Washington D.C., USA, July 2012www.aids2012.org Treatment Monitoring & Advocacy Project: “Missing the Target Report Series” Othoman Mellouk ITPC-NA/ALCS

Washington D.C., USA, July 2012www.aids2012.org ITPC: Worldwide coalition of PLWHIV and their supporters and advocates. Uses a community based approach to achieve universal access to treatment, prevention and all health care services for PLWHIV and those at-risk. The treatment monitoring and advocacy project (TMAP) : produces « Missing the Target » reports series that identify barriers to delivery of AIDS services and holds national governments and global institutions accountable for improved efforts(12 reports)

Washington D.C., USA, July 2012www.aids2012.org Why monitoring through Missing the Target (MTT)? Started with need to track “3 by 5” initiative from a civil society perspective Recognition: scale up dependent on politics, money and implementation issues Need to make governments and global agencies accountable for progress Focus on outcomes, identify specific barriers & be solution-oriented Inform advocacy with objective research

Washington D.C., USA, July 2012www.aids2012.org Objectives of the research Identify barriers to access to HIV treament from Civil Society and PLWHIV perspective Develop capacities of community activists in: research, data collection & analysis and their use in advocacy Set priorities for advocacy with the goal to reach Universal Access to HIV treatment

Washington D.C., USA, July 2012www.aids2012.org Research Approach and Methods Civil society teams based in countries Standardized research template Research based on confidential interviews with diverse informants: civil society, local and national government, health workers, policy makers Centralized editing, coordination, global and domestic media Focus on recommendations to change national policies and response of global agencies

Washington D.C., USA, July 2012www.aids2012.org MTT 10 : Barriers to Treatment 2.0 Scale-up Why? –Confusions about the concept –No visibility about implementation plans at country level –Need for involvement of CS, PLWHIV and Key affected pop in implementation and monitoring How? –By using the process of collecting information for the report as a learning tool

Washington D.C., USA, July 2012www.aids2012.org Methodology In country Research teams: –ITPC Regional Coordinators + Local Researcher (focus groups, indepth interviews with key informants) Instruments: –FGD Scripts –from PLWHIV, Key affected populations –In-depth Interviews: –Officials, CBOs, Care providers, PLWHIV, Key affected pop.

Washington D.C., USA, July 2012www.aids2012.org Collaboration with Local Scientists/Researchers The RCs benefit from this exercise as building/strengthening their own capacity for ongoing/future research. Apart from completing the research in time for the MTT10 report, the goal is to continuing to build and strengthen research skills beyond MTT10. The findings of the MTT10 report will be used for hypothesis generation and providing a basis for research studies that lead to develop community based indicators for monitoring and evaluation of scale-up.

Washington D.C., USA, July 2012www.aids2012.org Results Strenghten capacities of local advocates in data collection and analysis Pool of community researchers across countries able to investigate issues Sensitize communities, policy makers, care providers and implementers on issues related to treatment Ability to network and liaise with the community stakeholders, district administration and health department

Washington D.C., USA, July 2012www.aids2012.org Inform process of strategic planning at national, regional and global level The findings of the MTT10 report should be used for hypothesis generation and providing a basis for research studies that lead to develop community based indicators for monitoring and evaluation of scale-up.

Washington D.C., USA, July 2012www.aids2012.org Thank You