 Introduction  Local AIDS Governance Barometer (LAGB) Model  LAGB Purpose  LAGB Application – Kabwe district, Zambia  LAGB’s Contribution to the “Three Zeros”

To assist in making progress towards meeting the goals of:  Zero new HIV infections  Zero discrimination  Zero AIDS-related deaths Idasa applies a Local AIDS Governance Barometer to address the fact that bad governance leads a waste of resources and energy intended to fight HIV and AIDS

 Local: Local community/district, local government  AIDS: Focus on AIDS sector  Governance: Good/Democratic AIDS Governance – “a set of values, policies, and institutions by which a society manages its multi-sectoral response at all levels through interaction among state and non-state actors” (Cheema: 2000/Idasa: 2012). Values of governance include: Effectiveness & Efficiency; Transparency & Rule of Law; Accountability; Participation & Agency; and Equity.  Barometer:  Tool to measure the perception of the quality of governance and to identify bottlenecks  If the score is below a certain minimum level, urgent action is required to prevent further deterioration

 To assess & strengthen HIV/AIDS governance in service delivery at local level  Promote accountability among all stakeholders engaged at various levels of the response to HIV & AIDS  Provide opportunities for multi-stakeholder dialogue to develop creative solutions to challenges in HIV & AIDS service delivery  Improve citizen participation in Local AIDS Governance

Effectiveness Efficiency Key Question: To what extent do the implemented activities contribute to achieving the objectives as defined in the National AIDS Strategic Framework? Key Question: Are the HIV/AIDS activities by the district multi-sectoral response implemented in such a way that they yield maximum results from available resources? Effectiveness & Efficiency

Transparency Key Question: To what extent are all actors sharing information and transparent in their decision-making processes? Key Question: To what extent do all actors in practice adhere to the rules/regulations/ principles/guidelines as set out in the NASF and other statutory instruments? Rule of Law Transparency and Rule of Law

Key Question: To what extent are the internal controls of the district multi- sectoral response in place and effective to ensure that money is used for the intended purposes? Key Question: To what extent are the executives (office of the Mayor or Chairperson) in the district willing and able to justify their decisions to the council (councillors)? Key Question: To what extent is the district multi- sectoral response willing and able to justify and explain their decisions to the citizens in the district? Social Accountability Administrative Accountability Political Accountability

Key Question: To what extent are citizens actively engaged in the district multi- sectoral response’s decision-making processes? Key Question: To what extent are citizens directly or indirectly able to express their HIV/AIDS needs and interests to key players in the district multi-sectoral response? Participation & Agency Claimed Space Created Space

Equity Equity in Service Provision Key Question: To what extent is the multi-sectoral response successful in achieving equal access to HIV/AIDS services and decision-making for all citizens in the district?

Stakeholder CategoryStakeholders in Category Number per Stakeholder Group Government Employees Employees from line ministries and departments, administrators of the local council, National AIDS Council and representatives from the district & community levels 21 Civil Society Organisations NGOs, faith-based & community-based organisations, traditional leaders, traditional healers, youth groups etc. 21 Elected Local Representatives Councillors and members of parliament 22 Private Sector Privately owned businesses & business associations 5 People Living with HIV and Caregivers Individuals living with HIV & AIDS and volunteers who provide them with care services 37

1. Workshop with each stakeholder group separately on HIV & AIDS governance and LAGB scoring process 2. Filling in of questionnaire and discussion 3. Score analysis and conversion into governance index; discussion with representatives of all stakeholders 4. Identification of 3 most important governance issues related to HIV & AIDS service delivery 5. Collaborative drafting of an Action Plan to resolve identified bottlenecks

 Poor planning and coordination of HIV & AIDS activities between various service providers in Kabwe district  Lack of administrative, political, and social accountability of all service providers  Low HIV & AIDS rights awareness and lack of participation in the HIV & AIDS response by citizens

 “Basically the workshop was of help because it personally made me realise the need for my organisation to fully participate as a multi-sectoral [player] and be transparent in the funds used in HIV activities.” – Participant in Choma  “The tool should be presented to the full Council to enable the participation of the councillors in HIV & AIDS activities in the district” - Mayor of Choma  “Now that I understand my HIV & AIDS rights better, I will complain in a more constructive manner” – Citizen, Kabwe  “It was a good platform to share and learn about issues related to HIV/AIDS in the district” - Participant in Choma

 Identifies and addresses capacity gaps in service delivery  Establishes mutual accountability – all key stakeholders are held accountable based on the decisions made during LAGB implementation  Enhances community knowledge and voice and the capacity to engage with sub-national government  Institutionalisation of LAGB at regional level, i.e. the Alliance of Mayor’s Initiative for Community Action on AIDS at the Local Level (AMICAALL)  Above all, it improves dialogue between elected leaders and the community to allow for common problem definition and resolution

To Contact Us: Tel: +27 (012) Fax: (012) /5 Ms. Machere: Thank You!