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From Making the Case to Generating a Response The Answer lies Within Monica Sharma, Director HIV/AIDS Group - UNDP.

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Presentation on theme: "From Making the Case to Generating a Response The Answer lies Within Monica Sharma, Director HIV/AIDS Group - UNDP."— Presentation transcript:

1 From Making the Case to Generating a Response The Answer lies Within Monica Sharma, Director HIV/AIDS Group - UNDP

2 14,000 new infections in the world In the 1 hour we talk: 600 new infection All preventable through human actions Every 6 seconds, someone, somewhere becomes HIV positive Saturday, 26 June, 2004

3 HIV and AIDS in the Middle East and North Africa At the end of 2003 an estimated: 600,000 Adults aged 15-49 were living with HIV/AIDS, 55 000 People became newly infected with HIV, and 45 000 died due to. In 2001 250,000 Women aged 15-49 were living with HIV/AIDS, and 35,000 children were living with HIV/AIDS.

4 010203040506070 Cambodia Haiti Mozambique Rwanda Côte d'Ivoire Zambia Kenya South Africa Zimbabwe Botswana Life expectancy at birth (years) Predicted life expectancy Predicted loss in life expectancy due to HIV/AIDS in children born in 2000 Loss in life expectancy due to HIV/AIDS

5 8.3 17.9 29.4 22 33.3 girls 00 3.6 2.2 8.6 0 5 10 15 20 25 30 35 1516171819 Age in years HIV prevalence (%) boys Source: National AIDS Programme, Kenya, and Population Council, 1999 HIV prevalence rate among teenagers in Kisumu, Kenya, by age

6 Where are we? Infections not leveling off: 40% of adults in Botswana are HIV positive 34% in Zimbabwe, 33% in Swaziland and 31% in Lesotho Russia: reported cases rise from 11,000 to 300,000 in last 4 years LAC: HIV prevalence of 1% or more in 12 countries, all Caribbean CIS, Asia experience fastest-growing HIV/AIDS epidemic Feminization of epidemic: in Sub-Saharan Africa women make 60% of HIV positive adults; globally this figure is 50% for the first time India: 95% of new infections in women were among married and monogamous Stigma & discrimination: Surveys reveal that majority of respondents do not want to work with people living with HIV/AIDS Lack of treatment: In Africa only 2% of PLWHA have treatment Vast secondary impacts: Orphans, basic social services, instability


8 Generating an Extraordinary Response, with Results UNDPs Goal Nation-wide Multisector Multi-level Gender sensitive Including PLWHA

9 Governance is defined as the exercise of political, economic and administrative authority to manage a nations affairs. It is the complex mechanisms, processes, relationships and institutions through which citizens and groups articulate their interests, exercise their rights and meditate their differences… Governance embraces all methods that societies use to distribute power and manage public resources and problems… Effective democratic forms of governance rely on participation, accountability and transparency. UNDP, 1997 Governance Challenge of HIV/AIDS

10 INSTITUTIONAL ENERGY TRANSFORMATION RESULTS Meeting the Governance Challenge Institutional inertia Often too medical National, Sub-national Disconnect Innovation stifled Medical, human rights responses not integrated Community voice not heard, decisions not supported Underlying causes often ignored (e.g., stigma, power, access)

11 2. Care & support WHO, World Bank 4. Reduce vulnerability Secretariat, NGOs World Bank, UNDP 5. Research & Development WHO, World Bank 3. Mitigate socio-economic impact World Bank, ILO UNDP Create enabling environment Hope Results Transformation 1. Prevention infection 15-25 by 25% UNICEF, UNFPA UNODC, UNESCO MDG: Halting & Reversing the Epidemic Creating an Enabling Environment

12 Transfer of technology & economic growth 1950-60s Care: drugs available Human rights & universal norms 1970-80s Care: near universal access to drugs; anti-discrimination legislation Transformation & reaching the human potential 1990-2000 + Care: with no stigma; where every person living with HIV/AIDS contributes as a productive member of society Development Practice Over Time Are We Making the Difference We Can?

13 The definition of insanity is to do the same thing over and over again, and expect different results. Rita Mae Brown

14 Subjective, Interior Behavioral Systems, Structures, Laws, Plans Intention, Commitment, Values Cultures, Norms Values Individual Collective Objective, Exterior Action Based on Ken Wilbers work Integral Transformation if we are to produce results: HIV/AIDS and MDGs

15 Subjective, Interior Individual Collective Objective, Exterior Unavailability of testing facilities Im in denial of being at risk I dont go for testing We are silent about the cause of death Stimulating community decisions and actions to reverse the HIV/AIDS epidemic (1) Reversing HIV/AIDS through transformative leadership capacity development (1) Strengthening systems, sectors, structures, studies, PRS, policies and laws (2) Arts & Media (3) Integral Transformation if we are to produce results: HIV/AIDS and MDGs

16 Leadership Developmen t Programme Leadership for Results L4R – A Synergistic Package for a Comprehensive Response to HIV/AIDS Arts and Media Development Planning & Implementation Community Capacity Enhancement Each program is intricately linked to every other program The four programs work as a synergistic package and are mutually reinforcing The program is seen as a long term strategy that unfolds over time

17 Integral Transformative Leadership: A Different Approach Leadership for Advocacy Leadership for Results Everyone, everywhere – leadership at all levels Political and executive leaders Starts with Self and self-awareness Starts with the external Commitment that produces results and self- sustained initiatives Producing understanding Action with learning = ongoing One-time effort UNDP

18 Supporting sub-national and district level HIV/AIDS responses Development Planning and Implementation: Current Expectations Mainstreaming HIV/AIDS into: National Dev Plans/Budgets, Poverty Reduction Strat, Medium Term Expenditure Frameworks, HIPC, UN processes (CCAs/UNDAFs and CCFs) Mainstreaming HIV/AIDS into sector Ministries, including planning, finance, information, judiciary/law Supporting strategies to address depletion of human resources Preparing sectoral studies responding to impact of HIV/AIDS on sectors – education, health, agriculture, manufac- turing, and environment Development planning and implementation at national level

19 UNDPs Results Self-sustaining breakthrough initiatives and community decisions/actions through transformative leadership and community capacity enhancement Development and popularization of approaches to address the underlying causes of the epidemic (e.g., stigma, power relations) Strategies and approaches have enhanced governance and development practice, including HIV/AIDS and beyond

20 The world we have made as a result of the level of thinking we have done thus far creates problems that we cannot solve at the same level at which we have created them... We shall require a substantially new manner of thinking if humankind is to survive.. Albert Einstein

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