Transcript Why Gender Matters Achieving Impact

Why Gender Matters?
TB, Gender and the Global Fund
Motoko Seko
Technical Advisor, Gender
Community, Rights and Gender Dept. The Global Fund
January 2015
Why gender matters to the Global Fund:
Seizing the opportunities of NFM with the GES
•
Gender-responsive programming for HIV, TB and malaria is
solidly anchored in both human rights and scientific
evidence, and essential to achieve impact.
•
The Global Fund has Gender Equality Strategy (GES)
designed to achieve strategic, high impact, genderresponsive investments that will save lives, prevent new
infections and help provide care – operationalizing GES is
the cooperate priority.
2
The Global Fund Gender Equality Strategy (GES)
GES agreed by Board in 2008,
Overall aims to:
- Fund gender-responsive programmes
- Support proposals to scale-up services
that reduce gender-related risks and
vulnerabilities
- Decrease the burden of diseases and
mitigate impact
- Address structural inequalities and discrimination
3
GES Action Plan 2014-2016
4 focus areas of the GES
1. Ensure that the Global Fund’s policies,
procedures and structures effectively
support programs that address
gender inequalities
2. Establish and strengthen partnerships for effectively
support development and implementation of programs
addressing gender inequalities and reduce women’s and
girls’ vulnerabilities
3. Robust communications and advocacy strategy to
promote the GES
4. Provide leadership to support and advance the GES
4
The Global Fund Expectation and requirement for
Gender Integration
• Systematic inclusion of gender issues at all stages of the
Global Fund grant cycle.
• Inclusive country dialogue: gender experts and
representatives of women and girls have to be included in
the concept note development and grant-making process
• CCM has to have “a balanced gender representation” (at
least 30%) to be fully compliant with eligibility requirement.
• Achieving impact through programmatic prioritization based
on epidemic: need using sex- and age-disaggregated epidata to inform decision making
• Community, rights and gender (CRG) focused
programming is encouraged by the Secretariat and TRP.
5
Engage more!
Illustrative “women’s participation”
Women’s limited participation in the Global Fund decision-making at country level:
CCM participation (data as of end 2013)
Female PLWD
Female NGO
Reps
9%
1%
3%
6% 0%
Female Gov’t
12%
Reps
6%
63%
All male CCM members
female: ML/BL
female: GOV
female: NGO
female: PLWD
female: KAP
other female members
transgender
6
Focal points training 130612 2300.pptx
Recap: the new funding model process
Ongoing Country Dialogue
NSP
determined by
country
TRP
Concept
Note
GrantMaking
GAC
2nd
GAC
Board
Grant
Implementation
3 years
7
Unpacking NFM process for maximizing opportunities
for gender responsive programming
Gender assessment to inform programming decisions
Ensure gender
responsive programs
are included and
prioritized (and gaps
identified) in NSPs
Women’s Caucus for
consolidated inputs
Gender
assessment
report as TRP or
GAC reference
Continued
community
monitoring
Ongoing Country Dialogue
NSP/
Investment
Case
Concept
Note
2-3 months
Demonstrate strategic
values of genderresponsive programs
based on epidemics
TRP
GAC
Grant
Making
1.5-3 months
Monitor retention of
proposed activities incl.
gender-related TA
Evidence-based advocacy for
prioritizing genderresponsive interventions
2nd
GAC
Board
Grant
Implemen
tation
3 years
Inform GFS
to further advocate
for gender
programming, if incountry efforts
have “failed”
8
In the real world…
• We are not asking for token gender interventions to be
implemented, at cost of other disease intervention.
• Delivery of disease interventions that take into account of
special needs of women, men, boys and girls are our priority.
 Thus, there is no “gender module” to tick and to forget
implementing!
• No one need to address gender-related challenges alone –
Partner with or link to existing gender-focused programs for
maximum impact!
i.e., HIV, TB and malaria interventions delivered with/through RMNCH;
support/strengthen women’s organizations to deliver HIV, TB and malaria
programs; link with clinical post-GBV care with social/legal support.
9
Responding to the GF requirement…
• Findings of the first 20 concept notes review (Sept. 2014)
• Gender integration into TB or TB component of the TB/HIV concept
notes was hardly seen
• TB concept notes have limited sex-disaggregated data (both epi- and
program outcome data) but better linkages to interventions where exist
• Only a few included sex-disaggregated target for key interventions
such as ACSM, TB diagnosis and treatment, etc.
• HIV concept notes with solid gender analysis rarely linked to concrete,
related, evidence-based gender-responsive programming nor
sufficient budgeting.
• CCM representation by TB community
• Countries struggle to ensure TB community representation in the CCM
(re: new CCM requirement 4). Only 35 CCMs have TB-PLWD/KP
representative as of October 2014. Additional 20 has NGO reps with
TB expertise..
10
Also beware of:
• Women’s share of CCM became a requirement, January 2015 (>30% or
15-29% with at least one member with expertise and constituencies)
• Great network of W4GF advocates in 34 countries: work with them!
(Women4GF http://women4gf.org)
• Additional funding for CRG-related technical assistance is available – apply
for a free TA to better integrate CRG issues into Global Fund grants
http://www.theglobalfund.org/en/fundingmodel/technicalassistance/commun
ityrightsgender/
• Use UN and CS developed tools:
• UNDP Checklist for Integrating Gender into the NFM
(http://on.undp.org/xOcqd )
11
BACKUP SLIDES
12
Gender responsive intervention doesn’t have to cost extra!
http://www.mashpedia.com/player.php?q=92dT_1kbbek
Example:
Give instruction to
women to produce
deep sputum
privately, or
letting women
returning with an
early-morning
specimen
Quality of sputum
improved
dramatically,
increased case
detections among
female population.
13
One thing common about this world…
• Gender inequality exists in every country
• Women earn less than men (incl. female-headed households’ poverty)
 Access barriers for services that require payment or transport
 Impoverishment: Risk factors for TB infection
 Difficult to leave abusive relationship for economic reasons
• Men and boys are not accessing health education / services as much
as girls and women
 Lower self-assessment of one’s vulnerabilities by men
 Men accessing treatment too late
 Less likeliness of forming communities, not peer-educating
• Women who are victims of gender-based violence are 50% more likely
to have acquired HIV. Key affected women are facing more risk of
violence.
14
6
Identifying appropriate interventions
Sample gender issues to be aware of and
corresponding interventions
Issue
1
Women do not have decision
making power on when and
how to access services
2 Gender based violence (GBV)
making women and girls
vulnerable to HIV, which can
make them more susceptive of
TB
3 Men do not seek health care
because of gender norms for
men
Sample interventions
• Bring services closer to beneficiaries – provide mobile
or community-based services instead of facility-based
• Community mobilization and advocacy for changing
gender norms
• CSS for women’s organizations
• Integration of ATM and RMNCH services
• Linking GBV and HIV/TB and other health services
(comprehensive package)
• Support initiatives to strengthen law enforcement on
GBV
• Community mobilization and advocacy
• CSS of GBV survivors’ support groups
• Peer education / workplace programs
• Making health services accessible without being seen
publicly, or out of working hours
15
Focal points training 130612 2300.pptx