apmg capacity statement june 2018...we manage a range of complex projects and programs –...

APMGHealthisaBenefitCorporationregisteredinWashington, DC - www.apmghealth.com

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CompanyProfile APMG Health, Inc. (APMG)is a US-based Benefit Corporation that works toimprove the reach, quality and impact of public health prevention, treatment,care and support programs among key populations. We are driven by aset ofvaluesthatweusetoguidedecisionsaboutwhatwedoandwhereandhowwework. APMGwas incorporated in the District of Columbia in 2016 and recentlymerged with APMGlobal Health, based in Sydney, Australia. APMGlobal Healthbringsfourteenyearsofextensiveexperienceinpublichealthanddevelopmenttothispartnership.

Wework closely and regularlywith a teamofmore than fifty highly experienced consultantswho haveextensiveexperienceinpublichealth,development,policy,technicalguidance,capacitydevelopmentandcivil society strengthening. We manage a range of complex projects and programs – multi-countryassessments,globalandregionalpolicyandpracticesguidance,nationalstrategicplanning,organizationaldevelopmentsupport,andtechnicalassistancetolongandshort-termimplementationprograms.

RECENTANDCURRENTPROJECTS

OurrecentworkacrossarangeofregionsfortheGlobalFundtofightAIDS,TBandMalariademonstratesAPMG’sabilitytocarryoutmultiple-country,multiple-languagetaskssimultaneously. In2017andtodatein2018,wehave:

- AbouttocommenceevaluationofHIV,TBandmalariaprogramsin52countriesreceivingFocussedCountry allocations for the Global Fund. This will involve teams on local and internationalconsultants following standardprotocols toassist theGlobal Fundand the country todeterminetheoutcomesandimpactofinvestmentsintheseprogramsandmakechangesinprogrammingtoincreaseefficiency,effectivenessandsustainability.Theseevaluationswillbeconductedin2018–2020.

- UndertakendeskreviewsofthekeypopulationsreportsheldbytheGlobalFundon65countries;followed by an examination of two key population service packages in 33 countries to developnational,regionalandglobalreportsonthedesign,implementationandreportingoftheseservicepackages1.

- Undertaken in-depth assessmentsof human rightsbarriers toHIV andTB services inPhilippines,Ukraine,SierraLeoneandKyrgyzstan;toHIV,TBandMalariaservicesinCoted’Ivoire;andtoHIVservices in Tunisia: in each country, a team of up to 10 local consultants worked with 1-2international consultants toexamine thebarriers (throughdesk review,key informant interviewsand focus groups with key population members); the work currently or recently carried out toreducethesebarriers(includingassemblinglistsofprojects,projectreach,activitiesandcosts);andpotentialactivitiesthatcouldbecarriedoutaspartofacomprehensivefive-yearstrategyineachcountrytoreducethesebarriers,includingthecostsofsuchanapproach.

- Documentationof themechanismsbywhich governments fund civil society andothernon-StateactorstocarryoutHIVandotherhealthservicesinMexicoandArgentina.

Otherrecentandcurrentprojectsinclude:

Countries visited for this project were: Afghanistan, Indonesia, Nepal, Pakistan, Papua New Guinea, Philippines,Ukraine, Belarus, Moldova, Georgia, Kyrgyzstan, Uzbekistan, Kosovo, Armenia, Dominican Republic, Guatemala,Guyana, Haiti, Peru, Morocco, Sudan, Tunisia, Benin, Cameroon, Cote d’Ivoire, Mali, Sierra Leone, Togo, Angola,Kenya,Madagascar,Malawi,SouthAfrica


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- AssistancetoHIVNGOserviceprovidersandtheMinistryofHealthandSocialSupportofNamibia

to determine effective methods to introduce funding for NGOs through government fundingmechanisms(UNAIDS)

- Assistance to Strategic Development Consultants in South Africa on methods to increasegovernmentfundingofHIVkeypopulationsservicedelivery(forSANAC)

- AssistingHEARDofSouthAfricainevaluatingthecapacitybuildingactivitiesoftheBridgingtheGapmulti-countryprojectamongkeypopulations(aidsfonds)

