultations and meetings especially those covering the Asia-Pacific region.
Target setting: Target setting appeared to be of secondary concern for the civil society participants - the entire emphasis placed on the extent of civil society involvement in the consultation process.
A list of quantitative targets was prepared and discussed in the meeting. This list was prepared keeping in view the indicators listed in the annex to SG’s report and the nine indicators for low and concentrated epidemic countries. The participants have agreed to give their final feedback on the list in a week’s time after receiving the meeting document.
It was agreed that target setting would be a country led process, but some broad indicators on coverage of vulnerable populations for behavior change, coverage of eligible HIV positive persons by ARV treatment and the extent of scale up of resources for national programmes would be agreed at the regional level in keeping with the consensus arrived at in the Regional consultations at Pattaya in February 2006.
Capacity building:
If the scale up of prevention and treatment interventions have to reach the scale that is needed for Universal Access, one of the main impediments is the lack of sustainable and ongoing capacity building of people living with HIV, grass roots NGOs and community organizations, to implement HIV programmes as well as participate in national and regional consultation processes.
The participants felt that very little was done to build capacity at that level by Governments, the various UN agencies involved and also the INGOs and other stakeholders operating at national level. The participants identified this as a major obstacle which needs to be overcome and UNAIDS need to keep this as a priority in their future planning of work.
******************
ANNEX
Targets for Universal Access by 2010
-Low and Concentrated Epidemic Countries in Asia and Pacific region
1. 80% of most-at-risk populations reached by prevention programmes (eg: outreach services, condom promotion, drug substitution treatment, needle exchange, etc).
2. 60% of behavioural change of most-at-risk populations
a) Percentage of most-at-risk populations who both correctly identify ways of preventing the transmission of HIV and reject major misconceptions about HIV transmission
b) Percentage of female and male sex workers reporting the use of a condom with their most recent client
c) Percentage of men reporting the use of a condom the last time they had anal sex with a male partner
d) Percentage of injecting drug users who have adopted behaviours that reduce transmission of HIV, i.e., who avoid using non-sterile injecting equipment or use methadone substitution treatment and use condoms, in the last 12 months (for countries where injecting drug use is an established mode of HIV transmission)
3. 80% of eligible people living with AIDS to be receiving antiretroviral combination therapy. Follow-up with second and third line ARVs to be fully covered.
4. Resource mobilized by Government (both from domestic and international sources) fully meets the prevention and treatment targets, or at least 3 times increase from that in 2005.
5. Enabling environment
a) Civil society engagement
i. Percentage of members in National AIDS Coordinating body (including CCM) who represent sectors of civil society
ii. Percentage of National AIDS Response budget earmarked for programmes partnering civil society, including capacity building and management support
b) Fight against AIDS related Stigma and Discrimination
i. National legislation to address stigma, discrimination, rights of infected and affected population.
6. % of HIV+ pregnant women receiving a complete course of ARV prophylaxis to reduce the risk of MTCT
7. % of orphan and vulnerable children (OVC) who received a basic external support package (eg: School fee, shelter and food)
8. Reduction of new infections in the next five years as an outcome
Note: No.1-3 are non-negotiable quantitative targets as agreed in the Regional Consultation on Universal Access at Pattaya in February 2006 and the civil society consultation in August 2006 in Bangkok
[1] sex workers, MSM, drug users, transgender, and other vulnerable groups
INTRODUCTION
The Regional Consultation in Pattaya and the High Level Meeting recognized and acknowledged that civil society is a critical partner in efforts towards achieving the goal of moving towards Universal Access. UNAIDS Regional Support Team for Asia and the Pacific (RST-AP) organized a Civil Society Forum on 25 August in Bangkok to follow up on the above-mentioned meetings leading up towards universal access. A total of 42 representatives of Regional Networks and NGOs working on HIV/AIDS in the region and some civil society partners from countries, attended the one-day meeting (please see participant list). Specifically, the consultation explored approaches and mechanisms for stronger participation of civil society.
Countries in Asia and the Pacific are in the process of developing national strategic plans and targets, as well as costing their operational plans. Once missed, this opportunity may not occur again within the next five years. These processes can be seen as a window of opportunity for meaningful involvement of the civil society to partner with the national authorities in setting ambitious targets to increase coverage for HIV prevention, treatment, care and support and achieving the goals of universal access.
