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Inclusion of persons with disabilities in national AIDS policies and programmes in Africa: Examples and opportunities Muriel Mac-Seing HIV and AIDS Technical Advisor Africa and South East Asia Handicap International July 26, 2012 19 th International AIDS Conference Washington, DC. - PowerPoint PPT Presentation
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Washington D.C., USA, 22-27 July 2012www.aids2012.org
Inclusion of persons with disabilities in national AIDS policies and programmes in
Africa: Examples and opportunities
Muriel Mac-SeingHIV and AIDS Technical Advisor
Africa and South East AsiaHandicap International
July 26, 201219th International AIDS Conference
Washington, DC
Washington D.C., USA, 22-27 July 2012www.aids2012.org
From the UNGASS report of 2010
People living with HIV, people with disabilitiesand transgender people have been added
to the list of key populations.
Washington D.C., USA, 22-27 July 2012www.aids2012.org
For the first time inUNAIDS’ Strategy 2011-2015
“When social support and other programmesfor persons with disabilities are delivered in
an HIV-sensitive manner, they contributeto overcoming the historic neglect of HIV prevention and support to persons with
disabilities.”
Washington D.C., USA, 22-27 July 2012www.aids2012.org
The Political Declaration on HIV and AIDS:Intensifying our efforts to eliminate
HIV and AIDS (June 2011)
… recognizes the need to take into account the rights of persons with disabilities as setforth in the UN Convention on the Rights
of persons with disabilities, in particular with regard to health, education, accessibility and
information, in the formulation of our global response to HIV and AIDS.
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Presentation outline
Main key milestones related to disability and HIV
What to keep of the African Campaign on Disability and HIV
Examples of countries where HI is present and which include persons with disabilities in their NSPs and programming
Lessons learnt from Handicap International’s ground experience
Ways forwards
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Key milestones related to disability and HIV
Decision to work
on advocacy following
evaluation of HI’s HIV project in
MozambiqueBurundi
and Kenya
2005
Meetings in Maputo, London
and Abuja
Cape Town: Launch of the
Africa Campaign on disability and
HIV by the Secretariat of
the African Decade of PWD
and HI
2007
Elaboration of the
Campaign strategy
2007-2011
Kampala declaratio
n
Dakar: Pre-ICASA meeting
Dakar: ICASA 2008
(sessions)
2008 2009 2010 2011
UNAIDS policy brief on
disability and HIV 2009
UNCRPD 2006
Vienna: IAS 2010 (disability zone and sessions)
2012
Addis: ICASA 2011
(ISC, disability
zone, sessions with
UNAIDS, peaceful
demonstration,
accessibility)
Framework on disability inclusion in NSP with UNAIDS
Washington IAS 2012
(disability zone,
sessions with
UNAIDS, accessibilit
y)
Nairobi: taking
stock of HIV and disability advocacy
UNAIDS policy
paper on HIV and
disability +
Presentation on
inclusive Framework
with UNAIDS
Political Declaration on HIV and
AIDS including disability
2004
Global survey on disability and HIV (WB and Yale U)
UNGASS report 2010
UNAIDS strategy 2011-2015
Washington D.C., USA, 22-27 July 2012www.aids2012.org
What to keep of the African Campaign on Disability and HIV
and AIDS Co-founded by the Secretariat of the African Decade for Disabled
Persons (1999-2009) and Handicap International in 2006 An unifying umbrella composed of disabled people’s
organisations (DPOs), organisations of PLHIV, NGOs, AIDS organisations, WHO, researchers and activists
Launch of the Campaign in 2007 in Cape Town In 2008, the Kampala Declaration on Disability and HIV and AIDS
was adopted and disseminated at ICASA Dakar 2008 in French, English and Portuguese
After 2008-2009, many countries which were involved in the African Campaign decided to “indigenize” the Campaign at the national level, e.g. Kenya, Uganda, Mozambique and South Africa
Steering Committee of Campaign dissolved in 2010 to allow full ownership of various countries who have decided to work on disability and HIV at national level
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Some examples of countries where HI works:Disability prevalence and ratification of the
UNCRPD
Countries Disability prevalence UNCRDP(signature and ratification)
Ethiopia 7.2% (JICA 2002)
17.6% (WHO/WB 2011)
S: 2007; R:2010
Kenya 3.5% (Census 2009)
15.2% (WHO/WB 2011)
S: 2007; R: 2008
Mozambique 5.5% (HI et al., 2009) S: 2007; R: 2012
Rwanda 5% (NIS 2002) R: 2008
Senegal 15.5% (WHO/WB 2011) S: 2007; R: 2010
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Countries that include persons with disabilities in their NSPs and
programming* Identification of disability as key issue in situational analysis:
Kenya, Mozambique, Rwanda and Senegal Inclusion of principles (such as human rights) relevant to persons
with disabilities: Kenya, Mozambique, Rwanda and Senegal Creating a framework for the involvement of persons with
disabilities in HIV response: Kenya and Rwanda Protecting the rights of persons with disabilities: none specifically Providing HIV-related prevention, treatment, care and support
services to persons with disabilities: Kenya (HIV prevention), Mozambique (CHBC), Rwanda (HIV prevention)
Monitoring and evaluation inclusive of persons with disabilities: Rwanda
Research on persons with disabilities: Rwanda
*Using the methodology of NSP review by HEARD
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Countries where HI is undertaking HIV and disability initiatives
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Lessons learnt from Handicap International’s ground experience
Importance of undertaking studies such as KAP surveys (Kenya, Mozambique, Rwanda, Burundi, Ethiopia and Cambodia) or epidemiological surveys (Senegal and Mali) involving persons with disabilities to inform policy-makers and programmers of the HIV response Utilisation of country level evidence-based information related
to persons with disabilities key to get into NSPs Dissemination of pilot/implementation of HIV and disability
projects’ results, lessons learnt and good practices key to attract more funds for persons with disabilities in the HIV response
Involvement of DPOs crucial for community mobilisation and ownership of persons with disabilities
Partnership between DPOs and AIDS organisations/VCT centres pivotal for scale up of uptake of HIV prevention services
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Lessons learnt from Handicap International’s ground experience
(cont’d) Disability disaggregated data in data collection tools and
M&E system crucial to ensure visibility of persons with disabilities and devise appropriate disability inclusive services in the HIV response
Disability inclusion activities (such as adaptation of IEC material or reasonable accommodations) need to be linked to appropriate budget allocation for inclusive services to be effective
Active involvement in national technical committees/groups essential for advocacy, lobbying and dissemination of good practices, such as the national HIV and disability platforms
Advocacy among development partners and governments to respect and apply their own engagement for the rights of persons with disabilities (UNCRP, disability laws and policies)
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Ways forwards
Capitalize on these lessons learnt to not reinvent the wheel
Use the Framework on the inclusion of disability in NSPs by UNAIDS, HEARD, HI, UCL, DHAT, CWGHR, Barret Advocacy & Training and AIDS Free World (2011)
Lobby and advocate for the inclusion of persons with disabilities in national behavioural and epidemiological surveys and M&E system
Take advantage of donor’s calls for proposals that target persons with disabilities: EC, EIDDH, USAID, AusAID, AFD, UNICEF, etc.
Be alert on the monitoring process of the application of the UNCRPD at each country level
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Thanks!
Merci !
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