- Assistance to Pharos Global Health on methods to increase government funding of HIV keypopulationsservicedeliveryinCambodia(UNAIDS)

- Assistance to Aceso Global on civil society elements, including developing and utilizing a socialcontractingreadinessdiagnostictool,inPanama,ParaguayandDominicanRepublic(GlobalFund)

- Organizationaldevelopment support to theRobertCarrFund for civil societynetworks, includingdevelopment of a uniqueMonitoring, Evaluation and Learning framework and tools tomeasureinvestmentsinnetworkcapacityandadvocacyefforts(RobertCarrFund)

APMG’sworkisfocusedacrossfourdomains:

PLACINGKEYPOPULATIONSANDPLHIVATTHECENTREOFTHERESPONSE

APMGhasworkedextensivelywithpeoplemostaffectedbyHIVtoassistthemtoparticipateeffectivelyinresponsestoHIV.Wehavefound,aftermorethantenyearsoffront-linefieldwork,thatthisparticipationisessentialtoaneffectiveHIVresponse.Thepopulationsthatmanyofourstaffandconsultantscomefromandthatweworkcloselywithare:

• PeopleLivingwithHIV• PeoplewhoInjectDrugs• SexWorkers• MenwhohaveSexwithMenandTransgenderPeople

The evidence for effectiveness of HIV and broader health responses clearly shows that reaching andengaginginlong-termrelationshipswiththepopulationsmostatriskof,andaffectedby,HIVisessentialinbothconcentratedandgeneralisedepidemics.

KeyPopulationsandPLHIV

HealthAccess

OrganisationalSustainability

CriticalEnablers


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Our work with key populations has ranged from facilitating meetings and encouraging grassrootsorganisationstoform,throughthemanystagesofgrowthintechnicalandorganisationaldevelopmentascommunity-basedorganisations,toworkingwithgovernmentsandlargenon-governmentorganisationstoensure that keypopulations fully participate indesigning, implementing andevaluatingHIV and broaderhealthservices.

PEOPLELIVINGWITHHIV(PLHIV)

OurworkwithpeoplelivingwithHIVhasincludedtechnicalandorganisationalassistancetoon-the-groundPLHIVsupportservicelikethePozHomeinBangkok,traininginPLHIVsupportgroupfacilitationforPLHIVleadersintheUkraine,organisationaldevelopmentsupporttotheAll-UkrainianNetworkofPLHIVintheirrole as a Global Fund Principal Recipient for the Ukraine and developing and facilitating the Good LifeProjectinBangkok,aimedatassistingnewlydiagnosedPLHIVcometotermswiththeirdiagnosisandfindtheirwaytoHIVservices.WearecurrentlyassistingECUO,theEE/CAnetworkofPLHIVorganisations, tocarryoutandreportonaRegionalDialogueinpreparationfortheirsubmissionofaRegionalConceptNotetotheGlobalFundtofightAIDS,TBandMalaria.

In Central Asia we have worked with local PLHIV groups to assist them in developing constructiverelationshipswithAIDSTreatmentCentresandinPNG,wehavesupportedtheNationalPLHIVorganisationtohireandsupportPLHIVasexpertpatientsinprimarycareclinics.

MENWHOHAVESEXWITHMEN&TRANSGENDERPEOPLE(MSM&TG)

APMGhasundertakensignificantworktoimprovethedesign,qualityandreachofHIVpreventionandcareamong MSM and transgender people. We have focussed particularly on assisting policy makers andprogram manages to build a strong case for interventions among these key populations. We haveconductedtrainingworkshopsonHIVprogrammanagementamongMSMandtransgenderpeople in theMiddleEastNorthAfricaRegion,inCentralAsiaandinSouth-EastAsia.WehaveassistedamfARtodevelopa setofoperations researchpriorities to strengthen thedesignofHIV servicesofMSMand transgenderpeople in South-East Asia and we have assisted UNDP to develop regional (and national) advocacyframeworks inSouthand InsularSouth-EastAsiatobuildastrongercaseforexpandedservices forthesepopulations.Wehavealsoassisted in thedevelopmentof city-based responses toHIVamongMSMandtransgenderpeople,supervisingdatacollectionforthe6-CitiesProjectthatscannedMSMandtransgenderpeopleservicesinsixAsianMega-citiesandrecentlycompletingasimilarexerciseincitiesinMyanmar.

