Challenges in the Implementation of Regional Strategy for HIV Vulnerability reduction of Migrant and Mobile Populations in the South East Asia countries and Southern provinces of China Joining hands to address a neglected issue Dr. Phalla Tia, Manager of United Regional Task Force (UNTRF) on Mobility and HIV Vulnerability Reduction

Presentation outline 1.Making the case : Why Migrant and Mobile Populations (MMPs) are vulnerable? 2.Building the response : Regional and national mechanism 3.Challenges & Opportunities : –human resources: capacity building –financial resources : making the money works

Why a special attention for MMPs in South East Asia region ? Massive increase of population mobility in scale and diversity: e.g Labor migrants –Within countries ( 100 Millions ?) –Between countries ( 20 Millions? ) South- South South – North e.g Students, tourists,…...but the figure is not well known ( because it is constantly changing and hidden)

HIV Vulnerability of MMPs is documented –Increase of risky behavior –Access to services and Information neglected –Marginalized population Dynamics of population movement within the HIV epidemic is not very well addressed...and the cost of inaction is not known...Resulting in a lack of support and low coverage of interventions Why a special attention for MMPs in South East Asia region ?

MMPs dynamic in HIV/AIDS epidemic

Mobile men tend to be at higher risk than the general male population High risk Occupations ( i.e truck drivers, police, sailors ) General male population Percentage of men paying fort sex in the past 12 months HIV Vulnerability on MMPs Source : Family Health International, 2005

Low or no risk females Clients sex industry Low or no risk males MSM IDUs FSW Source : WPRO Routes of HIV epidemic in Asia & the Pacific 2002 The dynamics of population movement within HIV epidemic

How to solve the problem ? Operationalzing the Regional Strategy on Mobility and HIV Vulnerability Reduction in South East Asia Countries and the Southern provinces of China, Partnership for People-Centered Development Approach Enabling and Empowering Environment Prevention, Care and Support Guidelines Coordination, M&E POLCIES PARTNERSHIP SERVICES

Steering Committee ( Executing arm of the Task Force) UN Resident Coordinator Convener Singapore AGENCY MEMBERS UNAIDS, UNDP, IOM, CIDA, UNESCO, ASEAN Task Force on HIV/AIDS NGO MEMBERS CARAM, MFA, CARE, APN+ COUNTRIES MEMBERS ASEAN TASK FORCE ON HIV/AIDS ASEAN SUMMIT Manager UNRTF on Mobility and HIV Vulnerability Reduction ADVOCACY SUB GROUP RESEARCH SUB GROUP RESOURCE MOB SUB GROUP CSOs SUB GROUP

Mandate of United Regional Task Force (UNTRF) on Mobility and HIV Vulnerability Reduction The task force identifies priorities and gaps and facilitates programmatic, policy and advocacy actions to reduce mobility- related HIV vulnerability and addresses issues of care and support.

Regional Strategy on Mobility and HIV Vulnerability WHO? WHAT? Mandate of UNTRF ADVOCACY SUB GROUP RESEARCH SUB GROUP RESOURCE MOB SUB GROUP CSOs SUB GROUP

Data on Cross-border Migrants NO DATA. NO PROBLEM... Origin countries : beyond the reach, not counted Destination countries : –counted in term of labour migrants –HIV Vulnerability reduction : not seen as a direct obligation of destination country Enforcement of International legal instruments related to MMPs ‘ HIV vulnerability Filling the gaps in the response...reach and count...common social responsibility for transboundaries issues NO DATA BIG PROBLEM

No surveillance data for both sides : The complete picture of HIV/AIDS of Cross Border Migrants is missing The dynamics of the MMPs for within HIV epidemic to both origin and destination countries have not been clearly demonstrated Data on Cross-border Migrants Filling the gaps in the response...demonstrate the dynamics...include MMPs as the surveillance system

PARTNERSHIP BUSINESS SECTOR NGOs MMPs Migrant and Mobile Populations Donors Government Policy makers Technicians CSOs NGOs Filling the gaps in the response

BUSINESS SECTOR NGOs: Smart Work MMPs Migrant and Mobile Populations Donors: USDOL, USAID Government Policy makers Technicians CSOs:Labor Union NGOs: Life-Gap NGOs Assessment of Urban Migration Policy VAAC PARTNERSHIP Filling the gaps in the response

Interventions National Responsibility Mechanism Technical Political Target population Interventions National Responsibility Mechanism Technical Political Target population NATIONAL RESPONSE MECHANISM

Filling the gaps in the response NATIONAL RESPONSE MECHANISM

TEAM SOCCER MOBILITY&HIV VULNERABILITY WORKING GROUP

Mobility Technical Working Group Coordinate with different stakeholders for program design, implementation and follow up advocate for unified data ( the three ones principles ) review policies and programs follow up the implementation of the agreement (decrees, MOUs, international conventions..) mobilize the resource contribute with other countries to bargain for support to inter-country coordination and national response

SHIFTING ROLE OF NATIONAL AIDS PROGRAM Institutional capacity building Technical capacity building InfrastructureTransportWorkplaceCSOs

SUPPORT TO COUNTRIES

Malaysia Indonesia Philippines China (Yunnan) Viet Nam Lao PDR Myanmar Thailand Cambodia Singapore Brunei Filling the gaps in the response REGIONAL COORDINATION

Build technical capacity ( health and others) Strengthening Institutional capacity Filling the gaps in human resource Improve coordination –horizontal –vertical Sustain the response with ownership Challenges and Opportunities

Joining hands to address a neglected issue