co stewardship towards universal access

ALLIANCE against AIDS in the PHILIPPINES supporting community leadership and stewardship

Co-stewardship of the Road

to Universal Access: The

Philippine Civil Society

Experience

ROBERTO A.O. NEBRIDA Philippine HIV&AIDS NGO Support Program, Inc.

ICAAP, Colombo, Sri Lanka//28August 2007

http://www.afppd.org/information/images/logo_theme.jpg


OUTLINE

Context and background

The ongoing UA journey

Gains from the process

What have we learned?

Moving forward: challenges and actions



BACKGROUND

A. Pre-UNGASS/UA Period

Active and vibrant civil society sector (that

started even during the colonial period)

Creation of PNAC in 1992 and enactment of the

AIDS Law in 1998 with strong CSO involvement.

Peak of nationwide implementation of HIV&AIDS

projects through NGOs (1990s to date)

Formation of Pinoy+ and PAFPI ( latter part of

1990s) and Babae+ (recently)



B. UNGASS and UA Period

Workshop to contextualize UNGASS in civil society sponsored by RAF and PHANSuP and facilitated by APCASO (late 2002)

PNAC engaged WHCFI in developing the M&E manual and HAIN to be its report collection and consolidation arm for the NGO sector

PNAC/UNAIDS engaged Pinoy+ and RAF in facilitating the process of developing the UA targets and roadmap (Dec 2005)

AMTP4 formulated with inputs (e.g., text) from CSOs

CSOs as Global Fund PRs, SRs and SSRs

Strong representation and involvement of CSOs in CCM and PNAC proceedings



THE UA PROCESS WITH CSOs

1. Country consultation (Jan 2006): 52% of pax were CSOs. Draft targets prepared by a TWG were refined. Also, crucial issues in scaling up that were identified in previous assessment exercises were confirmed.

2. Selected CSO leaders attended the regional consultation in Thailand and the LPC conference in Mongolia.

3. Country report submitted on March 2006.

4. Subsequent refinement of the AMTP4 done.



GAINS Consensus on the working definition of UA in the

Philippine context; key terms in the working definition also defined.

Targets set on selected core and process indicators; strategic action points identified to address key obstacles and produce desired results.

Country report during the LPCs conference in Mongolia cited as class 1 for its strong CS involvement.

Instrumental in harmonizing, refining, fleshing-out and costing the country operations plan for 2008-2010 (based on AMTP4)

Clarified links with the M&E system.



LESSONS/INSIGHTS

1. Engaging credible CS leaders/organizations in key critical steps/activities in the UA process ensured optimum involvement not only of civil society but other sectors as well.

2. Long history of partnership with government enabled CSOs to take greater, more meaningful roles in the HIV&AIDS response.

3. Technical and facilitation support of UNAIDS was crucial in fleshing out strategic and operating details.

4. Favorable country policies related to CS participation encouraged participation.

5. Co-stakeholdership engenders co-stewardship of the entire journey to UA.



PARTICIPATION

LADDER

INVOLVEMENT

ENGAGEMENT

STEWARDSHIP

• attends functions and

activities per invitation

• receives information

and other capacity

building assistance

• provides inputs during

consultation processes

• implements own

initiatives consistent with

national plan

• implements projects/

activities under contract

or grant

• sits as member of

CCM and PNAC

• sits as co-chair of

CCM/PNAC

• serves as chair in

some committees

• sits as member of

other key governmental

bodies

• initiates strategic

actions using own

resources

• shares accountability

R

O

L

E

S

• opinions, comments and

recommendations

• innovations and models

• project plans/designs

• specific deliverables based

on contract/grant

• shared policies, plans and

programs

• shared successes

R

E

S

U

L

T

S

space support power PROVIDE/SHARE



ELEMENTS OF

PARTICIPATION

INVOLVEMENT

ENGAGEMENT

STEWARDSHIP

competencies competencies competencies competencies competencies N

E

E

D

S

F

O

U

N

D

A

T

I

O

N

resources resources resources resources resources resources resources

appropriate policies appropriate policies appropriate policies appropriate

STAKEHOLDERSHIP

COMMON CAUSE AND AGENDA

MUTUAL RESPECT



CHALLENGES

1. Sustaining the interest and

active, meaningful

involvement of in-country

stakeholders. How to

“cascade” the targets to

individual stakeholders and

make them accountable?

2. Transforming a generally

consultative process to a

“self-driven”, sustained

multi-stakeholder initiative.



3. How to generate the investments (both external and internal) required to make things happen especially in the context of “low prevalence”?

4. How to scale-up without sacrificing quality and effectiveness of specific CS services?

5. How to mainstream CS UA-related initiatives in the overall development framework of the country amidst changing political environment?



ON THE

ROAD 2UA

Make CS initiatives integral parts of the

community health system to increase its

capacity: from pilot projects to regular

service delivery mechanisms.

Ensure sustained funding support for

continuity of services.



Build the leadership and stewardship capacity of

grassroots organizations by providing

appropriate technical support.

Streamline and strengthen the capacity of

tertiary CS organizations to support grassroots

action. Encourage them to focus on strategic,

complimentary competencies instead of trying to

outdo each other and, worse, competing with the

frontline/grassroots organizations.

Balance CS involvement in the area of policy

advocacy and of project implementation.



Can we make it there?



leadership

and

stewardship


co stewardship towards universal access

Business