Transcript An Update from the Region: Key Processes & Activities Sept. 2009 Noreen M Huni, RIATT Chairperson with support from Isabel de Bruin Cardoso RIATT Focal Person.

An Update from the Region:
Key Processes & Activities
Sept. 2009
Noreen M Huni, RIATT Chairperson
with support from
Isabel de Bruin Cardoso
RIATT Focal Person
What is RIATT?
• Inter-agency partnership of regional
organizations working on children and
AIDS.
• ESA RIATT
o +/- 50 partners, including EAC, SADC, UN
agencies, ICPs, civil society, research,
academia.
Overview of presentation
• Why a RIATT in ESA?
• Why RIATT on Children and AIDS?
• Background to establishing the RIATT in ESA.
• 2008 RIATT “Getting it Right for Children”
Conference & its recommendations.
• 2009-10 RIATT Framework
• Knowledge Management
• Engagement with RECs
• Engagement with global & national partners
• Next steps
Why a RIATT on Children and AIDS in ESA?
• 57% of new global infections occur in ESA
• 60% of all pregnant women living with HIV
• > 60% of children (0-14) born to HIV+ mothers will
acquire the virus without access to health care
services
• 1.8 million children living with HIV
• 11.4 million children have lost one or both parents to
AIDS.
• Over 1 million older carers of children orphaned by
AIDS.
• Millions more children are made vulnerable.
• AIDS is a major cause of death among children
younger than 5.
Estimates of New HIV Infections in Eastern
and Southern Africa, 2007 (Source UNAIDS RST)
Global new infections,
2.7 million
Rwanda, 9,225, 1%
ESA new infections,
1.5 million
Botswana, 13,518, 1%
Swaziland, 15,131, 1%
Namibia, 16,082, 1%
Angola, 21,777, 1%
Lesotho, 22,666, 1%
Eritrea
4,838 Madagascar
1,491
Comoros Mauritius
28
584
Zimbabwe, 45,652, 3%
South Africa,
473,499
31%
Uganda, 78,769, 5%
Malawi, 86,905, 6%
Rest of the world
1.2 million (43%)
Eastern & Southern
Africa
1.5 million (57%)
Ethiopia,
94,489
6%
Zambia,
103,077
7%
Tanzania,
139,151
9%
Kenya,
245,162
16%
Mozambique,
156,108
10%
Priority countries for HIV Prevention:
“highest, hyper & hotspots” (Source UNAIDS RST)
Eritrea
Aims
Highest: > 5 countries 100k new infections
• 8 countries: SA, Kenya, Moz, Tanz, Zam, Ethi,
Malawi, Uganda - 1,377,160 new infections,
90% of ESA total
Hyper: > 15% HIV prevalence (ANC).
• 7 countries: Bots, Les, Nam, SA, Swzd, Zam, Zim
• BNLS account for 4% of new infections in ESA
Ethiopia
Sustained reductions in new
infections – towards 2010 & 2015
targets.
Kenya
Aggressive, evidence informed HIV
prevention strategies developed,
effectively implemented, monitored
and evaluated in priority countries.
Uganda
Rwanda
Hot spots – rapid increase in HIV infections
• 2 countries: Angola & Ethiopia
• 116,000 new infections, 7% of ESA total
Tanzania
Malawi
Angola
Zambia
Mozambique
Zimbabwe
Namibia
Total priority countries: H+H+H
8 countries had 90% of new
infections in 2007 of the ESA
total
Madagascar
Botswana
South Africa
Lesotho
Mauritius
Swaziland
Background to RIATT
• 2006 GPF recommendation: establish regional task teams
to accelerate commitments to meet 2001 UNGASS and
MDGs. (Africa - 2006 Abuja Declaration).
• Facilitate learning and sharing of experiences
between global, regional and national levels
– to identify cost-effective and contextually relevant
means to advocate for universal access for children.
• UNICEF mandated to host and support secretariat.
• UNAIDS financially supported UNICEF ESARO to
initiate inter-agency regional partnership.
Aim of RIATT
• Build consensus around a regional response
strategy for children affected by HIV & AIDS.
– Bring together key stakeholders
– Review progress & evidence for action needed to
promote scaled up and sustained responses to
children affected by HIV & AIDS.
– Identify shared national priorities to be
considered as regional concerns & reflected in
global policy-making through the GPF & Global IATT.
RIATT ToR
• Convene regional actors to harmonize and coordinate with
the Global IATT and Global Partners Forum.
• Act as a regional platform for leveraging, advocacy and
leadership.
• Identify interventions to be carried out at regional level in
support of national priorities.
• Promote learning and manage knowledge that stimulates a
regional dialogue and provides insight for a scaled-up
response for children.
• Clarify roles amongst RIATT members in support of common
regional goals identified with continental and regional
institutions for accelerated implementation at country level.