KEY DISCUSSION POINTS AND RECOMMENDATIONS
The consultation focused on the following core areas.
1. The process of moving towards meaningful participation of civil society at the country level
A key concern shared and discussed at this consultation is the question of how to create an enabling environment and a suitable platform that will allow the civil society at the national and grassroots level to participate meaningfully in developing national strategic plans and setting targets at the country level. Below are the key recommendations.
1.1 Develop a framework for strong and meaningful civil society participation. This framework should address:
· minimum standards for civil society involvement (the forum proposed that the civil society develop the framework, and that this exercise be driven by in-country civil society).
· systematic and equitable representation of civil society, including people living with HIV and vulnerable groups[1] in the official mechanisms (e.g. national AIDS authority, CCM) and process of setting targets and developing national strategic plan, as well as operational plan including monitoring and evaluation.
1.2 Strengthen capacity of the civil society in both knowledge and skills.
· Knowledge – civil society at all levels need to fully understanding the concept and implications of Universal Access, and their roles
· Skills – skills for grassroots organizations to carry out effective interventions with vulnerable groups on a long term basis; skills to effectively advocate and to express their concerns and perspectives, and to negotiate, etc.
Participants noted that strengthening the capacity of civil society needs to be a long-term and on-going process that requires sufficient allocation of resources and technical support on an ongoing basis. Technical Support Facility (TSF) and AIDS Strategy and Action Plan Service (ASAP) of World Bank could be a resource which civil society can utilize to get technical assistance in capacity building.
1.3 Provide adequate preparation for civil society participation.
The forum raised the issue of pressure to perform and inadequate preparations and lead time given to civil society. For example, the civil society is expected to work with national authorities in setting targets but yet there is little preparation and unclear mechanisms as well as a tight deadline for civil society involvement at the country level.
Specific suggestions include:
§ translation of global policy, declarations and commitments into the local context and languages
§ briefing of civil society including familiarizing the civil society on relevant issues
1.4 Develop indicators to measure civil society participation.
It is important to measure civil society involvement in order to prove their accountability. The capacity of civil society must be strengthened so that they can be effectively involved in the monitoring and evaluation process, and take part in the national M&E mechanism.
1.5 Document structured case studies of how civil society organizations have been involved at the country and regional levels to help assess progress made and lessons learned.
Key follow up actions:
- Civil society representatives to initiate a country-led process to develop minimum standards for civil society involvement (Participants to identify lead person/s)
- Follow up with TSF Manager to utilize technical assistance in building capacity of civil society
- Communicate with civil society organizations at all level on the concept and implications of universal access, and their potential roles
2. Key targets for 2010
A working group of participants was tasked to identify a set of recommendations on targets, to be considered by the forum. A list of quantitative targets was prepared and discussed, according to the indicators listed in the annex to SG’s report and the 9 indicators for low and concentrated epidemic countries. A representative of the group reported back to the forum after lunch.
The group divided the key targets into two components: the Program itself and the Contributing factors. Prevention and Treatment, Care & Support fall under the program and Capacity building and Enabling environment fall under the Contributing factors.
2.1. The participants endorsed the following overall broad targets as most critical in making major impact.
Note: The following targets endorsed by participants at the regional civil society forum have been regrouped in line with the UNGASS targets and those indicated in the annex to the note by UN Secretary General on assessment by UNAIDS on universal access.
Please find attached the list of core targets as annex at the end of this report.
2.1.1. Prevention for most at-risk populations (MARPs) including children and young people
2.1.1.1.Service coverage - target 80%
2.1.1.2.Behaviour change - target 60%
2.1.2. ARV Treatment for those who need it - target 80% coverage of eligible population.
Recognizing the diversity of the epidemic and country realities, participants agreed that target setting should be a country led process. This principle also applies to the following indicators.
