what communities need from global and national stakeholders to ensure engagement of community...

What communities need What communities need from global and National from global and National stakeholders to ensure stakeholders to ensure

engagement of community engagement of community groups. groups.

Francis George Apina Francis George Apina 1515thth Core Group meeting of TB/HIV Core Group meeting of TB/HIV

Working Group Working Group

33rdrd - 4 - 4thth November 2009. November 2009.

in Geneva . in Geneva .

Rationale for community Rationale for community engagement engagement

• A sustainable community engagement A sustainable community engagement needs to be developed collaboratively needs to be developed collaboratively by the people who make up the by the people who make up the stakeholders chain. It should not be stakeholders chain. It should not be created by some groups within the created by some groups within the chain and imposed upon the rest of chain and imposed upon the rest of the stakeholders. the stakeholders.

Rational Cont….Rational Cont….

• It should be a continuous process It should be a continuous process which can be successful only if which can be successful only if implemented every day by the people implemented every day by the people who live and work in the community, who live and work in the community, because at the end of the day the because at the end of the day the experts (stakeholders) go home and experts (stakeholders) go home and the community is left to carry on. the community is left to carry on.

Who are key TB/HIV project Who are key TB/HIV project stakeholdersstakeholders

• Are people involved or affected by the Are people involved or affected by the project activities. They include:project activities. They include:– Users / Users /

owner/community/beneficiaries/consumersowner/community/beneficiaries/consumers– Sponsors/multilateral/bilateral/GovernmentSponsors/multilateral/bilateral/Government– Top ManagementTop Management– Suppliers/pharmaceuticalsSuppliers/pharmaceuticals– Project team / Performing organizationProject team / Performing organization– ResearchersResearchers– Steering CommitteeSteering Committee– Interest groups/OrganizationsInterest groups/Organizations– Project ManagerProject Manager

Needs of the community in Needs of the community in ensuring Sustainable ensuring Sustainable

Community Engagement Community Engagement with key stakeholders.with key stakeholders.

1. 1. Communities needs sustainable Communities needs sustainable partnership based of clear and real partnership based of clear and real engagement structures that provides for engagement structures that provides for community meaningful participation and community meaningful participation and representation as key stakeholders with representation as key stakeholders with equal stake in both national and global TB equal stake in both national and global TB and HIV programs. and HIV programs.

Ensure Community Ensure Community Engagement cont…Engagement cont…

2.Communities need platform to 2.Communities need platform to share lessons learnt, celebrate share lessons learnt, celebrate their successes from various their successes from various projects that they implement in the projects that they implement in the community. Use the challenges and community. Use the challenges and outcome to inform policy making, outcome to inform policy making, future TB/HIV programs and future TB/HIV programs and setting funding prioritiessetting funding priorities..


3. Communities need empowerment in 3. Communities need empowerment in form of capacity building and skills form of capacity building and skills strengthening in science, research strengthening in science, research processes, TB and HIV vaccine processes, TB and HIV vaccine development, new TB drugs and development, new TB drugs and diagnostics development, project diagnostics development, project design, project implementation, design, project implementation, monitoring and evaluation, monitoring and evaluation, documentation and reporting.documentation and reporting.


4. Communities need responsive and 4. Communities need responsive and objective monitoring and evaluation objective monitoring and evaluation process that is not subjective, a process process that is not subjective, a process that denotes the achievements gained, that denotes the achievements gained, identify challenges and motivate identify challenges and motivate community groups to do more in quality community groups to do more in quality services delivery to the communities services delivery to the communities where they operate. where they operate.


5. Information flow, on decisions made at higher 5. Information flow, on decisions made at higher policy making level, key research findings in policy making level, key research findings in TB and HIV treatment, diagnostics, and other TB and HIV treatment, diagnostics, and other processes including strategic thinking should processes including strategic thinking should not only be disseminated to the community not only be disseminated to the community but they should integral part of the entire but they should integral part of the entire process from the conception, execution, process from the conception, execution, actualization to M&E. actualization to M&E.

Community should not be used for endorsement Community should not be used for endorsement or rubber stamping purposes of unclear or rubber stamping purposes of unclear policies and processes but should have policies and processes but should have ownership by providing significant inputs. ownership by providing significant inputs.


6. Communities needs recognition and 6. Communities needs recognition and mutual understanding from both mutual understanding from both national and global stakeholders as national and global stakeholders as primary stakeholders in every primary stakeholders in every initiative that intends to address initiative that intends to address community concerns for their community concerns for their contribution in the implementation contribution in the implementation of both policies and programs. of both policies and programs.


7.Community groups needs 7.Community groups needs sustain funding schemes to sustain funding schemes to support them coordinate support them coordinate comprehensive responses to comprehensive responses to TB/HIV activities in the TB/HIV activities in the community. community.


8.Both global and National 8.Both global and National stakeholders should stakeholders should practice/adopt transparent practice/adopt transparent governance and be made governance and be made accountable to the accountable to the communities/constituencies.communities/constituencies.


9.Communities must be an integral part of 9.Communities must be an integral part of what Global and National stakeholders what Global and National stakeholders are and what they do. A genuine are and what they do. A genuine commitment to the involvement of the commitment to the involvement of the affected communities in responding to affected communities in responding to TB /HIV is not simply the expression of a TB /HIV is not simply the expression of a commitment to ensure that communities commitment to ensure that communities have control over their own health, but have control over their own health, but also calls for transfer of carefully also calls for transfer of carefully structured responsibility to ensure long structured responsibility to ensure long term sustainability of that commitment.term sustainability of that commitment.

Needs deliverables areNeeds deliverables are• Quality engagement and input from the Quality engagement and input from the

community groupscommunity groups• Strategic partners and alliances Strategic partners and alliances • Effective exchange of ideas and informationEffective exchange of ideas and information• High level of reliability and dependability High level of reliability and dependability • Transparency and accountabilityTransparency and accountability• Value adding to national and global Value adding to national and global

stakeholdersstakeholders• Quality national and global TB and HIV Quality national and global TB and HIV

programsprograms• Long term sustainability of TB/HIV programsLong term sustainability of TB/HIV programs• Less resistance and readiness of up takeLess resistance and readiness of up take

ConclusionConclusion

• The broader the participation base of the The broader the participation base of the community, the greater the support for community, the greater the support for the process will be from the community the process will be from the community and the better the chance for long-term and the better the chance for long-term sustainability. sustainability.

• To a greater extent the community also To a greater extent the community also have their own interest which should not have their own interest which should not be ignored if you want to do business with be ignored if you want to do business with them.them.

ASANTENI SANA- THANK YOU VERY MUCHASANTENI SANA- THANK YOU VERY MUCH

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