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Going Beyond Criminalisation: Engaging the Key Affected Populations (KAP) in the consultative process of the Global Fund New Funding Module (NFM) in a Challenging Environment Gabriel Ikor Undelikwo Joy Backory Bilali Camara
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Presentation outline The Background Methodology Outcome of the process Lessons learnt Key recommendation Conclusion
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Background One of the Technical Assistance demanded from UNAIDS under the Global Fund New funding model(NFM)was to facilitate a meaningful engagement of key affected population (KAP) in the processes leading to the Concept Note & grant making with following objectives : Systematize and strengthen the KAP, PLWD and CSO engagement throughout the NFM process and grant cycle. Empower KAP member(s) to engage their constituencies in the robust and inclusive NFM process. Strengthen in-country network capacities to engage with the NFM process through adequate technical assistance support Foster an innovative platform for better communication and joint strategy building between & among KAP constituencies
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Background UNAIDS Nigeria piloted consultative process including the development of KAP Engagement Plan & involvement of KAP (HIV/TB) in a less-friendly environment : The “Same sex marriage prohibition act (2013)’’ prohibiting gay organisations and meetings, their sustenance and engagement. All stakeholders were nervous and unwilling to work with the Key populations Tension amongst FSW & PWID who suffered rights abuse, were marginalized but scared of engaging with MSM. The KAPs had no prior involvement in any national consultation or planning process. The KAP groups had no formal structures for engagement Relevant government agencies and the KAP community harboured mutual suspicion of each other The LGBTI community suffered a division within the period arising from the Cotonou meeting called in reaction to the Same sex law
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Methodology Close doors negotiations between the UNAIDS Country Director and the national authorities with a verbal agreement reached that UNAIDS can facilitate the consultations involving FSW, MSM and PWID. NACA issued a press release on access to services not limited by same sex marriage prohibition law. The UCD appointed the UCO Community Mobilization Adviser and his counterpart in RST-Dakar to facilitate the consultations A comprehensive consultative process was initiated including : confidence building and role clarification, Pre consultation meeting and identification of community members Identification of focal persons and representations of the various KAP constituents National meeting with relevant stakeholders and Community members to agree on the engagement plan. Develop TOR for Consultants, provided oversight & facilitation of the meetings.
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Methodology Cont. The National Consultation meeting to adopt the intervention priorities of the key affected population to be included in the concept note An experience sharing workshop on best practices of KAP engagement and empowerment. Focused group discussions held in selected states and validated at KAP constituent meetings to generate priorities & strategic information. engagement in the various stages of the Concept Note development A KAP Committee was inaugurated with a secretariat to act a coordination and feedback structure. Feedback meetings and dialogues on the grant making, Community System strengthening and KAP representations in CCM
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Outcome of the process An unprecedented participation of KAP groups in the Concept Note development processes was achieved with a $15m allocated for MSM, FSW and IDU interventions A sustainable consultative structure for KAP engagement and joint strategy building in the Country established. The mutual mistrust and apprehension by National AIDS Control Agency and the KAP groups in engaging with each other was resolved and a focal point for issues relating to Key Affected population created in the Agency Shared understanding of priorities, opportunities and challenges of KAP and how to accelerate progress
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Outcome of the process The National Association of Nigeria Female Sex Workers formalized The first ever national stakeholders consultation on PWID held and PWID identified for subsequent engagement. An Examination and review of current KAP size estimations & identification of priority for further data improvement. New allies and Stakeholders identified for KAP KAP networks have stronger knowledge of the NFM process and could engaged in the CCM membership nomination process
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Some Key lessons Learnt Within a conservative environment, tactful approaches drawing on officials’ professionalism & empowering the community members can generate a more inclusive and meaningful KAP participatory processes and build their confidence Addressing prohibitive laws, and policies requires a combination of strategies but access to services represent a good entry point The involvement of representatives of key affected populations and other stakeholders promoted ownership and provided a rare opportunity for marginalized groups to be part of National processes and break down barriers. The existing data on KAP estimates and evidence from the Focus groups discussions provided strong evidence to advocate for programmes that addresses KAP issues and rationale for prioritizing action. It is very productive within a challenging environment to adopt silent diplomacy, build alliances and partnership through gradual engagement and enlightenments of critical stakeholders.
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Recommendations We need to sustain a focus on access to services and engagement with service providers to enhance their understanding and appreciation of sexual diversity, KP issues and warming up the situation for a bottom-up policy dialogue. We need to limit the apparent impression that promotion of KP issues and rights are externally driven devoid of local content by empowering national institutions and networks to play leading roles. The promotion of subtle diplomacy and behind the doors engagement of stakeholders should be sustained as it seems to accomplish more within a challenging environment.
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Appreciation Global Fund NACA MSM,FSW,PWID Communities Consultants & Facilitators UNAIDS, UNDP, UNODC
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Conclusion Thank you Merci
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