Atground level,wehaveworkedwiththeHIVFoundationThailandundertheCAP3DProjecttodevelopnewmodels for connecting gaymen, otherMSM and transgender peoplewith HIV testing and onwardpreventionandcare services. InPapuaNewGuinea,weworked through theTingimLaipProject to trainandsupportgaymenandtransgenderpeopletoreachouttothepeopletheyknowandhelpthemaccessinformation and services to increase the level of HIV prevention and care. Details of the work are atwww.tingimlaip.org

PEOPLEWHOINJECTDRUGS(PWID)

Ourworkwithpeoplewho injectdrugshasbeenextensiveover thepastdecade.WehaveworkedwithglobalorganisationssuchasWHO,UNODCandUNAIDS,onguidancedocumentstoensurethatdrugusersplayaprominent role inHIVpreventionand treatmentefforts.Design, trainingandcapacitybuilding forpeereducation(particularlyconnectedwithneedlesyringeprograms)andpeersupport(especiallyamongclientsofmethadoneandotheropioidsubstitutiontreatments)madeupmuchoftheearlywork.Recent


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projects have prioritised specific populations such as women who inject drugs as well as children andadolescentswhoinject,andspecificactivitiessuchasadvocacybyPWIDforgreaterfundingofandfocusonharmreduction,assistingPWIDintobroaderSRHandhealthservices,andencouragingdruguserstotestforHIVand,wherepositive,toaccessHIVtreatment.APMGhasdevelopedatrainingcourseonManagingHIVProgramsamongPWIDwhichhasbeenimplementedinseveralcountriesinbothEnglishandRussianlanguages.

SEXWORKERS(SW)

Our work with sex workers has ranged from grassroots organising among transgender sex workers inMalaysiatoorganisationaldevelopmentofbothcommunity-basedorganisationsandlargerNGOs.Wehavefacilitatedmeetingsofnetworksof sexworkerorganizationsandevaluated sexworkerprograms.APMGhas developed a training course on Managing HIV Programs among Sex Workers which has beenimplementedinCentralAsiancountriesandisavailableinbothEnglishandRussianlanguages.

APMGworked with the UNFPA Asia Pacific Regional Office over three years to develop curriculum andfacilitatenationalworkshopsinChina,Mongolia,Indonesia,Bangladesh,Vietnam,PapuaNewGuinea,thePhilippinesandMyanmaronstrengtheningsexualandreproductivehealthandrightsandtheHIVresponseamongsexworkers.Informationavailableathttp://www.connect-effect.com/

PROMOTINGHEALTHACCESS

Key populations are often marginalised from HIV and health services, usually due to stigma anddiscrimination and isolation caused by the illegality or perceived unacceptability of their behaviour.OutreachbyNGOs thathave the trustandconfidenceof thesepopulations isaprimarymethodused toovercomethismarginalisation.Insomecountries,outreachtaskshavebecomepartofthegovernmentormainstreamhealthresponsetoHIVbutthisremainsunusualindevelopingandtransitionalcountries.TheresultisalargegapbetweenreachintokeypopulationstoincreasedemandforservicesandsupplyofHIVtestingandhealthservices.

APMGworkswithbothNGOsandhealthservicestoaddresssupplyanddemandelementsofprogramsthatimpact on health access by key populations.Our aim is to create a true continuumof care through thespectrumofservicesprovidedbythesesectorsthataddressthemanyneedsofkeypopulations.Wealsoworkspecificallyat the interfaceofoutreachprograms,NGOservicesandgovernmenthealthsystemstoincreaseknowledgeandunderstandingamongstaffonhowtobestmeettheneedsofanindividual:wecallthisourLocalitiesapproach.

Within HIV, the exciting shift towards Treatment as Prevention (TasP) suggests that high levels ofantiretroviral therapy coverage amongst people living with HIV who require treatment, can bring anepidemicundercontrolandeliminatenewHIVinfections.APMGbelievesthattheTasPapproachwillonlybe effective if a strong focus is maintained on HIV testing and follow up for thosemost at risk of HIVinfection and if it is an adjunct to HIV prevention work, using the proven methods of peer education,condomandinjectingequipmentdistribution,safersexandsafer injectingeducationandharmreductioninterventions.

