1. The Global Fund Regional Proposals & Sexual Minorities Developing Regional Strategies Cape Town, March 2009

2. OUR Mandate is Clear The Global Fund has drafted a strategic plan to ensure that its funding model works for vulnerable groups, such as sexual minorities, and that proposals appropriately target these groups. Importance of addressing gender issues with a particular focus on the vulnerabilities of women and girls and sexual minorities (Board decision in Kunming, November 2007) Eliminate stigma and discrimination against those infected/affected by HIV/AIDS especially women, girls and vulnerable groups (Framework Document) Support public health interventions that address social and gender inequalities (Framework Document) 2

3. Gender – Sexual Minorities Strategy: Same Goal, Different Recommendations, Different Approaches Goal: Ensure that the Global Fund creates opportunities for funding that challenge and change existing inequalities, gaps, obstacles that increase vulnerabilities to the three diseases Take into account the different needs and vulnerabilities of women and men, girls and boys and of sexual minorities

4. Definitions/ Language No consensus. ‘Sexual minorities’ (Lesbian, Gay men, Bisexual and Transgender) seemed least contentious and most inclusive, but still in discussion. Language and definitions that are clear and accessible to country actors and the uninitiated? Constituency representation

5. Sexual Minorities Consultation Constraints and Tensions within GF Principles Country led Ownership/ Exclusions (CCM) Evidence-based/ No Evidence Epidemiological / Human Rights Operational research, development of evidence base Transparency / Targeted for Repressive Acts Funds large national-scale programs, not a small- grants program

6. Types of Grant Applications CCM Sub-CCMs Non-CCM Regional Organizations Regional CCMs National Strategy Applications

7. Regional & Non-CCM Applicant Conditions An Eligible Applicant may apply for funding as either nationally (as a Non-CCM) or regionally when there is a missing national CCM endorsement, and who demonstrates that the circumstances of their proposal fall under one of three eligibility categories: –Countries w/out a legitimate government –Conflict, natural disaster, emergency –Suppression or no relationship with civil society

8. Regional Proposals Strategic Approach CCM –Document attempts to get SM issues on the national agenda –Consider Non-CCM proposals if CCM refuses to entertain SM ideas –Advocate for additional seat for sexual minority –What’s the “measured” approach in a homophobic environment? Human-rights approaches v. epi or gay rights approach? –Eliminate barriers that exclude non-legal entities 8

9. Regional Proposals Strategic Approach GF Secretariat –Hire Sexual Minorities Advisor (June 2009) –Collect data on sub-recipients (in progress) –FPMs could help negotiate immunity / protection for SM service providers; step in and advocate for SM people –Reframe regional & non-CCM policies to open up windows of opportunity for marginalized populations 9

10. Regional Proposals Strategic Approach Board –Articulate accountability measures in partnership agreements (Secretariat, too, with MOU’s) –“Push” the conversation –PC should review guidelines for MSM concerns TRP –Read their Terms of Reference –Epidemiological bias –Multiple approaches are fine but tie evidence to three diseases (i.e. human rights, gender) –Value Added or demonstrate complete lack of attention/service 10