Presentation on theme: "Inter-Agency Task Team on Children and HIV and AIDS"— Presentation transcript:
1Inter-Agency Task Team on Children and HIV and AIDS Progress report and Way Ahead
2Inter-Agency Task Team on Children and HIV and AIDS Established by UNAIDS committee of co-sponsoring agencies in March 2001Comprises specialists from UN agencies, civil society and donorsEnsure effective implementation of global agenda for children and by HIV and AIDS as set out in Framework for Protection, Care and Support of Children living in a World with HIV and AIDSPromotes co-ordination, harmonisation and accelerated actionCo-ordinate working groups on priority areas identified by Global Partners ForumWorks closely with other IATTs e.g. Prevention of HIV infection of mothers and their children and Education IATTCo-ordinates closely with Joint Learning Initiative on Children and HIV/AIDSLink closely with work of Regional Inter-Agency Task Teams (RIATTs)
3Working Groups established following Global Partners Forum 2006 Civil registrationCommunities role in the responseEducationMonitoring and EvaluationNational Plans of ActionSocial ProtectionFood and nutrition (added later)IATT steering committee
4TargetingThe IATT steering committee commissioned a paper on targeting AIDS mitigation resourcesThe findings show that ‘broader targeting is called for and appropriate in high prevalence settings where the majority or in some cases all children are more vulnerable because of the direct and/or indirect effects of AIDS’
5Strengthening civil registration to promote protection and services Chairs: Plan International and UNICEFCommissioned research by the University of Pretoria including desk review across Africa, and case studies in Zambia and UgandaResearch suggests HIV and AIDS does not affect availability of birth registration systemsAIDS does affect accessibility to birth registration due to issues of physical and financial accessBirth registration and certificates can provide access to basic services and protectionDeath certificates can protect children’s inheritance rights
6Civil registration – way forward Birth registration should be incorporated into all programming related to HIVGreater advocacy needed for policy makers on benefits of civil registration for state and individualsNeed legal framework for free and universal birth registration and accurate death registrationMore work needed to create demand from parents and children for birth registrationGreater focus needed on wills and inheritance issues and address tension between customary and statutory law
7Strengthening communities role in the response Chair: USGOverall objective of WGTo influence behaviours and practice of multi-lateral and bilateral agencies and donors, private foundations and NGOs to get resources to communities with large numbers of children affected by HIV and AIDS and to support and monitor their appropriate useIssues paper on The role of international donors in supporting community responses to vulnerable children in countries severely affected by HIV and AIDSPaper identified range of models for directing resources to vulnerable householdsDespite commitments to promotion of child rights approaches, children affected by HIV and AIDS are often excluded from the design, implementation and monitoring of interventionsThere are a number of key challenges in monitoring programming at a community level.
8Supporting Communities – Way forward Publication of issues paper and Executive summaryFacilitate a donor forum to develop donor principles for supporting and financing communities, agreed by donorsDevelop accompanying dissemination and advocacy planRevive WG members’ involvement in UNAIDS’ resource tracking work.
9Education Key achievements: Chair: UNESCO and UNICEFKey achievements:UNICEF and World Bank co-publication “Integrating orphans and vulnerable children into education in Eastern and Southern Africa: A Sourcebook” case studies from Rwanda, Zambia, Tanzania, Swaziland, Uganda.Examines wide range of formal and non-formal approaches to provide education to especially vulnerable children in communities heavily affected by HIV/AIDS.Findings show that: 1) international duty bearers need to direct sufficient resources toward building capacity at community level to increase sustainability and efficiency; and, 2) the preventive and protective benefits of education are reduced where education delivered is of poor quality.UNICEF is coordinating a five-country study on Schools as Centres of Care and Support which focuses on integrating essential services into schools to support quality education for children.SADC working with the IATT on Education, UNESCO, UNICEF and MiET (Media in Education Trust) to scale up schools as centres of care and support in three southern African countries, Swaziland, Mozambique, and Zambia.Preliminary findings from the above study suggest that emphasis must be placed on both access and quality education.
10Education – way forward Trends emerging from the Sourcebook cases as well as findings fromthe schools as centres for care and support study make evident theinterdependence between access to and quality of education.While removing barriers to access to education is key to improving enrollment, concurrent emphasis needs to be placed on a comprehensive, holistic approach to quality education. Including a life skills curriculum content that is relevant to the lives of children affected by HIV/AIDS. This means that life skills and sex and reproductive health must be a core pillar of the curriculum, and the general syllabus is gender sensitive.The entire school environment must be child friendly and provide essential services that ensure the preventive and protective functions of education. Schools must be free of gender based violence and abuse, stigma and discrimination of those affected by the pandemic. The protective environment also includes care and support for children living with HIV/AIDS.