APMG’scapacitybuildingworkinHIVandhealth,withandforkeypopulations,isembeddedwithinsoundmanagementandprogrammaticapproachesincludinginnovativemeasurement.TheUniqueIdentificationCode (UIC) system that APMG has developed in several countries assists in tracking patterns of serviceusageandreachandmeasuringcoverageamongkeypopulations.TheTreatmentCascadeprovidesanew


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way of presenting data to monitor engagement of populations with services. We have also worked inProcurement and Supply Management to ensure that commodities purchased for HIV prevention andtreatmentamongkeypopulationsareappropriate,easilytrackedandavailablewhereandwhentheyareneeded.

COMMUNITY-BASEDTESTING

A very low proportion of people in key populations have tested for HIV. APMG’s work on MeaningfulKnowledge of Status is underpinned by individuals being tested, knowing the results of anHIV test andengagingwithpreventionservicesiftheyarenegative,andHIVhealthservicesiftheyarepositive.

EncouragingHIV testingamongkeypopulations requiresa levelof trust thatmustbebuiltover time. Inmanycitiesandcountries, that trusthasbeenbuiltbuthasnotyet resulted in scalingupofHIV testing.APMG uses a combination of interventions to assist organisations in extending their reach to keypopulationsbybuilding trust,encouragingHIV testingandensuring thateach individual isprovidedwithappropriateeducation,support,adviceandnetworkingwithservices-whethertheHIVresultispositiveornegative.

APMG is specifically working on rapid HIV testing, especially where this is provided by organisations inregularcontactwithkeypopulations.Whencombinedwitheffectivetreatmentsandtreatmentadherenceoptions,andwithappropriatecounselling,rapidtestingcanensurethatthosetestednotonlyknowtheirHIVtestresultbutfeelconfidentthattheycanactonthebasisoftheresult.

TREATMENTCASCADES

HIV Treatment Cascades display, in visual form, engagement of individuals living with HIV across thetesting, treatmentandadherencecontinuumofcare.Themodel is increasinglyusedgloballyasawayofpresentingdatatodemonstratethestep-downor‘cascade’effectofpeoplemovingthroughHIVtestingtoeffectiveandsustainedtreatment.Treatmentcascadesuseexistingdatasets,oftenpresentedasbarchartsorinvertedpyramids,andprovidegraphicalrepresentationofeffectivenessofinterventions,resultinginapowerful advocacy tool. The common levels or steps of the cascade capture data on the number andpercentageofPeoplelivingwithHIV,PLHIVwhogettested,PLHIVwhoknowtheirstatusandarelinkedtocare, PLHIV who are retained in care, PLHIV who start antiretroviral treatment, PLHIV who adheresuccessfullytotreatmentwithresultingsuppressionofviralload.

APMGsupportsthedevelopmentofTreatmentCascades,usingqualitydata,acrossallprojectsespeciallyinourworkinCentralAsia.AdaptationsoftheTreatmentCascadehavealsobeenusedbyAPMGwithinourwork inSRH–usingstepsacrossthecontinuumofcaretomeasureengagementofkeypopulationswithSRHprogramsandservices.

UNIQUEIDENTIFICATIONCODES

Unique Identification Codes (UICs) provide an anonymous and reliable system for tracking of keypopulationsthroughprevention,treatmentandcareservices.Auniquecodeforeachindividualiscreated,basedonanswersto4-8questionsthatarerelevanttothespecificcontextandepidemicofthecountry.UICsystemspromotemonitoringofkeypopulationsandaccuratetrackingagainsttargetsby:

• CreatingaconfidentialservicerecognitionsystemthatminimisesbarrierstoHIVservicesforsexworkers,gaymenandothermenwhohavesexwithmen,transgenderpeopleandpeoplewhoinjectdrugs

• Avoidingduplicationinthecountingofclientsattendingservices


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• Identifyingnewindividualsengagingwithpreventionthroughtotreatmentservices• Enablinganalysisoftreatmentcascadesthroughcontinuumofcareindicatordata• Assessingthemobilityofkeypopulationsthroughoutreachservicesandhealthfacilities• Assistinginreorientingofservicestomeetneedsandattendancepatternsofkeypopulations.

