1. Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDSMOZAMBIQUE Joao Arnaldo Vembane HIV and AIDS Technical Coordinator Email: himozsida@tvcabo.co.mzhimozsida@tvcabo.co.mz Bujumbura: 21 st February, 2011

2. MOZAMBIQUE Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDS MOZAMBIQUE Four phases 1. 1. 2003 – 2005: EU (USD 1,500,000) and UNICEF (USD 242,505) 2. 2. 2005 – 2007: CNCS (USD 400,000) 3. 3. 2007 – 2009: UNICEF (USD 900,000) and MEDICOR (USD 500,000) 4. 4. 2010 – 2011: UNICEF (USD 655,000)

3. MOZAMBIQUE Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDS MOZAMBIQUE Phase one: Manica (Machaze, Mossurize, Macossa) Sofala (Beira, Dondo, Nhamatanda, Chibabava e Marrumeu) and Tete (Mutara and Chiuta) Phase two: June 2005 – August 2007 Manica (Dst. Machaze, Mossurize, Macossa) Phase three: July 2007 – December 2009 Manica (Dst. Machaze, Mossurize, Macossa, Guro), Sofala (Marringue, Gorongosa, Chibabava) Phase four: March 2010 – December 2011 Manica (Dst. Machaze, Mossurize, Macossa, Guro), Sofala (Marringue, Gorongosa, Chibabava, Buzi)

4. The Context of HIV and OVC 20,226,296 million Mozambicans – 55% woman More than 50% of Moz population under 18 years HIV Prevalence, in 2009 is 15% (Ep. Sur. Rnd) In 2005, about 1.6 million (18%) of children were orphans. 20 percent due to AIDS, increasing to 50% by 2010. Children with disabilities estimated around 1,0 million (10%) Vulnerability of Children worsens poverty of families Vulnerability worsens degradation of Children’s Rights Lack awareness about children rights and available services Bureaucracy is another limiting aspect to access services MOZAMBIQUE Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDS MOZAMBIQUE

5. National Responses to HIV and OVCs Within the “three-ones principles” OVCs are within the mitigation pillar of AIDS NSP MMAS (a new ministry) with the mandate to develop and coordinate responses to vulnerable groups PACOV (by MMAS) prioritizes on: 1) family and community responses; 2) capacity building to institutions; 3) multisectorial coordinated responses; and 4)Quality M&E framework Limited capacity of MMAS to follow up implementation of PACOV at province and district levels CBOs prioritize initiatives on food and water MOZAMBIQUE Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDS MOZAMBIQUE

6. Overall Objective To contribute to the materialization of the National Strategic Plan on HIV and AIDS (NSP) and the Action Plan for orphans and vulnerable children (PACOV) implementation Specific Objective: Support community initiatives that take responsibility for the health and social welfare of children affected by the AIDS epidemic MOZAMBIQUE Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDS MOZAMBIQUE

7. Expected Results 1. Governmental response to OVCs’ basic needs is improved by a developed Community-based “Identification /Sensitization /Orientation” (ISO) system 2. OVCs and their foster families living conditions are improved by Community-based Organizations programs 3. Community awareness about HIV and AIDS and OVCs’ rights is increased MOZAMBIQUE Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDS MOZAMBIQUE

8. TargetsReached (May-Dec. 2010) Community and institutional capacities: 480 volunteers and 24 mobilizers 25 CBOs – 250 members 8 DMNOVC – 80 members Gender: 55% F. and 45% M. 100% - 513 people OVCs and Families – access to services: 13000 vulnerable children 4334 families Gender: 55% F. and 45% M. 22% - 3813 people HIV prevention outreach activities: 3840 adolescents (10-14 years) 6400 youth (15-24 years) Gender: 55% F. and 45% M. 17% - 1740 people

9. PartnersRole in the project CNCS – District AIDS Comissions Control of quality (in link with NSP) related to HIV interventions DPMAS – Provincial Direction for Social Affairs Control of quality (in link with PACOV) related to OVC interventions DDSMAS – District Health and Social Affairs Authorities Coordinate activities implemented by multi-sectorial nucleus; Supervive project activities, train community actors, follow up and technical support to CBOs initiatives, monitoring and data dissemination DDS / DPE /DDAC/DDJD/ DDADR- ONGs Training of community actors, technical support to the actors working on initiatives related to health, education, culture, sports. Animation of ISO meetings, participation to the management committee of the FAI, public awareness MONASO – Mozambique Network of AIDS Services Organizations Overlook of coordination, technical support and follow up of activities by local CBOs. Provides training and supervision to CBOs MOZAMBIQUE Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDS MOZAMBIQUE

10. District Multisectorial Nucleos District District Consultive Comittees MOBILIZERS OVCs and Families Admn. Post Cons. Coms. Local Forums Volunteers ISO System Public Services Administrative Post Locality Community Outreach Actions Direct Supports CI MOZAMBIQUE Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDS MOZAMBIQUE

11. M&E Strategy Volunteers Mobilizers DDMAS/HI Staff Monthly data Summary OVCs/Families and Communities DPMAS/HI Staff Database Identification formats, CBOs Monthly Statistical Framework Province District Admn. Post Locality MOZAMBIQUE Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDS MOZAMBIQUE

12. Main Obstacles Availability of resources to implement the closing phase of the project as per needs Monitoring system that guarantees that data will not be duplicated Sustainability of data flow with volunteers is a huge challenge Lack of Social Action related human resources (in quantity and quality) at district level for the DSMAS Nationaly the Multisectorial Dynamic is becoming weak Capacities of CBOs to adapt their initiatives to contexts challenging (for example in time of droughts) MOZAMBIQUE Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDS MOZAMBIQUE

13. Main Lessons Learnt ISO actors need to be trained on their specific roles ISO actors need to be trained on their specific roles CBOs need more visibility by implementing more initiatives, thus reducing the quantity of CBOs CBOs need more visibility by implementing more initiatives, thus reducing the quantity of CBOs Work of volunteers and mobilizers with CBOs should be coordinated to avoid duplication and exclusion Work of volunteers and mobilizers with CBOs should be coordinated to avoid duplication and exclusion Involvement of local authorities and leaders on M&E is needed Involvement of local authorities and leaders on M&E is needed MMAS representatives should lead the processes of monitoring cases identified and provide responses MMAS representatives should lead the processes of monitoring cases identified and provide responses HIV Prevention and SRH strategies focused on OVCs are crucial HIV Prevention and SRH strategies focused on OVCs are crucial MOZAMBIQUE Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDS MOZAMBIQUE

14. Main Documentation Produced Volunteers, CBOs and family guidelines on care for OVCs Training Manual for OVC related community actors (Volunteers and CBOs) Serial Album on the promotion of Children Rights An informative Bulletin – newsletter MOZAMBIQUE Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDS MOZAMBIQUE

15. Ways Forward A project on HIV prevention and SRH for Children Mainstreaming of Disability consistently Replication of project experiences in other geographic settings Formalize the database within the National networks of OVCs and coordination bodies MOZAMBIQUE Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDS MOZAMBIQUE

16. Networking, Lobby and Advocacy NUMCOV – OVC Multisectorial Dynamic Minimum Standards on OVCs NAIMA+ Civil Society and AIDS NSP HPG PPF UN Convention on Rights of PWDs Partnerships with National Networks

17. Thank You