mobilizing the participation of civil society organizations in the hiv/aids response vietnam union...

MOBILIZING THE PARTICIPATION OF CIVIL SOCIETY MOBILIZING THE PARTICIPATION OF CIVIL SOCIETY ORGANIZATIONS IN THE HIV/AIDS RESPONSEORGANIZATIONS IN THE HIV/AIDS RESPONSE

VIETNAM UNION OF SCIENCE AND TECHNOLOGY ASSOCIATIONSVIETNAM UNION OF SCIENCE AND TECHNOLOGY ASSOCIATIONSTHE GLOBAL FUND PROJECT ON HIV/AIDSTHE GLOBAL FUND PROJECT ON HIV/AIDS

DO THI VANMember of the Central Committee Presidium of VUSTA

Project director

ContentsContents

• Introduction of VUSTA and CSOsIntroduction of VUSTA and CSOs• The participation of CSOs and the community The participation of CSOs and the community

system in the HIV response system in the HIV response • Mobilize the participation of civil society Mobilize the participation of civil society

organizations – The case of Global Fund project, organizations – The case of Global Fund project,

VUSTA componentVUSTA component

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Introduction of VUSTA & CSOsIntroduction of VUSTA & CSOs

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Vietnam Union of Science and Vietnam Union of Science and Technology Associations (VUSTA)Technology Associations (VUSTA)

• The VUSTA is a socio-political organization of Vietnam The VUSTA is a socio-political organization of Vietnam

scientific and technological intellectualsscientific and technological intellectuals

• Structure:Structure:o 74 national sectorial associations74 national sectorial associationso 60 Provincial science and technology associations 60 Provincial science and technology associations o appx 600 member associations and science-technology appx 600 member associations and science-technology

organizations registered under VUSTA, which are insitutes, organizations registered under VUSTA, which are insitutes,

Centers, Science-Production Alliances. (among which, 20 Centers, Science-Production Alliances. (among which, 20

organizations work in the field of HIV/AIDS)organizations work in the field of HIV/AIDS)o Appx 200 Journals, Magazines, NewspapersAppx 200 Journals, Magazines, Newspapers

FunctionsFunctions• Gather and promote the participation and contribution of Gather and promote the participation and contribution of

intellectuals in science & technology. intellectuals in science & technology.

Scope of work:Scope of work:• Research and application of science and technology advancesResearch and application of science and technology advances• Training and information dissemination Training and information dissemination • Social consulting, criticising and appraisingSocial consulting, criticising and appraising• Environmenal preservation, climate change response, hunger Environmenal preservation, climate change response, hunger

and poverty eradication, public health, HIV/AIDS response and poverty eradication, public health, HIV/AIDS response • International relationsInternational relations

Vietnam Union of Science and Vietnam Union of Science and Technology Associations (VUSTA)Technology Associations (VUSTA)

Civil Society Organizations Civil Society Organizations

Criteria: •VoluntaryVoluntary•Autonomy, self-financingAutonomy, self-financing•Not for profitNot for profit•Representing the legal rights of Representing the legal rights of

communitycommunity

Legal Framework: •Legal status registrationLegal status registration•Law and regulations (on Law and regulations (on

management, financial and management, financial and

grant management) grant management)

Activities:•Research and applicationResearch and application•Communication, publishingCommunication, publishing•Skills building, technical assistanceSkills building, technical assistance•Public healthPublic health• Social consulting, monitoring, Social consulting, monitoring,

appraisingappraising•Environmental protection, climate Environmental protection, climate

change responsechange response•Poverty reduction, sustainable Poverty reduction, sustainable

developmentdevelopment•Socialize public servicesSocialize public services•Monitoring & evaluationMonitoring & evaluation

The role of Civil Society OrganizationsThe role of Civil Society Organizations

Activities of civil society Activities of civil society organizations in the AIDS responseorganizations in the AIDS response

• ResearchResearch• CommunicationCommunication• Policy advocacyPolicy advocacy• Community Community

interventionsinterventions

• Organizational developmentOrganizational development• TrainingTraining• CounsultingCounsulting• Livelihood supportLivelihood support