APMGhasworkedonUniqueIdentificationCodes(UICs)amongkeypopulationsformorethaneightyears.Earlyon,weassistedPSItointroduceaUICforyoungdrugusersinCentralAsiaaspartoftheUSAID-fundedDrugDemandReductionProjectanddevelopedamodeldescriptionon theprocess,published inEnglishandRussian.Sincethistime,APMGhasbeenactivelyinvolvedinscoping,developingandimplementingUICsystemsinNorthAfrica,WestAfricaandthePacific,includingincountrieswithtwoalphabets(CyrillicandLatin, Arabic and Latin) which presents specific challenges in transliteration. In a move towards morestrategic investment by working with key populations in the HIV response, UICs provide an avenue forimproveddatacollection,management,analysisanduse.

SUPPLY&DEMAND

OurworkonDemandandSupply strives toensure thatkeypopulationsbothknowabout theirHIV risksand seekhealthassistanceasneeded,and that thehealth system isprepared tomeet theseneeds.Theelementsandactivitiesthatsupportthisaredemonstratedinthediagrambelow.

PROCUREMENT&SUPPLYMANAGEMENT

APMG works with Vasson Consulting to offer a wide range of procurement, logistics, and supplymanagement (PSM)services forHIVpreventionand treatmentcommodities.TodatetheseserviceshavebeenprovidedmostlytoGlobalFundHIVPrincipalRecipientsinMauritius,RussianFederation,Kazakhstan,KyrgyzstanandTajikistan.WithaccesstoFrenchandEnglish-speakingconsultants,theseservicesarenowofferedtoallcountriesinAfricaaswellasinAsia,theMiddleEastandEasternEurope.

Objectives of PSM are to support and enhance frontline HIV and health services by providing theappropriateproductsattherighttimeinanadequatequantityandinexcellentconditionwith:

• Leastdifficultyforfrontlineservices(highestacceptabilityofproducts,leasttimespentonPSMtasks)• Minimumcostandhighestvalueformoney• Maximumaccountabilityforinternationaldonorsandrecipients.

Training(OrganisationalDevelopmentandTechnical)IECMaterialsEffectivelinkagetocareandotherreferralsStandardstoimprovequalityandcoverageofoutreach

InnovativeclinicmodelsClinicalMentoringandIncreasingskillstowork

withkeypopulationsIECMaterialsonNGO

ReferralsQualityImprovement

DEMAND SUPPLYKPstaffinclinics;

KP-runclinics

CommunityHIVtesting


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We designed and installed national ARV forecasting systems in Kazakhstan, Kyrgyzstan and Tajikistan toensureavailabilityofconsistentmedicationstoallpeopleonART ineachcountry,preventstockoutsandaidtimelyPSM.APMGalsostartedandsupportedLocalitiesCoordinationCouncilsinthesecountrieswithrepresentativesof keyNGOsandhealth servicesmeeting regularly todevelopways toovercome lackofaccesstoservicesbykeyaffectedpopulations–supportingthesupplyanddemandsideofHIVservices.

APMGhaveworkedwith communityorganisations andhealth serviceproviders in South and South-EastAsia to determine a set of operational research priorities to improve the design and delivery of healthservicesandincreasehealthserviceaccessforMSMandtransgenderpeople

SERVICEINTEGRATION&COLLABORATION

In several countries, APMG has brought NGO outreach and government health services together tocoordinateservicesforkeypopulations.Wehavefoundthatthisisdonemostsuccessfullyatthelocallevel.Whilst high level agreements and strategic plans provide a framework within which services should bedelivered,inmostcountrieslocalpeopleknoweachotherandcanworkmoreorlessinformallytoachievegreatercoordinationandintegrationofservices.

InCentralAsia,therangeofservicestobeprovidedforeachkeypopulationisbeingdeterminedwiththeuseofComprehensivePackagesof Services forPWID,MSMandSexWorkers, basedonUNandPEPFARguidancedocuments.ThesepackagesarediscussedatthelocallevelbyCoordinationCouncilsmadeupofkeyNGOmanagers and head doctors of health facilities, to ascertainwhere services can be co-located,whereNGOstaffcanassistingovernmentclinics,wheregovernmentdoctorscanworkwithNGOoutreachefforts and so on.Methods ofmeasuring the integration of specific services for key populations in pilotsites,developedbyAPMG,havefoundsignificantchangesafterlessthantwoyearsofimplementation.

