Global National Strategies for Action: Orphans and Vulnerable Children Technical Consultation, Washington DC, 3-5 No

1. Global + National Strategies for Action: Orphans and Vulnerable Children Technical Consultation, Washington DC, 3-5 November  Mark Connolly

2. Outline of Presentation The UNGASS OVC Goals Strategic Framework for Action Consensus and the Way Forward

6. A Strategic Framework Rationale Evolution and Process: Informal Donors Technical Group, IATT, UNAIDS CCO Partnerships The next steps in the development of the guidelines for monitoring and evaluation of national response to OVCare the following: Operationalise of recommended indicators (UNICEF & partners-September 2003) Field testing (UNICEF/USAID/MeasureDHS/Countries-October 2003 � January 2004) Report to MERG (UNAIDS/UNICEF-early 2004) Finalization of Guide for Monitoring and Evaluation of National Response to benefit Children Orphaned and Made Vulnerable by HIV/AIDS (IATT/OVC-February 2004) Dissemination of the guide (Early 2004) Linking to DHS/MICS/AIDS Indicator Survey (DHS/USAID/UNICEF-ongoing) Support countries in M&E - OVC (incl. Surveys) (2004-2005)The next steps in the development of the guidelines for monitoring and evaluation of national response to OVCare the following: Operationalise of recommended indicators (UNICEF & partners-September 2003) Field testing (UNICEF/USAID/MeasureDHS/Countries-October 2003 � January 2004) Report to MERG (UNAIDS/UNICEF-early 2004) Finalization of Guide for Monitoring and Evaluation of National Response to benefit Children Orphaned and Made Vulnerable by HIV/AIDS (IATT/OVC-February 2004) Dissemination of the guide (Early 2004) Linking to DHS/MICS/AIDS Indicator Survey (DHS/USAID/UNICEF-ongoing) Support countries in M&E - OVC (incl. Surveys) (2004-2005)

7. 5 KEY STRATEGIES 1) Strengthen the Capacity of Families 2) Mobilise and Strengthen Community-Based Responses 3) Ensure Access to Essential Services 4) Ensure that Govs. Protect the most vulnerable children 5) Raise Awareness to Create a Supportive Environment

8. KEY STRATEGIES:  2. Mobilise and Strengthen Community Based Responses Engaging local leaders Enabling open discussions on HIV/AIDS Supporting cooperative activities Promoting and supporting community care for kids with no family support

9. KEY STRATEGIES:  3. Ensure Access to Essential Services Education Birth registration Health and nutrition Water and sanitation Administration of justice District and local planning and action Placement services for kids without family care

10. KEY STRATEGIES:  4. Ensure that Governments Protect the most vulnerable children Adopting national policies, strategies and action plans Developing and enforcing a supportive legislative framework Allocating adequate resources/ensuring use at community level Establishing mechanisms to ensure coordination of efforts

11. KEY STRATEGIES:  5. Raise Awareness to Create a Supportive Environment Conduct a participatory situation analysis Mobilise influential leaders to reduce stigma, silence and discrimination Strengthen and support social mobilisation in communities

12. PROGRAMMING GUIDANCE 1) Focus on the most vulnerable children and communities, not only those orphaned by AIDS 2) Define community-specific problems and vulnerabilities at the outset and pursue locally determined intervention strategies 3) Involve children and young people as active participants in the response

13. PROGRAMMING GUIDANCE 4) Give particular attention to the roles of boys and girls, men and women, and address gender discrimination 5) Strengthen partnerships and build coalitions 6) Link HIV/AIDS prevention activities, care and support for PWLHA to support orphans and other vulnerable children 7) Use external support to strengthen community initiatives and motivation

14. KEY STRATEGIES:  1. Strengthen the Capacity of Families  Household economic capacities Psychosocial support/counselling for kids and caregivers Child care capacities, incl. ECD for young Prolong the lives of parents Strengthen Young People� life and survival skills

15. Monitoring Progress towards Goals: National level measurement 10 Core Indicators (by domain) to monitor national response 1- OVC policy and strategy index (policies/strategies) 2- Orphan school attendance ratio (education) 3- Access to health care (health) 4- Malnutrition ratio (nutrition) 5- Proportion of OVC that receive appropriate psychosocial support (pss) 6 - Basic personal needs and material well-being {3 needs and siblings together} (family capacity) 7 - Households receiving free external support (community capacity) 8 - Government Expenditure on OVC (resources) 9 � Protection: Birth registration + property dispossession 10 - Children outside family care (shelter / institutional care) Indicators 2,3,4,6,7 and 9 will need to be collected through household surveys. They could be measured through the Vulnerability Assessments. In addition to these core indicators there are a number of additional indicators that inform programmes and could be collected through the VAs: -Meals in previous days -Schools with feeding programmes -Dietary diversity -Willingness to care for OVC -Orphans living with siblings: % of orphans who have siblings less than 18 years of age who are not living in the same household -Property dispossession: % of widows that experienced property dispossession -Succession plan: Proportion of parents/caregivers who have a written will Other indicators that should be collected through household surveys, but probably not appropriate for VAs: HIV Risk: % of OVC compared to non-OVC aged 15-17 who have had sex before the age of 15 HIV Protection: % of sexually active OVC compared to non-OVC aged 15-17 reporting the use of a condom during the last sexual intercourseIndicators 2,3,4,6,7 and 9 will need to be collected through household surveys. They could be measured through the Vulnerability Assessments. In addition to these core indicators there are a number of additional indicators that inform programmes and could be collected through the VAs: -Meals in previous days -Schools with feeding programmes -Dietary diversity -Willingness to care for OVC -Orphans living with siblings: % of orphans who have siblings less than 18 years of age who are not living in the same household -Property dispossession: % of widows that experienced property dispossession -Succession plan: Proportion of parents/caregivers who have a written will Other indicators that should be collected through household surveys, but probably not appropriate for VAs: HIV Risk: % of OVC compared to non-OVC aged 15-17 who have had sex before the age of 15 HIV Protection: % of sexually active OVC compared to non-OVC aged 15-17 reporting the use of a condom during the last sexual intercourse

16. CONSENSUS Global Partners Forum, Oct. 2003 Endorsement in principle of Strategic Framework Affirmation of annual Partners Forum Reporting Mechanisms: Dec. of Commitment 2003/5 Goals - UNSG report - Committee on the Rights of the Child - UNAIDS CCO

17. THE WAY FORWARD Acceleration and support of National Gov. efforts All Governments assess budgets and resource allocations: increase investment $$$ Innovative strategies to channel resources to affected communities Global advocacy Research agenda and action: learn more / do more

18. THE BOTTOM LINE The Challenge is Scale - What has to be done AN ACTION-ORIENTED, OPERATIONAL FRAMEWORK (DEVELOP and) IMPLEMENT NATIONAL ACTION PLANS POWERFUL PARTNERSHIPS: COLLABORATION AND COORDINATION

19. Global Level Follow-up Mechanisms Mid-decade Goals Education Disparity Indicator UNGASS Report Secretary General Report 2003 2005 Subcommittee Rights Child Initial Reports Periodic

20. Africa Regional Level Follow-up Regional OVC Meetings Lusaka Zambia 2000 Yamoussoukro Cote d�Ivoire 2001 Windhoek Namibia 2002 Monitoring Country perform 5 actions Participatory situation analysis National Consultation/coordination Policy and legislative Review National, costed, Action Plan Monitoring & Evaluation Regional Skill Building Lesotho Nov. 2003 X3 2004