• The Center For Community Health And The Center For Community Health And Development (COHED)Development (COHED)

• Center For Promotion Of Quality Of Life (Life)Center For Promotion Of Quality Of Life (Life)• Vietnam Community Mobilization Center For Vietnam Community Mobilization Center For

Hiv/Aids Control (VICOMC)Hiv/Aids Control (VICOMC)• The Institute On Policy, Law And Development

(PLD)(PLD)• Research And Training Centre For Community

Development (RTCCD)(RTCCD)• Center For Creative Initiatives In Health And

Population (CCIHP)(CCIHP)• The Center For Consulting On Law And Policy On

Health And Hiv/Aids (CCLPHH)(CCLPHH)• Center Of Research And Action For Community Center Of Research And Action For Community

(REACOM)(REACOM)

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VNGO working in HIV/AIDS sectorsVNGO working in HIV/AIDS sectors

• Center of Public Health developmentCenter of Public Health development• Center for Research and Public Health Center for Research and Public Health

PromotionPromotion• Center for Supporting Community Center for Supporting Community

Development Initiatives (SCDI)Development Initiatives (SCDI)• Center for Community Health Center for Community Health

Promotion(CHP)Promotion(CHP)• Center for Supporting Education and Social Center for Supporting Education and Social

DevelopmentDevelopment• Institute of Social Development Studies (ISDS)Institute of Social Development Studies (ISDS)• Institute for Development and Community Institute for Development and Community

Health (LIGHT)Health (LIGHT)• Institute of Population, Health and Institute of Population, Health and

Development (PHAD)Development (PHAD)• VietHealthVietHealth

The participation of CSOs and the The participation of CSOs and the

community system in the HIV response community system in the HIV response

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POLICY

USAID/ HPI

Community REACH

Global Fund

Pathways

The development of community system in The development of community system in the fight against HIV/AIDSthe fight against HIV/AIDS

International International funded Projectfunded Project

INGO/ VNGOINGO/ VNGO CBO, networksCBO, networks PLHIV and PLHIV and MARPsMARPs

Technical Assistance, Financial Technical Assistance, Financial Assistance, organizational capacity Assistance, organizational capacity building, legal registration assistancebuilding, legal registration assistance

Resources for the participation of CSOsResources for the participation of CSOs

Deliver Deliver preventioprevention, care and n, care and support support servicesservices

The first case of HIV infection in Vietnam was reported

~ 20 small groups of people living with HIV (PLHIV) ~ 20 small groups of people living with HIV (PLHIV) existed, mainly in big cities like existed, mainly in big cities like Hanoi & Ho Chi Minh city. Some early networks came into exist owing to the Hanoi & Ho Chi Minh city. Some early networks came into exist owing to the support of USAID’s Health Policy Initiative Project: Bright Futures, support of USAID’s Health Policy Initiative Project: Bright Futures, Southern self-Southern self-help groups Network of PLHIV (SPN+) help groups Network of PLHIV (SPN+)

Most-at-risks populations Most-at-risks populations joined the movement: MSM – Hải Đăng (Sea Light) joined the movement: MSM – Hải Đăng (Sea Light) (2005), Thông xanh (Green Pine) (2007), Niềm tin xanh (blue belief) (2008)…; (2005), Thông xanh (Green Pine) (2007), Niềm tin xanh (blue belief) (2008)…; IDU & SW: Gạch đầu dòng (Bullet Point) - IDU (2009), Cát trắng (White Sand) - IDU & SW: Gạch đầu dòng (Bullet Point) - IDU (2009), Cát trắng (White Sand) - IDU (2009), Nơi bình yên (Peaceful Place) - SW (2009); pIDU (2009), Nơi bình yên (Peaceful Place) - SW (2009); post-rehabilitation groups at community supported by POLISAs, Youth Union, Social unions, authorities; PSP groups : Home coming, Bạn tình Long Biên, Gia đình Hoàng Mai

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1990

2003

2005 - 2011

The path finders…


The alliance of HIV/AIDS Vietnam Action Groups (HAVAG) was was established consisting of non-governmental organizations and self-help established consisting of non-governmental organizations and self-help groups.groups.