In PNG, we provided technical management for the Tingim Laip project to recruit people from keypopulationsaspeereducatorswhoassistpeople fromwithin theirnetworks toaccess information,maleandfemalecondomsandongoingsupportandhelpthemtoregularlyaccessHIVtestingandSTIdiagnosisandtreatmentclinics.

COMMUNITYORGANISATIONALSUSTAINABILITY

At APMG, we focus on building the capacity of community organisations to undertake projectmanagement,organisationaldevelopmentandresourceallocation.WeassistinscalingupresponsestoHIVand SRHby constantlyworkingwith our partners to strengthen the technical aspects of theirwork thatensureintegrityacrossallprevention,treatmentandcareactivities.Weworkalongsidepolicymakersandprogramimplementerstoassistthemtoputinplacethesystemstheyneedtoplan,implement,evaluateand report on the work that they do. APMG has a proven track record of providing practical technicalassistance including training workforce, strengthening planning, financial, monitoring and evaluationsystemsandimprovingprocurementandsupplymanagement.Ourworkisbackedupbyasuiteoftrainingcoursesinprogrammanagementamongkeypopulationswhichformafoundationforlongtermsupportiveskill-exchangerelationshipswithourhealthanddevelopmentpartners.

TRAININGPROGRAMS

Ourcapacitybuildingwork inmanycountries isbasedonasuiteof trainingprograms,withanapproachthat encourages and fosters ongoing mentoring and support for application of learning. The core HIVprograms are courses onManagingHIV Prevention andCare Programs amongPWID,MSM, transgenderpeopleandSexWorkers.TheseseparateprogramshavebeenprovidedtoarangeofmanagersofNGOs,


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CBOs, UN program staff and Ministry of Health personnel from more than 40 countries. From thesecourses,languageandculturalaswellasnationaladaptationshavebeenprovidedinseverallanguagesandregions.

APMG have designed and developed comprehensive training programs in National AIDS ProgramManagementandonNationalHIVStrategyDevelopment (forWHOSEAROandWPRO). Wedevelopedatraining curriculum and guidance document for WHO AFRO on maximising HIV prevention outcomesthroughhealthclinicsandondistrict-basedHIVresponseplanning.AndinMauritius,wefacilitatedtrainingonpeereducation(amongallkeypopulations)andonpeersupportformethadoneclients.OurtrainingsinSRHandbroaderhealthhavebeentailoredtokeypopulationsincludingSexWorkersandYouth.

APMG also provided long-term technical assistance to the USAID-funded SUM II Project in Indonesia, aproject that funds CBOS from key populations to contribute to national and provincial HIV programmeplanningandimplementation.

MEASUREMENT

M&E isan integralpartofmanagementwhichensuresprogramsare tailored&adjusted tobetter reachobjectives. APGM believes strong monitoring and evaluation systems, teamed with sound surveillance,provide an integral foundation for effective HIV and health response. We have technical expertise inmonitoring,evaluation,researchandsurveillanceandaimtostrengthencontinuityindatafeedbackcyclestoensurethatdataiscomprehensivelycollected,validated,managed,analysed,translated,distributedandused.APMGpromotes healthy data culture in all projects undertaken– onewhich encourages, expects,createsandproducesgreatquality,consistent,timelyandaccuratedata.

GUIDANCEDOCUMENTS&TOOLS

One of our core competencies is the development of plain language easy-to-use tools that help peopledesign,securefundingforandimplementbetterHIV,SRHandhealthprograms.SomeofthekeyguidancedocumentsandtoolkitsAPMGhavepreparedinclude:

• AtoolkitforpeopleapplyingforGlobalFundGrantsundertheRound11MARPsstream.• AtoolforbuildingthebusinesscaseforHIVinvestment(UNAIDS)• AguidancedocumentfortheGlobalFundsNewFundingModel(UNAIDS&GlobalFund)• AGuidanceDocumentonOutreachServicesforHarmReductionPrograms(WHO)

CRITICALENABLERS

APMG’sdomainsofPlacingKeyPopulationsandPLHIVat theCentreof theResponse,PromotingHealthAccess and Community Organisational Sustainability are supported and enhanced by our work aroundcreating an enabling environment for key populations. This involves talking about, preventing andaddressing the potential barriers to HIV, SRH and broader health programs and services that keypopulationsexperience.

