1. business as Unusual UNAIDS Action Framework: Universal Access for Men Who Have Sex With Men and Transgender People A UNAIDS-UNDP presentation by Shivaji Bhattacharya Sr. Policy Advisor, UNDP at Africa Regional Workshop on Vulnerable Populations & HIV/AIDS March 11-13, 2009 World Bank, Cape Town 12 March 09

2. “In countries without laws to protect sex workers, drug users and men who have sex with men, only a fraction of the population has access to prevention… Not only is it unethical not to protect these groups; it makes no sense from a health perspective. It hurts all of us.” Ban Ki-moon, Secretary-General of the United Nations, August 2008

3. Decisions & Recommendations 23rd Meeting of the UNAIDS Programme Coordinating Board Geneva, Switzerland. 15-17 December 2008 “Requests UNAIDS to accelerate its work on … lesbians, gays, bi- sexuals, and transgenders with the meaningful engagement of those communities as well as people living with HIV” “Requests UNAIDS to prepare a progress report for the 24th Programme Coordinating Board Meeting detailing the work of the UNAIDS Secretariat and Cosponsors in assisting countries in… needs assessments for lesbian, gay, bisexual and transgender communities, separately emphasizing country level action, as well as follow-up actions, including the establishment of an inter-agency strategy…”

4. Roles, responsibilities UNDP: Lead on MSM & T within the context of Human Rights & Gender UNAIDS: Strategic info, M&E & Reporting on MSM WHO: Health sector, prevention, treatment for MSM UNODC: MSM among IVDU & Prison populations UNESCO: Education sector & material for MSM & general population UNFPA: Sexual & reproductive health for MSM World Bank: Through ASAP (AIDS Strategy & Action Plan) support AIDS strategies & analyses of epidemiology & response data with a focus on MSM UNICEF, UNHCR, ILO & WFP to support MSM & T through their work

5. Goals Strengthen & promote Human Rights-based response –Rights-based policies & legislation to frame responses Evidence base –Quality information & evidence to inform policies Capacity development & partnerships –Governments, Intergovernmental, CSOs, NGOs & Private Sector –Additional resources for MSM & T –Regional knowledge hubs & Technical Support Facilities –In-reach training for UN staff

6. UNDP Focus Support National Response: Policy & legislative: Government –UNDP: Advocacy, Technical support & Coordination Programmatic: Government, CSO, NGO, Private sector

7. Preliminary plans Human Rights-based response Rights-based policies & legislation to frame responses Legislative audit: Monitoring & technical analysis of HIV legislation (CHR/UNDP/UNAIDS) –Drafting: Uganda, Lesotho & Malawi –Amending: Mozambique, Kenya –Coordinating Regional Task Teams: SADC (30 March) & EAC (May) Meets to develop action plans to support countries (SADC PF/ EAC// CSO- ARASA/CHR/EALS /OSEA… UNDP/ UNAIDS) Promote SADC Model legislation as a base for country support & a new EAC Model legislation (SADC PF/ CSO- ARASA/CHR/ EALS /OSEA… UNAIDS/ UNDP)

8. Preliminary plans Evidence base Quality information & evidence to inform policies MSM Desk Study: Collate existing data to assess the impact of HIV on MSM communities: Understanding the needs and barriers to accessing PCT & presenting recommendations (HSRC/UNAIDS/UNDP) MSM Advocacy tool: to help secure the voice of MSM communities in national policy making & implementation with a focus on enhancing access to PCT

9. Preliminary plans Capacity development & partnerships LGBT Meet 24-27 March 09 Cape Town: Additional resources for MSM & T through GF 10 Proposal (OSISA/UNDP/OXFAM /HSRC + CSOs & networks) Pan African MSM network 16-18 March 09 Cape Town: MSM Network + OXFAM/UNDP Technical Support Facilities (TSF): –Orientation of TSF consultants to deliver strong policy & legislative support to countries: Q4 Motivate UNCT to support HRB legislation in the national response: –Advocacy with RC/CD/UCC/Focal Points: Communication (March-April) –Orientation sessions: using SADC Model legislation in Q3

10. More/ Immediate / Better MSM is an important niche if countries are to delivery on Universal Access 2010 & MDG 2015 GFATM: Sexual Minorities & Gender is a key focus for Round 8< Regional Networks: Asia Pacific Coalition on MSM / Caribbean Vulnerable Communities Network / Pan African MSM Network Joint statement: 18/12/08, 66 nation joint statement in the General Assembly, –“promote & protect Human Rights of all, regardless of sexual orientation & gender identity”

11. Coordination IAWG (Inter-Agency Working Groups) on MSM&T will develop, monitor, review, evaluate & report on the: –Issues/ Strategic approach/ Work plan/ Activities/ Results