HIV Collaborative Fund A Partnership of Tides Network and the International Treatment Preparedness Coalition

Communities affected by AIDS need resources to mobilize to: –Advocate for comprehensive and equitable care –Monitor government activities –Educate people to access and use treatment –Overcome stigma and discrimination –Mobilize to support each other and implement strategies to ensure comprehensive care.

The HIV Collaborative Fund : A community-driven funding mechanism that provides: Small grants to community organizations for treatment education, mobilization, and advocacy projects; Regional coordination and networking to share information and advocacy strategies; Technical assistance to support grantees; Program evaluation.

Progress to Date: Over 600 small grants in 70 countries in four years. Over $6 million distributed in grants. Over $3 million distributed for regional network development. Over $750,000 distributed for technical assistance and evaluation.

A Partnership for Community Mobilization International Treatment Preparedness Coalition – Leading HIV treatment activists from around the world. Direct the substantive direction of the program. Tides Network – Resource mobilization, facilitation of grant making processes, grants and financial administration

ITPC A global coalition of treatment activists Publishes Missing the Target reports analyzing treatment access on country levels Advocates on global level for treatment access and comprehensive care for all people living with HIV International Coordinator based in Bangkok at the Asian-Pacific Network of People Living with HIV

To join ITPC:

Funding in 11 regions: Eastern Europe/ Central Asia Caribbean Latin America Southeast Asia China South Asia Southern Africa West Africa Central Africa East Africa Women in Africa

Regional Coordinators

How does it work: ITPC regional members set funding priorities for their region. Community Review Panels (CRP) of people conduct peer-reviewed grant selection process. CRPs are geographically diverse, have good gender balance, and majority are people living with HIV/AIDS. Collaborative Fund staff disburse funds and ensure accountability. People living with HIV/AIDS are involved in every aspect of the process and all funded programs.

OUTPUT INDICATORS - WHO AND WHERE People reached (direct interventions) Where they were reached (% rural and secondary cities) Where they were reached (% community sites) Region total # South Asia5,75449%98% China10,94661%44% Women & Families4,36299% Latin America3,32517%39% Eastern Europe / Central Asia2,07030%38% East Africa21,49493%100% Southern Africa20,06215%100% West Africa2,79634%96% Caribbean7,5650%100% Southeast Asia5,56217%98% TOTAL83,93641%81%

Reaching Vulnerable, Affected Communities: Women in rural areas MSM Drug users Sex workers How does this global effort complement and strengthen health systems?

Increases individual demand for health services Giramatsiko Post Test Club, Bushenyi, Uganda  Peer-based training and community mobilization.  In 3 months, 968 PLWHA were reached.  440 of these supported to publicly disclose their HIV positive status and seek treatment openly.  202 PLWHA enrolled in the Kabwohe Joint Clinic Research Centre (KCRC) program to access cotrimoxazole prophylaxis.

Provides a safe bridge into treatment and prevention South Indian Positives (SIP+), Chennai, India Reaches hundreds of trans-gendered persons, a population facing severe stigma and discrimination. SIP+ works with health care and service providers to better address the needs of this population. And, as they develop relationships with individuals, they are able to support and encourage them to seek out care and treatment.

Provides medical information in lay language Nomadic Integrated Development Agency (NIDRA) - Kenya

Supports home based care and treatment adherence Shuang Miao Village PLWHA Group, Zhecheng, Henan Province, China Worked in multiple communities to support PLWHA in choosing and adhering ART regimens. The results: through surveys, questionnaires and visits, the project found that:  PLWHAs who participated became medically adherent.  They were no longer scared of OIs. (Previously, at the discovery of an OI, they would assume they couldn’t live and attempt suicide, or resort to worship, prayer, or even searching for magic drug.)  They no longer considered government-distributed ARV medicines as poison.  Nobody would rather die than take ARV medicines.  They no longer thought only imported drugs could treat HIV.

Monitors quality of care CHECCOS, Guadalajara, Mexico In Guadalajara, advocates of CHECCOS monitored HIV health provision at 50 hospitals. The result: Using a database with s from PLWHA to record shortages or abnormality in care, they identified 17 drugs in shortage or stock-outs,16 instances of shortages of HIV monitoring tests, three reports of poor compliance with medical protocols. 26 PLWHA dared to directly report and face public servants, all of them solved their need for treatment.

Advocates for improved and equitable health care Positive Initiative, Orenburg, Russia The group met with policy-makers and PLWHA were then invited to serve on the Oblast AIDS Coordination Council and the Orenburg Commission on Prevention of Alcoholism, Drug Addiction, and HIV/AIDS. In 2007, they successfully implemented a new law and program to ensure oblast support for PLWHA networks as part of AIDS programming.

Technical Assistance and Network Support Each region determines technical assistance and network support needs. In China, each project was assigned a TA budget and mentor. In Eastern Europe, a website – – is a major communications hub for regional advocates. In Latin America, workshops were held to increase capacity of non-funded organizations. Grantees meet together to share experiences, develop their projects, build organizational capacity and ensure the quality of information.

Monitoring and Evaluation An on-going commitment to program evaluation WHO funded an independent program evaluation. Strategic framework for program evaluation now being implemented. Partnership with University of Amsterdam evaluating treatment literacy approaches in East Africa. No one has a greater stake in good evaluation than our grantees and the people they serve.

A Collaboration of Funders: There are about 30 contributing partners who have or are supporting the Collaborative Fund, including: World Health Organization Rockefeller Foundation Ford Foundation Stephen Lewis Foundation Johnson & Johnson UNAIDS Bill & Melinda Gates Foundation MAC AIDS Fund AIDS Fonds Netherlands Open Society Institute Overbrook Foundation American Jewish World Services DFID Elton John AIDS Foundation Tides Foundation donors