United Nations Secretary-General Ban Ki-moon announced today the establishment of a high-level panel on health technology innovation and access.
Comprising 16 eminent, well-respected individuals with a deep knowledge and understanding of the broad range of trade, public health, human rights and legal issues associated with access to treatment, the panel's co-chairs are Ruth Dreifuss, former President of Switzerland, and Festus Mogae, former President of Botswana.
In order to ensure healthy lives and promote the well-being of people of all ages, as set out in Sustainable Development Goal 3, new modalities are urgently needed to ensure that everyone can access quality treatment at affordable costs while also incentivizing innovation and the development of new technologies such as vaccines, medicines and diagnostics.
New York - The United Nations Development Programme (UNDP) and the Global Fund have signed a US$10.5 million grant to address human rights barriers faced by vulnerable communities in Africa, and facilitate access to lifesaving health care. The grant is the first of its kind and will cover 10 countries including Botswana, Côte d'Ivoire, Kenya, Malawi, Nigeria, Senegal, the Seychelles, Tanzania, Uganda and Zambia.
Disenfranchised populations such as men who have sex with men, sex workers, people who use drugs and transgender people, systematically face human rights abuses and obstacles to receiving vital health care, such as HIV and tuberculosis (TB) prevention, treatment and care.
Goal is to achieve legal and policy changes
A new regional program focusing on legal and policy change in Africa has been invited to proceed to grant-making. The $10.5 million program aims to strengthen access to services for key populations in 10 countries – Botswana, Cote d'Ivoire, Kenya, Malawi, Nigeria, Senegal, Seychelles, Tanzania, Uganda, and Zambia. As previously reported by Aidspan, this is one of thirteen regional concept notes approved in September to proceed to grant-making.
The concept note was submitted jointly by the AIDS and Rights Alliance for Southern Africa (ARASA) and Enda Santé, and proposes the UNDP as principal recipient.
The ARASA/Enda Santé concept note is unusual in several ways. First, it is highly focused on just one implementation module – removing legal barriers. Activities will include conducting legal environment assessments, engaging in strategic litigation and overseeing small advocacy grants at country level.
The program would fill an important human rights deficit in the Global Fund's current investment portfolio. The Fund's 2012-2016 strategy commits to increasing spending on programs that address human rights barriers to accessing health services, but implementing this in practice has been challenging. Although the majority of concept notes submitted do identify human rights barriers, few actually request funding to address them (Figure 1).
Figure 1: Proportion of concept notes submitted in the first five windows which contain human rights analysis compared to those which request funding for the removing legal barriers module
Source: Global Fund Presentation at Community, Rights and Gender Special Initiative Partners Forum. Bangkok, Thailand, 18 August 2015.
As a result, out of all concept notes submitted in 2014 (worth some $7.9 billion), just $17.5 million was requested to address human rights barriers. More than half of this amount was an above allocation request, signalling low prioritization of the removing legal barriers module. If approved, the proposed $10.5 million for the ARASA/ENDA Santé concept note will be one of the single most significant human rights investments that the Global Fund will make since the beginning of the new funding model.
"There's a lot of pressure on us," says Michaela Clayton, Director of ARASA. "It will set the tone for the Global Fund's willingness to fund human rights programs in the future." The Global Fund has been careful not to bill itself as a human rights organization, despite emphasizing the close connection between human rights and fighting the three diseases.
Inherent in programs like these are longer-term outcome targets, such as setting judicial precedent and influencing policy. Given the three-year timeframe for Global Fund grants, this creates a number of challenges for measuring success. "This is a human rights grant," says Deena Patel, who would be the UNDP's start-up manager for the program. "We all know that a lot of the work takes a long time and we can't always predict the outcomes." Clayton adds that measuring changes in laws and policies is also not always a good indication of progress: "You can say 'this law has been repealed' but if sex workers are still being harassed by the police, what does that help? What we are trying to achieve is for the countries to be able to take on these issues."
Some of the specific targets for the program include:
Along with a dedicated human rights focus, the program is unique in several other ways. Being regional, it will have a wide geographic scope covering countries in East, West and Southern Africa. To help mitigate potential coordination challenges, sub-recipients have been strategically selected to ensure a presence in all three regions.
Coordination with other regional programs will be particularly important given the numerous overlaps. An annual coordination meeting is planned to ensure that efforts are not duplicated with other regional grants, including those managed by the Kenya AIDS NGOs Consortium, Hivos and the Abidjan-Lagos Corridor Organization.
Patel says that the multi-regional aspect of the grant will open up exciting spaces for pan-African human rights alliances. "It's rare that you see collaboration between West African and East and Southern African organizations," she told GFO. "This program presents an opportunity to bridge that gap." Clayton also highlights this particular value-add of the regional approach: "We hope that this will provide a working example on how different organizations can work together within a large region, or within a number of regions across a continent, on shared issues."
If the Board approves this program in the near future, implementation will likely start in January 2016.
Hanoi, 14 October 2015 – Over the past decade, some 25 countries and territories across Asia and the Pacific have introduced a range of protective laws and ordinances, passed supportive court judgements and pioneered constitutional reform processes that promoted the inclusion of lesbian, gay, bisexual, transgender and intersex (LGBTI) people. This momentum for greater legal and social acceptance of LGBTI people in the region has potential to guide governments, civil society and development partners to design policies that support achieving the post-2015 Sustainable Development Goals (SDGs), a key feature of which is the underlying principle and commitment to "leave no one behind".
Bangkok – A regional Blueprint that specifically addresses the health needs and human rights of transgender people in Asia and the Pacific was jointly released by the United Nations Development Programme (UNDP), Asia Pacific Transgender Network (APTN) and the United States Agency for International Development (USAID) funded Health Policy Project (HPP).
The report, titled the Blueprint for the provision of comprehensive care for trans people and trans communities in Asia and the Pacific, provides evidence-based recommendations to strengthen and enhance the policy, clinical and public health responses for transgender people in Asia and the Pacific. It has been endorsed by the World Health Organization (WHO), and was developed in partnership the World Association for Transgender Health (WPATH), the World Association for Sexual Health (WAS) and the Pacific Sexual Diversity Network (PSDN).