Creating an Enabling Environment for HIV Prevention
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For the implementation of the ICPD
Programme of Action, ICPD+5 Key Actions and the UNGASS
Declaration of Commitment, UNFPA should build its institutional
capacity to ensure the technical quality of country
programmes in advocacy and behaviour change communication
for the prevention of HIV infection.
This would be undertaken within
the context of the promotion of reproductive health
and the prevention gender-based violence, including
the involvement of men as partners. UNFPA should undertake
advocacy to create awareness and mobilize both political
commitment and financial support for interventions against
HIV/AIDS.
Although the UNFPA focus is on the
prevention of HIV infection, its advocacy efforts may
include mobilizing commitments to support interventions
in prevention, treatment, care and support. Advocacy
for the prevention of HIV is the main concern of UNFPA,
while it collaborates and coordinates with other partners
with mandates in the areas of care, treatment and support.
UNFPA should continue to advocate
for interventions against HIV/AIDS at global, regional,
country and community levels. The focus of interventions
will vary depending on the level and the audiences.
Mostly, at global and the regional
levels, advocacy will focus on enlisting political commitment
and financial resources from leadership in various sectors,
which would be translated into concrete laws and policies,
programmes and other interventions against HIV/AIDS.
The four pathways employed by UNFPA
for advocacy at the country level would include:
- Mobilizing for political will and policy change. This may involve
specific changes in policies, practices, programmes or the behaviour of major national institutions that
affect the public, such as government, parliament, the media, the private sector and programmes of other
partners to support HIV-infection prevention;
- Alliance building and partnership with and between government and
civil society, including building their advocacy capacities. UNFPA
should facilitate an inclusive and participatory approach with
government in the formulation, implementation, monitoring and
evaluation of HIV-infection prevention interventions;
- Consensus-building to form alliances with other stakeholders to
overcome resistance to change relevant religious or cultural
attitudes or barriers to the prevention of the epidemic. Partnership
with the media and with religious and community leaders would be
very helpful to remove denial and stigmatization; and
- Community mobilization and empowerment to support HIV/AIDS
interventions, using a rights-based approach. This would involve
mobilizing community-based organizations and other citizens against
any resistance or hindrances to HIV prevention and also viewing
their personal involvement as an asset in support of interventions against HIV/AIDS.
Partnerships have the potential
to strengthen and magnify any given response. They provide
a mechanism for gathering and sharing information and
knowledge. They provide technical guidance. They also
instil a feeling of “ownership” that is essential for
the sustainability of any given intervention or programme.
Fostering partnerships at different
levels (with United Nations organizations and agencies,
Governments, the private sector and civil society, including
NGOs), especially with those involved in care and support,
and with those infected and affected, is essential to
meet challenges and to ensure harmonization of the continuum
of prevention and care.
The interplay of political, social,
cultural and economic variables creates a unique situation
in each country. The development of partnerships and
interventions must reflect the country situation at
any given time. Each entity plays a specific role that
should be clarified early on.
For example:
- Governments (including bodies at the community level) can be
crucial in policy creation, ensuring adequate
programme capacities, the identification of fiscal resources,
sustainability and coordination of efforts to prevent HIV;
- Donors are critical to advocacy, resource mobilization, and
financial and technical support, especially for national
capacity-building with respect to HIV/AIDS;
- United Nations organizations and agencies best provide technical
guidance on facets of the epidemic, leadership and coordination;
- Foundations can often offer flexible financing through grants and
promote a focus on specific issues or on global problems;
- NGOs, intergovernmental organizations (IGOs) and contractors can
be excellent sources of technical assistance, model approaches and
training. They can also develop joint programmes through their
existing networks, create awareness of needed policies and provide a
“bridge” between public and private sectors in the efforts to
prevent HIV;
- The private sector itself can play an important role in product
and service delivery and sustainability of programmes;
and
- People living with HIV/AIDS and communities have a significant
contribution to make to the overall effort to support realistic and comprehensive prevention strategies.
The challenge is to identify and
bring together the appropriate partners from the broad
range of stakeholders to create partnerships that are
both strategic and capable of implementing and sustaining
programmes.
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