2.2. The participants proposed that the targets listed below need to be worked further at country level.
2.1.1. Prevention:
2.1.1.1. Coverage of Voluntary Counseling and Testing (VCT)
2.1.1.2. Coverage of prevention services to vulnerable population such as young people, women and children including access to PMTCT
2.2.2.Treatment, Care & Support:
2.2.2.1. Second and third line ARV
2.2.2.2. Treatment of Opportunistic Infections (OI)
2.2.2.3. Paediatric AIDS Treatment
2.2.3. Enabling Environment:
2.2.3.1. Civil society involvement/engagement (indicators to be suggested by civil society)
2.2.3.2. Accountability – Independent “watchdog” system
2.2.3.3. Resources – % of national budget for HIV/AIDS (UNAIDS to provide funding gap to Civil Society Organizations)
2.2.3.4. Earmarked budget for NGO capacity building
2.2.3.5.Stigma and discrimination – National policy and practice
2.2.3.6.The participants further felt that one of the key priorities for target setting is the need to establish baseline surveillance (both HSS and BSS) and size estimation of MARPs.
Note: All the above indicators under point 2.3. (except ‘resources’) are captured under the ‘National Composite Policy Index’ which reflect government’s support to the respective components.
Follow up actions:
- Through their country contacts, civil society representatives encourage grassroots and community-based organizations to participate in country universal process at all level.
- UNAIDS to synthesize what had been discussed at the forum in regards to target setting and share this with participants for their final feedback.
- Participants to give their final feedback on the list of targets within one week after receiving the meeting document.
3. Accountability
The Forum noted the need that all partners governments, civil society, UN, donors and other stakeholders - must be held accountable, and that in doing so, mutual accountability must be ensured. It is crucial that civil society organizations consult with and report back to their constituencies and be accountable to the communities they serve.
In order to perform effectively and to be accountable, civil society would require ongoing capacity building to empower themselves with the necessary skills and resources.
It was noted that civil society is by nature, representative of a diverse group that is not homogeneous, independent and autonomous, and that these values cannot be compromised. In addition, civil society must maintain transparency in its participation and operations.
3.1.Develop a mechanism to benchmark the capacity of civil society, to set own targets against minimum standards for civil society participation as well as the capacity of the civil society organizations. This process should build on the existing code of conduct for NGOs.
Follow up action:
- Identify/develop tools to measure civil society’s capacity in meeting the targets, and how they are being met.
4. UNAIDS role in promoting civil society engagement
The Forum made the following recommendations for the role of UNAIDS.
At the country level
4.1.Facilitate partnership between the national authority and civil society at the country level
· facilitate the establishment of autonomous civil society forums for discussion/ collaboration, linked with government forums, involving as many and as diverse civil society organizations as possible
· support, if and as necessary, civil society consortium or similar mechanism to collectively identify representatives through inclusive and transparent process to express their shared voice and concerns in dialogue with government
· bridging with the government, ensuring that civil society representatives are involved meaningfully in consultation and decision making mechanisms as well as implementation level
· encourage the national authority to create mechanisms for civil society involvement in the national process (e.g. representation in official mechanisms such as the Country Coordinating Mechanism)
· support civil society in developing a framework and guiding principles for civil society involvement
4.2.Share information and facilitate actions following meetings, consultations and other developments among the civil society through ongoing communications.
The Forum suggested that UNAIDS appoints a staff to be a focal point for follow-up with civil society (Social Mobilization Officer or staff member who is covering the area).
4.3.Support resource mobilization efforts by and for civil society and to coordinate with donors and government to make sure civil society get equitable access to funds
4.4.Facilitate involvement of civil society in M&E and capacity building among national NGOs and community-based organizations
Regional level
4.5. Advocate with and build capacity of government partners about engaging with civil society in scaling up towards universal access
4.6.Advocacy with donor agencies for development of evidence-based policy and priorities
4.7.Support resource mobilization efforts by and for civil society
Follow-up
§ UNAIDS RST will send information on the division of labour among the UN agencies to the participants.
§ UNAIDS RST will communicate with its Country Coordinators and national authorities to support civil society participation at the country level.
§ UNAIDS to share focal point for civil society contact at the country level (Social Mobilization Officers and staff members who are taking a similar role)
§ UNAIDS requested participants, particularly those who work at the regional level, to support national and grassroots civil society organizations to participate as partners at the national level.