Weworkatprogramleveltoraiseawarenessandassistlocaladdressofhumanrightsandgenderinequity,andalsoengagewithnationalandglobalpartnersonprojectsrelatedtotheseissues insupportofpolicyandlawreform.

HUMANRIGHTS

APMG has a track record in assisting funding agencies, governments and civil society organisations toidentify human rights barriers to health information and services. Our experience and expertise lies in


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fostering cross sector collaboration and producing accessible guidance tools to convert best practice tosustainable implementation in complex environments. Our organisational history of working with, andthrough, keypopulations ensures thatwebring a comprehensiveunderstandingof health, human rightsand equity to all projects. APMG has undertaken a recent project on Human Rights Integration acrossGlobal Fund Grants & Programs. This has included a comprehensive desk review, development ofM&EindicatorsalongwithamonitoringofHumanRights tool,and fieldvisits toCameroon,Malaysia, JamaicaandUkrainetomeetwithCCMstaffandHumanRightsProgrammersaboutbarrierstoaddressingGlobalFund’sfivekeyareasofhumanrights.WehaverecentlyconductedHumanRightsBaselineAssessmentsinthePhilippines,CoteD’Ivoire,Tunisia,SierraLeone,theUkraineandKyrgyzstan.

GENDERMAINSTREAMING

APMG has experienced themany complexities of advocating for the inclusion of attention to gender innationalHIVandhealthprogramming,andunderstands the impactof inequityat community through tonational level.Wewere the technical leadon the Tingim LaipHIVPrevention andCareProject in PapuaNewGuinea,acountrywheregendernormsandviolenceagainstwomenplaysakeyroleinincreasingtheriskof,andimpactfrom,HIVandhealthonwomen.WearealsoHIVtechnical leadontheUSAID-fundedQualityHealthcareProjectinCentralAsia,aregionwheresignificantbarrierspreventfemaledrugusersandsexworkers fromaccessing theservicesandprogrammes theyneed inorder to stayhealthy.Wehaveaconsultantwho is trainedandassists countries inAsiaand thePacificRegion touse theUNAIDSGenderAssessmentToolasabasisfordialogueanddevelopmentofstrategyforgendermainstreaming.

POLICYANDLAWREFORM

Contributing to the development and implementation of effective policy at national level is a complexprocess.Whilst the Policy Cycle sets out a neat progression from Agenda Setting, to Development andEnactment,toImplementationandEnforcementandthentoMonitoringandEvaluation,therealityontheground isoftennot thisstraight forward.Policydialoguethatexistswithincountries isoftenmuchmorecomplexandhaphazardthanthecyclereflects.Newtheoriesofpolicydevelopmentandchangearearisingto account for this. APMG’s work in policy is focused around ‘streams’ of influence and action – theproblemstream,thepoliticsstreamandthepolicystream.UnderthePolicyStreamframework,problemsareawardedattentionatspecifictimesforarangeofreasons,withtheirsolutionsoftenhavingapoliticaldimension and advocates taking advantage of ‘windows of opportunity’ to influence the choice ofsolutions.

Ourexperienceinadvocacyfor,anddevelopmentof,soundpolicyhasincludeddesign,developmentandfacilitationof5-daytrainingonParticipatoryPolicyDevelopmentforseniorhealthbureaucratsinSouthandSouth-East Asia. APMG also developed and facilitated program management training curricula for HIVProgramsamongPWID,SexWorkersandMSM&TransgenderPeople,aswellasHIVandtheLaw.Allthesetrainingsweretailoredtoseniorbureaucrats,civilsocietyleadersandmanagers,andincludedasignificantcomponentonpolicydevelopment

apmg capacity statement june 2018...we manage a range of complex projects and programs –...

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