11Monitoring and Evaluation Chair: USG and UNICEFActivities:Progress Report for Children Affected by HIV/AIDS – 2008Status: Finalized (included in GPF documentation)Estimating numbers of vulnerable childrenStatus: Developed preliminary “vulnerability index” to be used for estimation models; Consultant contracted to test this approach for five selected countries using DHS dataGuidance Document for M&E of national response for OVCStatus: Draft currently under final review (included in GPF documentation)Identifying measure of vulnerability for childrenStatus: Draft currently under final review (key results to be presented on day 2 of GPF)
12M and E Working Group - Way Forward Need forBetter resourcing of M and E within NPAsBetter co-ordination between those tracking national progress and those implementing services and support – both gvmt and CSOIndicate development needs to capture local contexts but also ensure global indicators of progressEnsuring OVC monitoring and targeting is AIDS conscious but not AIDS exclusive.
13National Plans of Action Chair: World Vision International and UNICEFStudies of lessons with planning and implementing NPAs, and integrating OVC issues into national policies: desk review and case studies in Malawi, Kenya, Tanzania, Mozambique, Uganda, Zambia, India and JamaicaFindingsA costed multi-sectoral OVC NPA and political support has been critical in accelerating action for OVC in many countriesbut process of development slow (3-7 years) and implementation at scale limited.Integration of vulnerable children into national policies and PRSPs has made little difference in terms of domestic budget allocationsIntegration into sectoral plans, particularly national AIDS strategies has brought clear benefits, especially external fundsIntegration/linkages with social protection plans may be more effective in future.Off budget allocations challenging long-term national ownership and need greater alignmentStrengthening budgetary process and capacities of ministries responsible important to ensure long-term benefits for childrenLow prevalence countries OVC NPAs face problems competing with other policy priorities and difficult to generate domestic or external funds
14NPAs way forwardCase for stand alone NPA or more integrated strategy for CABA depends on epidemiological, policy and institutional contextNeed more simple and refined guidance which is regionally contextualised to review national responses to children affected by AIDSCountries should identify simple practical policies for mitigating impact of AIDS and children and explore integration/harmonisation with sector plans (health, education, HIV and AIDS and social welfare)Ensure that domestic budgets prioritise above plans for more sustainable responseGreater role of civil society in monitoring policy implementation and financial commitmentsBroader efforts needed to strengthen social welfare, social protection and justice (in long term)All aspects of M & E should be strengthened.National responses need to give greater attention to tackling stigma and discrimination
15Social ProtectionChair: UNICEF & DFID3 papers published oncash transfers,social protection for vulnerable children in a context of HIV and AIDS, moving towards a more integrated visioninstitutional perspectives for scaling up
16Social protection- way forward Need for increase funding for government -led scale up of cash transfers as cost-effective and evidence-based approach to reach vulnerable childrenStrengthen family support services, child protection and alternative care and combine with broader policy reforms to reduce social vulnerabilityStrengthen gvmt ministries responsible for social welfare and linkages with civil society for accountable and effective programmesMore analysis neededon longitudinal impact of cash transfer andlinkages with other essential support services e.g. ECD, legal support and social work to maximise impacts of social transfersEvidence of appropriateness of different types of transfers in different contexts.
17Food Security and Nutrition Chairs WFP and UNICEFEnsuring food security and nutrition part of comprehensive social protection frameworkExpert consultation held resulting in a consensus statement on key “knowns” on food security children and HIV.Identified broad priorityareas
18Way ForwardNeed for working group co-chairs (UNICEF and WFP) to agree on an overarching framework and prioritiesCo-ordinate and share findings on the impact of high food prices on children and families affected by AIDsEnsure responses to high food prices include those affected by HIV from policy to implementation levelContribute and support the May 2009 Forum on global food crisis and HIV and AIDS in Africa.
19Challenges for IATTPace of WG delivery variable - high turn over of membership affecting institutional memory and leadershipNeed to further integrate recommendations from Joint Learning Initiative – to strengthen evidence baseMore decentralised approach e.g. closer working with RIATTsNeed for stronger linkages with country led initiatives and sharing of evidence – including dissemination of existing recommendations and working papers.
20Further information on IATT Thanks to all the IATT and RIATT’s on childrenand HIV/AIDS