emphasis overview 5 10
DESCRIPTION
TRANSCRIPT
Defending dignity. Fighting poverty.
Enhancing Mobile Populations’ Access to HIV/AIDS Information and
Services (EMPHASIS)
General Overview
Revised May 2010
Defending dignity. Fighting poverty.
EMPHASIS
Enhancing Mobile Populations’ Access to HIV&AIDS Services, Information & Support
BIG Lottery Fund grant: £5,102,419 (BD £722,833)
Duration: 5 years
Regional portfolio: Bangladesh, Nepal & India
Direct Beneficiaries: 141,307
Aim: To address HIV vulnerability amongst mobile populations in South Asia.
Defending dignity. Fighting poverty.
Flow from Nepal and Bangladesh to India
INDEX
Backward flow from India to Nepal and BangladeshFlow from Border to destination Cities
Main target groups Mobile workers (men & women) from
Nepal and Bangladesh travelling to India
Wives & families in source communities
Target Location
1. From Accham and Kanchanpur in Far West Nepal to National Capital Region of India
2. From Jessore and Sathkira in Bangladesh to Kolkata Metropolitan Area in West Bengal, India
EMPHASIS
Defending dignity. Fighting poverty.
EMPHASIS
Exploitation and
violence in border or
transit areas
Presence of population having high
risk behavior
Population movement
from Bangladesh and Nepal
to India
Lack of health care infrastructure and other
civic amenities in the border
zone
Vulnerable to HIV
infection
HIV&AIDS and Mobility in South Asia
• Undocumented status of mobile population
• Political sensitivity of illegal migration
• High-risk behaviour in destination communities
• Women especially vulnerable to exploitation
• Lack of access to health care
• Spouses and families highly exposed to risk of HIV & STIs
• Discrimination and stigma
• Lack of coordinated approach to a cross-border issue
• Lack of data to inform interventions
Defending dignity. Fighting poverty.
EMPHASIS
CARE Piloting a comprehensive cross-border approach
Working along the entire mobility continuum: source (Bangladesh or Nepal) -> transit -> destination (India) -> back to source country
Setting up service networks linking into national health systems
Increasing access to prevention and treatment services Action research in order to add to the strategic information
available on HIV and Mobile populations towards the aim of strengthening the advocacy platform
Defending dignity. Fighting poverty.
Objective 1: Demonstrating Good Practices
Setting up a model for good practice for accessing and providing services to mobile populations vulnerable to HIV&AIDS
• Establishing service centres throughout the mobility route
• Establishing a service linkage network
• Increasing access to Voluntary Counselling and Testing, condom provision, advice and information
• Providing uniform messages to influence behaviour change
EMPHASIS
Defending dignity. Fighting poverty.
Objective 2: Enhancing capacities
Enhancing the capacity of various partners, strengthening mechanisms for consistency and facilitating linkages among service providers and organisations
• Understanding gender dimensions of HIV and mobility
• Raising awareness of specific vulnerabilities to HIV arising out of mobility
• Supporting service providers to reach out to mobile populations sensitively
• Increase the quality and access of services for mobile populations and their families
• Key Targets: government agencies, health service providers, CSO service providers, PLWHA networks, research institutes and organisations.
EMPHASIS
Defending dignity. Fighting poverty.
Objective 3: Research and Advocacy
Generating evidence on HIV and mobility to influence national and regional policy-making.
• Specific research to generate information to strengthen policy advocacy:baseline and end line studies; mapping and analysis of laws, policies and systems which frame the scope for reducing vulnerability of migrants; in-depth study on the vulnerabilities faced by mobile populations and the families; documenting good practice models.
• Publication and dissemination of research findings
• Policy Advocacy: briefing papers, advocacy and campaigning
EMPHASIS
Defending dignity. Fighting poverty.
Next StepsYear one of the programme has been designated
the Building Knowledge Phase. • Build knowledge, information, and analysis while
supporting existing services for the sub-impact groups.
• Using analysis to clarify assumptions about services for each of the two mobility routes– Assess: Inputs → Outputs → Outcomes →
Impact
EMPHASIS
Defending dignity. Fighting poverty.
Key Task for the Knowledge Building Phase• Define Mobile Populations and sub-populations• Describe the Impact Population (Primary
Beneficiaries)• Define the Target Population (Secondary
Beneficiaries)
Defending dignity. Fighting poverty.
Key Task for the Knowledge Building Phase, cont.• Identify for the Impact Population in relation to HIV risk• Mapping along the mobility route of:
– Key service providers– Key state and district actors (including security forces)– Risk hotspots– Resource inventory
• Resource gaps analysis along the route– What services are missing– What services are insufficient – access, quality
• Identify potential community human resources (including potential community leaders, volunteers, educators, mobilisers)
Defending dignity. Fighting poverty.
Key Task for the Knowledge Building Phase, cont.• Begin to identify potential indicators to measure:
– Vulnerabilities– Determinants of vulnerabilities– Risk– Effectiveness– Capacity– Attribution
• Baseline Survey of mobile workers, communities, service providers (including EMPHASIS stakeholders) and other stake holders on "HIV" and "mobility"– Including quality standards for services
• Situational Analysis by source, transit, and destination communities
Defending dignity. Fighting poverty.
Key Task for the Knowledge Building Phase, cont.• Analysis of relevant laws and policies from local
to regional– What laws and policies exists– How are they implemented and enforced– How supportive are they
• Government engagement plan from local to regional– Within the country– Cross-border
Defending dignity. Fighting poverty.
Key Task for the Knowledge Building Phase, cont.• Analysis of existing or past programmes across the route
(in terms of interventions and activities – DICs, Outreach, Peer Education, etc.)– Who has done what– What has worked– What has not worked– Attribution of programmes impacting communities– Synergies with EMPHASIS – including linkages to existing
programmes (e.g., C-NP Safe Passages)
Defending dignity. Fighting poverty.
Thank You