Joining hands to address a neglected issue

1. Challenges in implementing the Regional Strategy on the reduction of HIV Vulnerability on Migrant and Mobile Populations in the South East Asia countries and Southern provinces of China Joining hands to address a neglected issue Dr.Phalla Tia , Manager of United Nations Regional Task Force ( UNRTF) on Mobility and HIV Vulnerability reduction

2. Presentation outline • Making the case : Why Migrant and Mobile Populations (MMPs) are vulnerable? • Building the response : Regional and national mechanism • Challenges & Opportunities : • human resources: capacity building • financial resources : making the money works

3. Why a special attention for MMPs in South East Asia region ? • Massive increase of population mobility in scale and diversity: e.g Labor migrants • Within countries ( ?? Millions ) • Between countries ( 20 Millions? ) • South- South • South – North e.g students, tourists, marriage ...but the figure is not well known( because it is constantly changing and hidden)

4. Why a special attention for MMPs in South East Asia region ? • HIV Vulnerability of MMPs is documented • Increase of risky behavior • Access to services and Information neglected • Marginalized population • Dynamics of population movement within the HIV epidemicis not very well addressed • ...and the cost of inaction is not known • ...Resulting in a lack of support and low coverage of interventions

6. Mobile men tend to be at higher risk than the general male population HIV Vulnerability on MMPs Percentage of men paying fort sex in the past 12 months High risk Occupations ( i.e truck drivers, police, sailors ) General male population Source : Family Health International, 2005

8. Dynamics of population movement within HIV epidemic MMPs ? ? ? FSW Clients MSM IDUs Lowor no risk males Low or no risk females Source : Tim Brown , ICAAP 7, Kobe Japan

9. Dynamics of HIV epidemic : Clients determine the level 2 Millions Labor Migrants ? Migrants from countries of origin Local HIV epidemic in a destination country

10. How to solve the problem ? Operationalizing the Regional Strategy on Mobility and HIV Vulnerability Reduction in South East Asia Countries and the Southern provinces of China ,2006-2008 PARTNERSHIP POLCIES Partnershipfor People-Centered Development Approach Enabling and Empowering Environment Coordination, M&E SERVICES Prevention, Care and Support Guidelines

11. UNRTF on Mobility and HIV Vulnerability Reduction Regional level ASEAN SUMMIT Steering Committee ( Executing arm of the Task Force) UN Resident Coordinator Convener Manager NGO MEMBERS CARAM, MFA , CARE, APN+ AGENCY MEMBERS UNAIDS, UNDP, IOM, CIDA, UNESCO , ASEAN Task Force on HIV/AIDS COUNTRIES MEMBERS ASEAN TASK FORCE ON HIV/AIDS ADVOCACY SUB GROUP RESEARCH SUB GROUP CSOs SUB GROUP RESOURCE MOB SUB GROUP Country level

12. Mandate of United Nations Regional Task Force (UNRTF)on Mobility and HIV Vulnerability Reduction The task force identifies priorities and gaps and facilitates programmatic, policy and advocacy actions to reduce mobility-related HIV vulnerability and addresses issues of care and support.

13. Mandate of UNTRF MTWG ADVOCACY SUB GROUP WHO? • Regional • Strategy on • Mobility and HIV Vulnerability Enabling... RESEARCH SUB GROUP UNRTF CSOs SUB GROUP RESOURCE MOB SUB GROUP WHAT? Interventions

14. Data on Cross-border Migrants Filling the gaps in the response • NO DATA . NO PROBLEM... • Origin countries : beyond the reach, not counted • Destination countries : • counted in term of labor migrants • HIV Vulnerability reduction : • not seen as a direct obligation of destination country • Enforcement of International legal instruments related to MMPs ‘ HIV vulnerability NO DATA BIG PROBLEM ...reach and count ...common social responsibility for trans- boundaries issues

15. Filling the gaps in the response Data on Cross-border Migrants • No surveillance data for both sides : The complete picture of HIV/AIDS of Cross Border Migrants is missing • The dynamics of the MMPs within HIV epidemic for both destination and origin countries are not known ...include MMPs as the surveillance system ...find out the dynamics

16. Filling the gaps in the response PARTNERSHIP Government Policy makers Technicians BUSINESS SECTOR Donors NGOs CSOs MMPs Migrant and Mobile Populations NGOs NGOs

17. Filling the gaps in the response PARTNERSHIP Government Policy makers Technicians BUSINESS SECTOR Assessment of Urban Migration Policy Donors: USDOL, USAID VAAC NGOs: Smart Work CSOs:Labor Union MMPs Migrant and Mobile Populations NGOs: Life-Gap NGOs

18. Filling the gaps in the response NATIONAL RESPONSE MECHANISM Political Political National Responsibility Mechanism National Responsibility Mechanism Technical Technical Interventions Interventions Target population Target population

19. Filling the gaps in the response NATIONAL RESPONSE MECHANISM I . Enabling IV . Institutional Framework II . Partnership III . Services

20. TEAM SOCCER MOBILITY&HIV VULNERABILITY WORKING GROUP

21. Mobility Technical Working Group Coordinate with different stakeholders for program design , implementation and follow up • advocate for unified data ( the three ones principles ) • review policies and programs • follow up the implementation of the agreement (decrees , MOUs, international conventions..) • mobilize the resource • contribute with other countries to bargain for support to inter-countries coordination and national response

23. Challenges and Opportunities • Build technical capacity ( health and others) • Strengthening Institutional capacity • Filling the gaps in human resource • Improve coordination • horizontal • vertical • Making the money works ( financial resources ) • Sustain the response with ownership

24. SHIFTING ROLE OF NATIONAL AIDS PROGRAM Infrastructure transport Workplace CSOs

26. Implementation of the GMS countries’ MOUs : Allocation of the budget for HIV/AIDS prevention JBIC supports 57 construction sites in Viet Nam

27. SUPPORT TO COUNTRIES

28. Joining hands to address a neglected issue Increase the coverage

29. THANK YOU