1. Reaching marginalized groups via national programmes Netherlands Development co- operation: strategies and lessons learnt.

2. Four Questions: A: What is the Dutch Development Co- operation Policy? B: Who are the marginalized groups? C:How to reach them and what are the challenges? D:What lessons can be drawn?

3. A. What is the Dutch Development-Cooperation? 0,8 % of GNP Poverty Alleviation: HIV/AIDS, Reproductive Health and rights, Basic Education and Environment Decentralized system

4. B. Who are the marginalized groups? Poor people - women, youth and children Sick people, People Living with HIV/AIDS (undocumented) Migrants Drug users Sexual minorities OVCs, homeless people etc. etc.

5. C. How to reach them? Sector-Wide Approach (SWAp)- health Basic health-care services incl. reproductive health, basic nutrition and safe drinking water: ** Strengthening health systems (local and district level) ** Poverty related health problems (ATM)

6. Aids a multi-sectoral issue: a challenge to reach marginalized groups Political commitment is limited Sexual and reproductive health and rights under pressure Stigma and discrimination Many stakeholders, lack of coordination Aids is eroding capacity

7. Dutch HIV/AIDS strategy: 3Cs Commitment Coordination Capacity —Asia, Lat. America —Africa

8. Africa International level: Three Ones (UNAIDS) Country level: Invite and enable representatives of marginalized groups to join discussions with govt., UN-, Intern. Org. or private sector Funding for NGO’s

9. Asia Policy dialogue Support to international networks * Asian Harm Reduction Network (AHRN) * Coordination of Action Research on Aids and Mobility (CARAM)

10. Latin America Policy Dialogue UNAIDS, UNFPA, GFATM

11. D. What lessons can be drawn? Marginalized groups are hard to reach via national programmes; Special efforts are required: invite, listen and enable them to participate in policy and decision-making (eg. GIPA) funding, capacity building of NGOs

12. Marginalized groups are not part of the problem but part of the solution!