1. STRENGTHENING THE CAPACITY OF KEY POPULATIONS TO ENGAGE IN NATIONAL FUNDING PLATFORMS AND PROCESSES - TANZANIA CONTEXT ARASA PARTNERS FORUM 2015 PRESENTER; JOAN CHAMUNGU NATIONAL COORDINATOR TANZANIA NETWORK OF WOMEN LIVING WITH HIV AND AIDS (TNW+) Email:tzpositivewomen@yahoo.com +25575576190/+255714877670

2.  INTRODUCTION, VISION AND MISSION OF TNW+  OBJECTIVES  KEY POPULATION IN TANZANIA CONTEXT  CURRENT SITUATION OF HIV PREVALENCE AMONG KP  EXISTING FUNDING MECHANISM IN TANZANIA  HIV AND AIDS FUNDING  ESTABLISHED FUNDING MECHANISM TO FILL THE GAPS  GF NEW FUNDING MODEL - TB/HIV CONCEPT NOTE  ENGAGEMENT OF KP IN FUNDING PLATFORMS AND PROCESSES  ON GOING PROCESS  FUTURE PROCESSES CONTENTS

3.  TNW+ is a non governmental organization formed and register in Tanzania in 2004. TNW+ was formed by HIV positive women from 4 NGOs and 19 CBOs for women respectively INTRODUCTION

4.  Envision a Tanzania where women and girls living with HIV can live long, healthy, dignified and productive lives, free of stigma and discrimination and achieve social justice. MISSION  To engage women and girls living with HIV in all our diversity, including gender identity and sexual expression in all levels of policy and decision making. VISION

5.  To share the strategies of Tanzania to strengthening KP organization in Advocacy to increase of resources Allocation of Programming Resources from in country financial funding mechanism.  To strengthen the capacity of Key Population groups (MSM, SW, PWID, Transgender, PLHIV) to advocate for representation in the Tanzania National Coordination Mechanism (CCM) and Development Partners Forum so that there is increased investment in programming that target the groups in Tanzania. OBJECTIVES

6.  To increase knowledge in advocacy of Members of Key Population (MSM, SW, PWID, Transgender, and PLHIV) to be able to advocate for interventions that impact our communities from Global Fund, PEPFAR, USAID, UN FAMILY, Embassies and High Commissions, European Union and AIDS TRUST Fund resources in Tanzania.  To Increase allocation of resources for programs and services that serves key population communities in Tanzania.  To Improve development partner’s understanding of the importance of ensuring that resources are invested in Key Population organizations to fund programs Cont’d

7.  Existing funding mechanism in Tanzania are Global Fund, PEPFAR, USAID, UN FAMILY, Embassies and High Commissions, European Union and AIDS TRUST Fund to HIV and TB interventions that improve the health and rights of key populations (MSM, SW, PWID, Transgender and PLHIV) in Tanzania EXISTING FUNDING MECHANISM IN TANZANIA

8.  Key Populations ( KP) also called, Most at Risk Populations (MARPs),  ….Those most likely to be exposed to HIV or to transmit it.  In most settings, those at high risk of HIV exposure include men who have sex with men, transgender persons, people who inject drugs, sex workers and their clients.  KP IN TANZANIA CONTEXT

9.  HIV Prevalence for the General Population stands at 5.1% (THMIS 2011/12)  HIV prevalence among 30,000PWID is 53% from a study which was done in 2012.  HIV and STIs prevalence among 155,000 FSW (Female Sex Workers): HIV is 31.4% while other STIs have an average prevalence of 26%.  For 49,700 MSM: a study which was done in 2010 by University of Dar es Salaam, HIV prevalence was found to be 42%  HIV PREVELANCE AMONG KP

10.  The annual funding requirement of the NMSF III is projected to be about TZS 1.2 trillion (TACAIDS 2013).  There has been a significant funding gap of 50% in FY 2012/13. Funds Distribution  Development partners provide 71%,  households 16%,  GoT 10%,  private sector 2%, and NHIF 1%;  development partners 97% of the funding for HIV and AIDS programmes. HIV AND AIDS FUNDING

11.  It is apparent that there is a substantial funding gap between projected expenditures requirements and actual funds available for the HIV and AIDS response – which may be widening as the need for resources increase and funding decreases Contn’

12. STATUS OF AIDS TRUST FUND  The Government established AIDS Trust Fund HOW IT WAS ESTABLISHED?  The Parliamentary Standing Committee for HIV and AIDS held a public hearing for the proposed review of Tanzania Commission for AIDS Act No. 22 of 2001, on the 15 th of January, 2015 whereby stakeholders’ comments were incorporated in the Draft Bill supplement. ESTABLISHED FUNDING MECHANISM TO FILL THE GAPS

13.  Comments of the Parliamentary Standing Committee for HIV and AIDS were also included in the Bill on the 16 th January, 2015 during the Committee and Government session.  The Draft Bill supplement for TACAIDS Act incorporates among others, the legal framework for the establishment of ATF.  The TACAIDS Bill was tabled for the second time in the Parliamentary session in March, 2015.

14.  To ensure sustainability of domestic financing for HIV and AIDS national response.  A mechanism to increase contribution of the government, private sector, NGOs and the community in the fight against HIV and AIDS.  To reduce HIV and AIDS financing gap and to contribute to areas of high impact as per National Multi-sectoral Strategic Framework including strategic areas of primary investment and supporting areas of secondary investment focusing on reducing the infections.  To reduce donor dependence by, at least 36%. WHY IT WAS ESTABLISHED?

15.  Tanzania has been allocated USD 308,157,063 to implement the TB/HIV grant and Tanzania has been approved for shortened grant duration for HIV up to December 2015.  To date the Global Fund has approved USD 3,643,769 as part of cost extension for eight months from November 2014 till June 2015 for TB programme and USD 84,940,377 seven-month cost extension for HIV Programme. GLOBAL FUND – NEW FUNDING MODEL

16. ALLOCATION RECOMMENDATION

17.  PEPFAR operational plan for 2015 is to engage CSO to advocate for domestic resources mobilization.(DETAILED PLAN IS AVAILABLE)  Country meeting with CSO include Key population was done in March, 2015 and PEPFAR presented 5 areas of priorities that will engage CSO including KP.  Key population organizations were engaged in concept note development process through identification of issues concerning the group to be incorporated in TB/HIV concept note ENGAGEMENT OF KP IN FUNDING PLATFORMS AND PROCESSES

18.  Key population representative are in the committee that advocate for an increase of resources for health programs which was facilitated by World AIDS Campaign with support from GF.  Key population have formed consortium of almost 13 organizations to advocate for domestic resources with support from UNFPA AND TACAIDS. ON GOING PROCESSES

19.  KP’s members were effectively engaged on Concept note preparation, proposal development and meeting to apply for sub recipient in New Funding Model.  PWIDs, MSM, PLHIV organization have been in-country proposal negotiation and are advocating for the increased resources for HIV and TB.  Processes are under the way to engage key population representative at TNCM through CSO national steering committee. Cont’d

20.  To advocate to the CCM to develop position paper to the government for domestic sustainable resources for TB and HIV programs.  KPs organizations to develop messages and campaign during the commemoration of World AIDs day and ICASA with support from ARASA. FUTURE PROCESSES

21. THANK YOU FOR YOUR ATTENTION THE END