Achievements to date
• Chair & vice-chair
• Steering Committee
• Secretariat
• Working Groups (Partners)
RIATT Governance Structure 2009-2010
RIATT Chair
RIATT Steering Committee
SECRETARIAT:
RIATT Focal
Person
Working
Group
Working
Group
Working
Group
RIATT 2006-2008
• Social Protection – working paper
• Resource Tracking – working paper
• Advocacy – high level conference
• GPF Communiqué
2008 RIATT “Getting it Right for Children”
Conference Recommendations
• Keep parents and children alive
• Strengthen families as a unit of care
• Increase effectiveness of services
and funding
• Human rights for vulnerable children
RIATT 2009-2010 Objective
Promote
learning
and
manage
knowledge
to
stimulate
regional
dialogue and evidence based findings to
inform regional and national policies
and programmes in order to scale up
responses to universal access for
children affected by AIDS.
RIATT 2009-10 Framework:
Activities I
• Develop a knowledge management strategy
(KMS) that:
• promotes generation, dissemination and effective use of
evidence based findings
• to inform regional and national policy, planning, and
programming decisions around children and AIDS (see
KMS).
• Build and sustain regional partnerships through:
• the RIATT Partnership Meetings
• active engagement in key events and processes (see
KMS).
RIATT 2009-10 Framework: Activities II
• Facilitate implementation of RIATT
“Getting it Right for Children”
Conference recommendations at regional
and national level (see RIATT Working Groups’
Plans of Action).
• Act as a technical resource to SADC
and EAC in promoting scaled-up
responses at the national level in support of
children affected by AIDS (see RIATT Working
Groups’ Plans of Action
RIATT Working Group:
Strengthening families as a unit of care
• Intergenerational issues in care giving.
• Livelihoods based social protection;
• DHS data indicator on care-giver.
RIATT Working Group:
Increasing effectiveness of resources & services
• Situational analysis on children to inform
the development of (1) SADC minimum
package of care and support and (2)
conceptual framework on PSS.
• Code of good-practice on child protection.
• Resource tracking.
RIATT Working Group:
Child participation & empowerment
• Child participation study to inform SADC
Framework on child & youth participation
and leadership.
• Child / early marriage.
• Disaggregating data between 0-14 years.
• Situational analysis on children’s
vulnerabilities in Eastern Africa.
Knowledge Management Plan of
Action
1. Identity priority gaps in learning needs at
regional and national level.
2. Identify user-friendly tools to stimulate
learning.
3. Generate and disseminate knowledge.
4. Assessment of effective use of
knowledge.
RIATT Knowledge Management
To generate, disseminate and ensure effective
use of knowledge to influence a coordinated
strategy and response to children and AIDS by:
– 3 Partnership Meetings / year
– Advocacy strategy
– Identifying gaps in evidence & knowledge
– Policy & thematic briefs (2 pagers)
– Technical papers
– Website – content management
Partnerships with RECs
• SADC
– Technical arm of SADC OVCY Framework & Business Plan
• Technical support to SRH, development of minimum care
of package, conceptual framework on PSS, development
of child & youth participation framework
• EAC
– Communiqué with 2008 RIATT Conference
• recommendations presented to TWG on HIV and AIDS for
endorsement at EAC Summit, November 2009.
• Proposing a 2 day meeting on Children & HIV & AIDS –
Child Specific Strategy for EAC.
Engagement with global &
national partners
• Regular communication with IATT.
September 9-11 2009, Washington D.C,
meeting key to coordinating activities in
preparation for 2010 GPF.
• Monitoring implementation of RIATT
recommendations and country priority
actions at national level.
Areas Needing Attention
• Maintaining & Sustaining partner motivation
& participation
• Post Dar national progress review meetings
• Collaboration – IATT, RIATT + others for
joint interventions e.g. SP mapping:
harmonise and not duplicate
• Funding support for the RIATT workplan
• Results, results, results!
Next Steps
• Knowledge Management assessment phase
at regional & national levels
• Communication strategy with RIATT country
focal people.
• RIATT Steering Committee and Partnership
meeting November 16 – 18 2009,
Johannesburg
• Advocacy paper on operationalising the
RIATT recommendations
RIATT Current Members
• Save the Children USA, DfiD, Save the Children UK, IFRC,
SAT, Save the Children Sweden, Hope World Wide, UNICEF
ESARO, Plan International, IFPRIl. World Vision
International, SAfAIDS, Plan International, N.M. Children’s
Fund, Sida, AusAid, SDC, FAO, UNICEF ESARO, USAID,
REPSSI, University of Pretoria, SADC, HelpAge
International, VSO – RAISA, Jesuits – Zambia, University of
Pretoria, SAfAIDS, & RAANGO members.
‘If you want to walk fast, walk alone; but if you
want to walk far, walk with someone.’
Walk with RIATT - ESA!
Thank You.