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Kimirina

Kimirina. EXPERIENCE OF THE ECUADORIAN CIVIL SOCIETY’S PARTICIPATION IN THE GLOBAL FUND PROJECT TORONTO, 2006 Dra. Amira Herdoiza R. Executive Director. Kimirina-Ecuador. Ecuadorian NGO Part of the International Aids Alliance against HIV Signatory: “Code of Good Practice”.

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Kimirina

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  1. Kimirina EXPERIENCE OF THE ECUADORIAN CIVIL SOCIETY’S PARTICIPATION IN THE GLOBAL FUND PROJECT TORONTO, 2006 Dra. Amira Herdoiza R. Executive Director

  2. Kimirina-Ecuador • Ecuadorian NGO • Part of the International Aids Alliance against HIV • Signatory: “Code of Good Practice”

  3. Ecuador: Context (1) PNS - MSP

  4. Ecuador: Context (2) PNS - MSP Male/Female ratio for PLWHA, 1995- 2005

  5. Ecuador: Context (3) PNS - MSP Cases of HIV/AIDS Young people/ general population, 2005

  6. Ecuador: Context (4) PNS, 2003

  7. Ecuador Context (4) The Country’s Condition: • Diverse in population, rich in natural resources • With economic and social vulnerability, as well as the threat of natural disasters. • Political instability

  8. Individual spending on health taken as a percentage of income, deciles Ecuador, 2000 Ecuador Context (5) EPSS - PAHO

  9. Social Investment LA 1990-2003 STFS

  10. Ecuador: Social Investment1995-2006 STFS

  11. INVESTMENT HIV ECUADOR USD 2000-2005: Kimirina-IA invested 2,0 millions

  12. Premise: three pillars Kimirina HISTORY OF PARTICIPATION Governing body/ Public Policies Social and Technical Relevance Participation of Civil Society democratic/civic/ open

  13. Kimirina HISTORY OF PARTICIPATION TECHNICAL ROLE • 2002-2003: Design/Selected as PR  Resigns due to pressure2005 II. Participation in open competition, selection,  change of rules, exclusion and change in policy; Designation of new PR III. Concerns that there is a high risk for the country to loose the funds. Despite this, we continue to support our partners. 90% of proposals linked to Kimirina in FPP are approved by the new PR

  14. Kimirina THROUGH THE WHOLE PROCESS: LITTLE OPENNESS, LIMITED REPRESENTATION OF CIVIL SOCIETY, PARTICULAR INTERESTS + INSTABILITY OF GOVERNMENT, LIMITED GOVERNANCE AND INEFFICIENCY = CRISIS AND FAILURE TO USE THE NECESSARY RESOURCES FOR THE COUNTRY AND PEOPLE AFFECTED, LIVING WITH OR HAVING A CONNECTION WITH HIV/AIDS…

  15. Kimirina PROPOSALS Leadership and responsibility of the government. Clear rules to abide by. Technical and Social response to people and their rights. Governance: accountability, representation, “0” conflict of interest

  16. KimirinaRecommendations - Conclusions • To resolve specific conflicts according to national needs rather than individual or particular interests • Implement the appropriate tools such as the Code of Good Practices • Institutionalizing Transparency by displaying of accounts to the general public and to PLWHA and others affected in particular • International partners, including The Global Fund, should be responsible with a role of “modulation” (not complacency)

  17. Kimirina Effective results (“It works”) Ecuador Vaccination Policy 1992-2006 • Universal access • Sufficient resources = 0 cases of polio UNITED FOR A WORLD FREE OF AIDS

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