1. Kimirina EXPERIENCE OF THE ECUADORIAN CIVIL SOCIETY’S PARTICIPATION IN THE GLOBAL FUND PROJECT TORONTO, 2006 Dra. Amira Herdoiza R. Executive Director

2. Kimirina-Ecuador Ecuadorian NGO Part of the International Aids Alliance against HIV Signatory: “Code of Good Practice”

3. Ecuador: Context (1) PNS - MSP

4. Ecuador: Context (2) Male/Female ratio for PLWHA, 1995- 2005 PNS - MSP

5. Ecuador: Context (3) Cases of HIV/AIDS Young people/ general population, 2005 PNS - MSP

6. Ecuador: Context (4) PNS, 2003

7. Ecuador Context (4) The Country’s Condition: Diverse in population, rich in natural resources With economic and social vulnerability, as well as the threat of natural disasters. Political instability

8. Individual spending on health taken as a percentage of income, deciles Ecuador, 2000 Ecuador Context (5) EPSS - PAHO

9. Social Investment LA 1990-2003 STFS

10. Ecuador: Social Investment 1995-2006 STFS

11. INVESTMENT HIV ECUADOR 2000-2005: Kimirina-IA invested 2,0 millions USD

12. Premise: three pillars Participation of Civil Society democratic/civic/ open Social and Technical Relevance Governing body/ Public Policies Kimirina HISTORY OF PARTICIPATION

13. Kimirina Kimirina I.2002-2003: Design/Selected as PR  Resigns due to pressure2005 II.Participation in open competition, selection,  change of rules, exclusion and change in policy; Designation of new PR III.Concerns that there is a high risk for the country to loose the funds. Despite this, we continue to support our partners. 90% of proposals linked to Kimirina in FPP are approved by the new PR HISTORY OF PARTICIPATION TECHNICAL ROLE

14. Kimirina THROUGH THE WHOLE PROCESS: LITTLE OPENNESS, LIMITED REPRESENTATION OF CIVIL SOCIETY, PARTICULAR INTERESTS + INSTABILITY OF GOVERNMENT, LIMITED GOVERNANCE AND INEFFICIENCY= CRISIS AND FAILURE TO USE THE NECESSARY RESOURCES FOR THE COUNTRY AND PEOPLE AFFECTED, LIVING WITH OR HAVING A CONNECTION WITH HIV/AIDS …

15. Governance: accountability, representation, “0” conflict of interest Technical and Social response to people and their rights. Leadership and responsibility of the government. Clear rules to abide by. Kimirina PROPOSALS

16. Kimirina Recommendations - Conclusions To resolve specific conflicts according to national needs rather than individual or particular interests Implement the appropriate tools such as the Code of Good Practices Institutionalizing Transparency by displaying of accounts to the general public and to PLWHA and others affected in particular International partners, including The Global Fund, should be responsible with a role of “modulation” (not complacency)

17. Kimirina Effective results (“It works”) Ecuador Vaccination Policy 1992-2006 Universal access Sufficient resources = 0 cases of polio UNITED FOR A WORLD FREE OF AIDS