Vietnam Civil Society Platform on AIDSVietnam Civil Society Platform on AIDS, initiated by ISDS and Bright , initiated by ISDS and Bright Futures, is home to hundreds of community groups and civil society Futures, is home to hundreds of community groups and civil society organizations. Now it has over 200 member groups/organizations in organizations. Now it has over 200 member groups/organizations in more than 40 provinces. more than 40 provinces.

Vietnam Network of People Living with HIV/AIDS (VNP+) was launched on August, 2008. In April 2009, VNP+ its membership reached 140 member groups & networks (~ 8000 PLHIV).

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2007

2008

2005

The development of regional /sectorial linkages and national networks


Vietnam Network of People who Use Drugs VNPUD was established with 20 member groups. Now it has 56 member groups.Vietnam Network of Sex Workers VNSW was established with 10 member groups. Now it has 12 member groups.

Vietnam Network of MSM & transgender people was launched in July 2013, immediately having 91 groups across the nation registered.

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2012

2013


Policy and Program development:• Contribute to the development of Law on HIV/AIDS control,

Law on Drugs control (revised), Ordinance on Prostitutions Control

• Contribute to the development of HIV/AIDS related legal documents, such as Decree 108, National Guidelines on HIV prevention for MSM, Law on Administration Sanction, Decree on post drug treatment management etc.

• Comment on the draft of the National Strategy to control HIV/AIDS until 2020 and vision to 2030

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The participation of CSOsThe participation of CSOs

HIV Prevention:• NGOs, CBOs and FBOs play a critical role in implementing

prevention interventions at community level: BCC, peer education, VCT, condoms, needles & syringes distribution.

• STRONGER Project, implemented in 7 PEPFAR provinces, reached over 8000 people, provided information and 38.000 condoms in 2008.

• 25 to 50 percent of services for MSM are provided by CSOs.

Source: UNGASS 2010

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Care and Treatment• CBOs play in important role in referring clients to OPC and

supporting treatment adherence• CBOs implement treatment literacy, improve treatment

adherence (treatment adherence rate in CBOs is 96-98%)

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Care and negative impact reduction:• CBOs play a key role in delivering home-based care for OVC

(CBOs provide 25-50% services for OVC, 51-57% home-based and community-based care - Báo cáo UNGASS 2010)

• CBOs play a key role in livelihood support for PLHIV

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Stigma and Discrimination reduction:• CBOs, self-help groups, networks of PLHIV have contributed

greatly to stigma and discrimination reduction by raising their voices in workshops, forums and conferences; the self-motivation - self-reliance – self-confidence movement; S&D research; anti-S&D monitoring in health care services, in community and on media; developing and implementing anti-S&D model in the community etc.

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Program management, Monitoring and Evaluation:• CSOs and CBOs have representatives in the Global Fund’s CCM • Attend regular coordination meeting organized by VAAC• Since 2009, one VNGO has become a member of the national

M&E and SI group• Contribute to the development of UNGASS report, facilitated by

VCSPA (2011) and VUSTA (2012)• Conduct several monitoring and evaluation studies (Monitoring

citizen program – VNP+, Women using drugs – SCDI and drug user network, S&D index in Vietnam – VNP+)

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Resource mobilization:• Despite the limitation in funding from the state budget for CSOs,

CSOs and CBOs have implemented successful activities at community level and developed sound proposals which draw the attention and funding from donors and INGOs.

• Civil society organizations participate in the Global Fund grant round 9

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Mobilize the participation of civil society organizations Mobilize the participation of civil society organizations – The case of Global Fund project, VUSTA component– The case of Global Fund project, VUSTA component

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The first time civil society organizations (CSO) participated in developing proposals to apply for Global Fund grants.

The proposal of CSO component was approved by the Global Fund -> VUSTA became the sub-recipient (Ministry of Health is the primary recipient) The first time civil society organizations directly receive major funding from the Global Fund ($16 million in 5 years 2011-2015).

CSOs and networks of PLHIV having representatives in the Country Coordinating Mechanism(CCM) of the Global Fund.

