A critical first step to developing national plans, investment cases, Global Fund funding requests or other related national policies and strategies for an effective national response to HIV, TB and malaria requires a country-led, evidence-based consultative dialogue and process to identify and understand:
This information and evidence on human rights, gender equality and key populations must be described in a national strategic plan, investment case, Global Fund funding request and/or other relevant strategy. Following from that, it must then be applied to the design, implementation, monitoring and evaluation of programmes. Programmes to reduce stigma, discrimination, inequality and human rights violations result in strengthened access to HIV, TB and malaria services. As an example, UNDP is currently working on a regional level with ten countries in Africa to strengthen the legal and policy environment and remove legal barriers to HIV treatment. For more information on the achievements of this programme to date see the Africa Regional Grant Result page.
The Global Fund recognises the importance of identifying key and vulnerable populations and the human rights and gender equality barriers they face, when developing a funding request.Country stakeholders are encouraged to engage with their Fund Portfolio Managers to discuss the availability of technical cooperation from partners, and additional financial support to identify, reach and gather data on key populations from the Global Fund’s special initiatives. There is also support to ensure the engagement of key populations in country dialogues, in order to ensure that the design and development of interventions addresses critical enablers affecting key populations. The Global Fund’s website and the Applicant Handbook describe various forms of assistance available.
Holding a country / national dialogue or conducting a country-level legal environment assessment (LEA) is a recommended step towards identifying human rights and gender equality issues, including for key populations, and the barriers they create for access to HIV, TB and malaria health services, and programming accordingly.
The process of conducting a country / national dialogue and / or an LEA is critical to a successful outcome – it promotes country-led, multistakeholder, rights-based responses to HIV, TB and malaria.
A consultative process that is country-led, ongoing and involves all key stakeholders helps to: