Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDSMOZAMBIQUE

Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV

and AIDS

MOZAMBIQUEMOZAMBIQUEJoao Arnaldo Vembane

HIV and AIDS Technical CoordinatorEmail: [email protected]

Bujumbura: 21st February, 2011

Governmental and Communities Capacities Reinforcement to Design Adapted Responses to

Orphans and Vulnerable Children Affected by HIV and AIDS

MOZAMBIQUEMOZAMBIQUE Four phases1. 2003 – 2005: EU (USD 1,500,000) and

UNICEF (USD 242,505)2. 2005 – 2007: CNCS (USD 400,000)3. 2007 – 2009: UNICEF (USD 900,000)

and MEDICOR (USD 500,000)4. 2010 – 2011: UNICEF (USD

655,000)

Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable

Children Affected by HIV and AIDS

MOZAMBIQUEMOZAMBIQUEPhase one:

Manica (Machaze, Mossurize, Macossa) Sofala (Beira, Dondo, Nhamatanda, Chibabava e

Marrumeu) and Tete (Mutara and Chiuta)

Phase two: June 2005 – August 2007Manica (Dst. Machaze, Mossurize, Macossa)

Phase three: July 2007 – December 2009Manica (Dst. Machaze, Mossurize, Macossa, Guro)

, Sofala (Marringue, Gorongosa, Chibabava)

Phase four: March 2010 – December 2011Manica (Dst. Machaze, Mossurize, Macossa, Guro),

Sofala (Marringue, Gorongosa, Chibabava, Buzi)

The Context of HIV and OVC 20,226,296 million Mozambicans – 55% woman More than 50% of Moz population under 18 years HIV Prevalence, in 2009 is 15% (Ep. Sur. Rnd) In 2005, about 1.6 million (18%) of children were

orphans. 20 percent due to AIDS, increasing to 50% by 2010. Children with disabilities estimated around 1,0 million (10%)

Vulnerability of Children worsens poverty of families Vulnerability worsens degradation of Children’s Rights Lack awareness about children rights and available

services Bureaucracy is another limiting aspect to access

services



MOZAMBIQUEMOZAMBIQUE

National Responses to HIV and OVCs Within the “three-ones principles” OVCs are within

the mitigation pillar of AIDS NSP MMAS (a new ministry) with the mandate to

develop and coordinate responses to vulnerable groups

PACOV (by MMAS) prioritizes on: 1) family and community responses; 2) capacity building to institutions; 3) multisectorial coordinated responses; and 4)Quality M&E framework

Limited capacity of MMAS to follow up implementation of PACOV at province and district levels

CBOs prioritize initiatives on food and water




Overall Objective To contribute to the materialization of the

National Strategic Plan on HIV and AIDS (NSP) and the Action Plan for orphans and vulnerable children (PACOV) implementation

Specific Objective: Support community initiatives that take

responsibility for the health and social welfare of children affected by the AIDS epidemic




Expected Results 1. Governmental response to OVCs’ basic

needs is improved by a developed Community-based “Identification /Sensitization /Orientation” (ISO) system

2. OVCs and their foster families living conditions are improved by Community-based Organizations programs

3. Community awareness about HIV and AIDS and OVCs’ rights is increased




Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by

HIV and AIDS

MOZAMBIQUEMOZAMBIQUETargets Reached (May-Dec.

2010)

Community and institutional capacities: 480 volunteers and 24 mobilizers 25 CBOs – 250 members 8 DMNOVC – 80 membersGender: 55% F. and 45% M.

100% - 513 people

OVCs and Families – access to services: 13000 vulnerable children 4334 families Gender: 55% F. and 45% M.

22% - 3813 people

HIV prevention outreach activities:3840 adolescents (10-14 years)6400 youth (15-24 years)Gender: 55% F. and 45% M.

17% - 1740 people

Partners Role in the project

CNCS – District AIDS Comissions

Control of quality (in link with NSP) related to HIV interventions

DPMAS – Provincial Direction for Social Affairs

Control of quality (in link with PACOV) related to OVC interventions

DDSMAS – District Health and Social Affairs Authorities

Coordinate activities implemented by multi-sectorial nucleus; Supervive project activities, train community actors, follow up and technical support to CBOs initiatives, monitoring and data dissemination

DDS / DPE /DDAC/DDJD/ DDADR- ONGs

Training of community actors, technical support to the actors working on initiatives related to health, education, culture, sports. Animation of ISO meetings, participation to the management committee of the FAI, public awareness

MONASO – Mozambique Network of AIDS Services Organizations

Overlook of coordination, technical support and follow up of activities by local CBOs. Provides training and supervision to CBOs


HIV and AIDS


District Multisectorial Nucleos

DistrictDistrict Consultive

Comittees

MOBILIZERSMOBILIZERS

OVCs and Families

Admn. PostCons. Coms.

Local Forums

Volunteers

ISO System

Public Services

Administrative Post

Locality

Community OutreachActionsDirect Supports

CI


HIV and AIDS


M&E StrategyM&E Strategy

Volunteers

Mobilizers

DDMAS/HI Staff

Monthly data Summary

OVCs/Families and Communities

DPMAS/HI Staff

Database

Identification formats, CBOs

Monthly Statistical FrameworkProvince

District

Admn. Post

Locality


HIV and AIDS


Main Obstacles Availability of resources to implement the closing

phase of the project as per needs Monitoring system that guarantees that data will not

be duplicated Sustainability of data flow with volunteers is a huge

challenge Lack of Social Action related human resources (in

quantity and quality) at district level for the DSMAS Nationaly the Multisectorial Dynamic is becoming

weak Capacities of CBOs to adapt their initiatives to

contexts challenging (for example in time of droughts)




Main Lessons Learnt ISO actors need to be trained on their specific roles ISO actors need to be trained on their specific roles CBOs need more visibility by implementing more CBOs need more visibility by implementing more

initiatives, thus reducing the quantity of CBOsinitiatives, thus reducing the quantity of CBOs Work of volunteers and mobilizers with CBOs Work of volunteers and mobilizers with CBOs

should be coordinated to avoid duplication and should be coordinated to avoid duplication and exclusionexclusion

Involvement of local authorities and leaders on Involvement of local authorities and leaders on M&E is neededM&E is needed

MMAS representatives should lead the processes of MMAS representatives should lead the processes of monitoring cases identified and provide responsesmonitoring cases identified and provide responses

HIV Prevention and SRH strategies focused on HIV Prevention and SRH strategies focused on OVCs are crucialOVCs are crucial




Main Documentation Produced Volunteers, CBOs and family guidelines

on care for OVCs Training Manual for OVC related

community actors (Volunteers and CBOs)

Serial Album on the promotion of Children Rights

An informative Bulletin – newsletter




Ways Forward A project on HIV prevention and SRH

for Children Mainstreaming of Disability

consistently Replication of project experiences in

other geographic settings Formalize the database within the

National networks of OVCs and coordination bodies




Networking, Lobby and Advocacy

NUMCOV – OVC Multisectorial Dynamic

Minimum Standards on OVCs NAIMA+ Civil Society and AIDS NSP HPG PPF UN Convention on Rights of PWDs Partnerships with National Networks

Thank You Thank You

Documents

Governmental and Communities Capacities Reinforcement to Design Adapted Responses to Orphans and Vulnerable Children Affected by HIV and AIDSMOZAMBIQUE