VUSTA became a member of CCM and the National Committee for AIDS Control , Drug and Prostitution Control.

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2009

2010

2011

4 objectives of VUSTA component project4 objectives of VUSTA component project

•Objective 1: Establish and expand the essential service packages on HIV prevention for most-at-risk populations (MARP) in the community •Objective 2: Expand and improve HIV/AIDS care, treatment and support service package and maximize the benefits of prevention and ART•Objective 3: Facilitate the participation of civil society organizations•Objective 4: Capacity building for civil society organizations and institutions

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Project at 10 provinces:Bắc KạnHà NộiVĩnh PhúcHải DươngNghệ AnBình DươngTp. Hồ Chí MinhBà Rịa – Vũng TàuVĩnh LongCần Thơ

Participants:VUSTA/PUSTACOHEDISDSLIFECHP (phase 1)VICOMC (phase 1)PACTCARE

Implementation provincesImplementation provinces

Organizational chartOrganizational chartProject Management

Board/ Health component project

Project Management Board/ Health

component project

A. Provide prevention, care & support services

A. Provide prevention, care & support services

B. Capacity building for VNGOs and CBO

B. Capacity building for VNGOs and CBO

C. Create enabling environmentC. Create enabling environment

Project strategic approachProject strategic approach

Approach: CBOs provide services for members of their communities

Service packages:

Project Strategic approachProject Strategic approach

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OutcomesOutcomesNumber of clients approached and provided services by CBO

• CBOs are strengthened with outreach skills, knowledge about prevention, care and support

• Each CBO delivers services to from dozens to thousands of clients, achieved and overachieved most of the project indicators

• Organize group and community communication events with hundred of participants

• Develop personal and group livelihood models

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Outcomes – Service deliveryOutcomes – Service delivery

• Develop initial linkage and coordination at Central and local level with relevant government agencies, VAAC, MOH project component, PAC, health services, POLISA, Provincial Union of Science and Technology Associations, Youth Union, Woman Union, ...

• Facilitate CSOs to contribute to the preparation of UNGASS 2012, 2013 and to the development of the National Strategy to control HIV/AIDS till 2020 and vision to 2030.

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Outcomes – Enabling environmentOutcomes – Enabling environment

• Organize Annual conference on the participation of CSO in the national AIDS response

• Develop the Strategic plan for participation of civil society organizations on HIV/AIDS prevention

• CBO supported by the Project to participate in VNP+, VNPUD, VNSW, VNMSM-TG

• Support network development activities of national networks of PLHIV and MARPs (VNP+, VNSW, VNPUD, VNMSM-TG)

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Outcomes – Enabling environmentOutcomes – Enabling environment

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OutcomesOutcomes

DifficultiesDifficulties• Discrimination and self-discrimination• Lack of legal framework for legal and operation registration for

community organizations, causing difficulties in activities implementation and fundraising

• Roles of civil society organizations are not properly recognized, government agencies are still skeptical about the capacity and motivation of CSO

• Capacity of CBOs is limited, organization and human resource structure is not stable

• Limited and unstable financial resources – civil society organizations are in developing stage while funding are reducing.

• Have not built strong connection with government agencies

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RecommendationsRecommendations

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Affirm the roles of CSO

Legal & policy environment

Capacity building

Resource mobilization

Connect government agencies & CSO

Need assessment

Standardize & unify document

Coordination mechanism

Dialogue

Maintain & enhance political commitment

Strategy to response to fund withdrawing

M&EExperience sharing

Develop Laws of Associations

Amendment of policies

Approve of Laws of Organization

Communication & policy advocacy

CSO participate monitoring

Social enterprise

Community Fund for AIDS prevention

Funding for CSO from State budget

Complete legal, financial mechanism

New structure & activities of CSO

Conversation between CSO and policy makers

Regular reports of CSO to the Government

PAC as focal point- engage CSO into local AIDS Program

Communicatiabout CSO on HIV/AIDS prevention

Integrate with other development program

Improve awareness about the roles of CSO

Establish Association to support vulnerable population

Thank you.Thank you.

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