Conclusion
The process: The participants were engaged on the issue of participation of civil society in the target setting process at the countries. Many expressed the lack of confidence in governments engaging them as equal partners in the target setting and the NSP preparation process, as evidenced by the experiences they shared.
Many of them are apprehensive about the process and feel that their participation will still be tokenistic and one of routine consultation at some stage in the whole process. The participants believe that the onus is on governments to establish mechanisms and provide opportunities for civil society to be meaningfully engaged.
Many of them strongly expressed that unless UNAIDS plays a supporting role and that of an honest broker, this process will end up in tokenism. UNAIDS should relook at its role in a new light and emphasize the process as much as the targets themselves in this entire exercise.
The representatives from the Pacific cited the low representation and participation from the Pacific in the regional processes related to UA. They expressed the need to address this gap in future regional consultations and meetings especially those covering the Asia-Pacific region.
Target setting: Target setting appeared to be of secondary concern for the civil society participants - the entire emphasis placed on the extent of civil society involvement in the consultation process.
A list of quantitative targets was prepared and discussed in the meeting. This list was prepared keeping in view the indicators listed in the annex to SG’s report and the nine indicators for low and concentrated epidemic countries. The participants have agreed to give their final feedback on the list in a week’s time after receiving the meeting document.
It was agreed that target setting would be a country led process, but some broad indicators on coverage of vulnerable populations for behavior change, coverage of eligible HIV positive persons by ARV treatment and the extent of scale up of resources for national programmes would be agreed at the regional level in keeping with the consensus arrived at in the Regional consultations at Pattaya in February 2006.
Capacity building:
If the scale up of prevention and treatment interventions have to reach the scale that is needed for Universal Access, one of the main impediments is the lack of sustainable and ongoing capacity building of people living with HIV, grass roots NGOs and community organizations, to implement HIV programmes as well as participate in national and regional consultation processes.
The participants felt that very little was done to build capacity at that level by Governments, the various UN agencies involved and also the INGOs and other stakeholders operating at national level. The participants identified this as a major obstacle which needs to be overcome and UNAIDS need to keep this as a priority in their future planning of work.
******************
ANNEX
Targets for Universal Access by 2010
-Low and Concentrated Epidemic Countries in Asia and Pacific region
1. 80% of most-at-risk populations reached by prevention programmes (eg: outreach services, condom promotion, drug substitution treatment, needle exchange, etc).
2. 60% of behavioural change of most-at-risk populations
a) Percentage of most-at-risk populations who both correctly identify ways of preventing the transmission of HIV and reject major misconceptions about HIV transmission
b) Percentage of female and male sex workers reporting the use of a condom with their most recent client
c) Percentage of men reporting the use of a condom the last time they had anal sex with a male partner
d) Percentage of injecting drug users who have adopted behaviours that reduce transmission of HIV, i.e., who avoid using non-sterile injecting equipment or use methadone substitution treatment and use condoms, in the last 12 months (for countries where injecting drug use is an established mode of HIV transmission)
3. 80% of eligible people living with AIDS to be receiving antiretroviral combination therapy. Follow-up with second and third line ARVs to be fully covered.
4. Resource mobilized by Government (both from domestic and international sources) fully meets the prevention and treatment targets, or at least 3 times increase from that in 2005.
5. Enabling environment
a) Civil society engagement
i. Percentage of members in National AIDS Coordinating body (including CCM) who represent sectors of civil society
ii. Percentage of National AIDS Response budget earmarked for programmes partnering civil society, including capacity building and management support
b) Fight against AIDS related Stigma and Discrimination
i. National legislation to address stigma, discrimination, rights of infected and affected population.
6. % of HIV+ pregnant women receiving a complete course of ARV prophylaxis to reduce the risk of MTCT
7. % of orphan and vulnerable children (OVC) who received a basic external support package (eg: School fee, shelter and food)
8. Reduction of new infections in the next five years as an outcome
Note: No.1-3 are non-negotiable quantitative targets as agreed in the Regional Consultation on Universal Access at Pattaya in February 2006 and the civil society consultation in August 2006 in Bangkok
[1] sex workers, MSM, drug users, transgender, and other vulnerable groups
posted by AIDS-Care-Watch at 2:14 pm
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