Integration and Mainstreaming using CAFOD’s Vulnerability and Inequality Analysis Tool Georgia Burford HIV Strategy Manager

Understanding vulnerabilities and inequalities Access to water No access to water Access to water

The Vulnerability and Inequality Analysis Tool - Analysis Participation Are all community members able to participate? Priority Groups Are we focussing on who we should include? Protection Are interventions enhancing protection issues or creating new ones? Power Are plans reinforcing or creating unequal power relations? Analysis

The Vulnerability and Inequality Analysis Tool - Adjustment Participation Ensure pumps are accessible; no steps, easy to use; address stigma Priority Groups Women, girls, PLHIV, elderly, people with disabilities Protection Ensure pumps are well lit and close to households Power Ensure women, men of all ages and PLHIV in decision making committees Adjustment

Mainstreaming and Integration Reduce HIV-related stigma through community education to reduce misconceptions around HIV transmission and improve participation Integrated Approach Adding a component that requires resources and monitoring Mainstreaming Approach Modifying aspects to project to ensure they do no harm and exacerbate vulnerabilities Reduce vulnerability to physical or sexual violence by improving lighting and security to improve protection

Examples from our programmes - Cambodia Context Area vulnerable to flooding thus contamination of water sources Low general epidemic, high amongst key populations Aim Build community resilience to issues of climate change and low access to WASH in Battambang and Siem Reap Adaptations: Community awareness training on practicing hygiene and sanitation and importance for PLHIV Water filter containers prioritised for most marginalised and vulnerable households Meetings held with men and women to identify gender specific challenges in water access, use, sanitation

Examples from our programmes - Zimbabwe Context of Hwange District Poor access to safe water High HIV prevalence rate Aim Enhance rural water supply, sanitation and hygiene Adaptations Community education on WASH included households of PLHIV and affected by HIV New pit latrines locations consider households of PLHIV and affected by HIV Near water pumps, nutritional gardens established for PLHIV

Understanding vulnerabilities and inequalities Access to water and sanitation Improved hygiene awareness

Want more? CAFOD HIV Factsheets STOPAIDS Factsheets For the VIA tool – “We shall not finally defeat AIDS, tuberculosis, malaria, or any other infectious diseases that plague the developing world until we have won the battle for safe drinking water, sanitation and basic health care.” - Kofi Annan, former UN Secretary-General