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By Dr. Nathalie Milbach Bouché Poverty Practice Leader, UNDP Regional Center Cairo

EMPOWERING & SUSTAINING LIVELIHOODS OF PEOPLE LIVING WITH HIV (PLWH) IN ARAB COUNTRIES THE ‘karama’ INITIATIVE (DigNITY). By Dr. Nathalie Milbach Bouché Poverty Practice Leader, UNDP Regional Center Cairo Solution Forum – Building Resilience in an Age of Uncertainty.

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By Dr. Nathalie Milbach Bouché Poverty Practice Leader, UNDP Regional Center Cairo

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  1. EMPOWERING & SUSTAINING LIVELIHOODS OF PEOPLE LIVING WITH HIV (PLWH)IN ARAB COUNTRIES THE ‘karama’ INITIATIVE(DigNITY) By Dr. Nathalie Milbach Bouché Poverty Practice Leader, UNDP Regional Center Cairo Solution Forum – Building Resilience in an Age of Uncertainty

  2. The ‘KARAMA’ Initiative: Regional Context • Low Prevalence BUT INCREASED VULNERABILITY TO HIV-AIDs • 134% increase in the number of PLWH from 2011 - region is second highest in terms of new cases • Vulnerable populations (mobile people, women, youth) face increased economic, social and structural vulnerability to HIV • Gender inequality and increased feminization of the epidemic - 44% of the PLWH are women UNAIDS 2013 Regional Report for the Middle East and North Africa :http://www.unaidsmena.org/index_htm_files/UNAIDS_MENA_layout_30_nov.pdf • Persisting challenges facing PLWH • Poor access to treatment and high-quality services (Persistent low treatment coverage: 18%) • High levels of HIV-related stigma, discrimination contributing to economic and social marginalization

  3. The ‘KARAMA’ initiative: Main Thrusts PARTNERING with national community-based CSOs to: • Provide PLWH and affected families an opportunity to lead a life with hope, economic security and dignity through income generating and other economic empowerment support; • Reduce stigma and discriminationthrough socio-economic interactions and changes in self-perceptions and public perception about the contribution of PLWH to the society; • Increase public awareness – Foster acceptance

  4. The ‘KARAMA’ initiative: Dynamics and Outreach 2010: Challenging attitudes and perceptions … Leadership Development for Women Living with HIV (350 WLWH trained in Egypt, Tunisia, Yemen, Libya, Saudi Arabia, Djibouti) 2011 Onwards: Empowering PLWH economically and socially through Micro-loans (200USD to 4000USD), vocational training, marketing campaigns and life-skills training PILOT PHASE (2011): 6 CSOs supporting 100 IGA projects (Egypt, Yemen, Djibouti, and Tunisia) NOW Over 1300 beneficiaries in 7 countries 17 CSOs supporting close to 300 IGA projects for 184 WLWH and 113 MLWH

  5. THE ‘KARAMA’ initiative: Dynamics and Outreach July 2012 - Multi-country Training Workshop for partner CSOs (organized by UNDP, UNWOMEN, ILO) Solution Development and Scaling - Up November 2013 – Regional consultation on Economic Empowerment for PLWH – 60 participants from 9 countries, including CSOs, PLWH, & Management Skill Training for partner CSOs Through Regional Knowledge Sharing, Networking and Skill Development for Solution Practitioners..

  6. THE ‘KARAMA’ initiative: Key Pathways to Success • No one ‘fits all model’ - Solution ‘profile and maturity’ depend on country context(e.g in Algeria, initiative aligned with National Strategic Plan of Fight Against HIV/Aids, which underscores microcredit for PLWH) • National-Local Ownership: Importance of strong local actors/CSOs with deep knowledge of community, people needs, challenges and opportunities : In Egypt, WHIA (Women Health Improvement Association) was able to explore the integration of PLWH into its services nation-wide. • PLWH Participation and Leadership – Trust-building (CSOs/PLWH) – Some partner CSOs in Yemenand Djibouti are run by PLWH • Integrated approaches: combining micro-lending/IGAs with vocational /business/project management training, psycho-sociological support, access to treatment-health and other services (e.g in Algeria and Lebanon) • Networking and broad based Partnerships (CSOs, Government (national/local), Private Sector, and other Development Partners): in Algeria, El Hayet partners with the Ministries of Health, of Solidarity, of Vocational Training and the national Agency of Microcredit)

  7. Resilience Self-Confidence

  8. How is ‘Karama’ changing people’s lives?

  9. Get to know more… • Djibouti, Online at: http://www.youtube.com/watch?v=8aI7ehvbCtE&list=PL6CBC9A4FA1E49EC4 • Tunisia , Online at: http://www.youtube.com/watch?v=A5pPeHOSxGo&list=PL6CBC9A4FA1E49EC4&index=31 • Egypt , Online at: http://www.youtube.com/watch?v=74c3hO4Wuog&list=PL6CBC9A4FA1E49EC4 • Algeria , online at: http://m.youtube.com/watch?feature=plpp&v=GxDAtm_-Luk&p=PL6CBC9A4FA1E49EC4 Thank You

  10. MERCI

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