1 / 16

Changing the World through Local-to-Global Advocacy

Changing the World through Local-to-Global Advocacy Scaling and Assessing Impact from the Campaign to End Pediatric HIV/AIDS (CEPA) by Dr. Paul S. Zeitz, Executive Director & Professor Sanjeev Khagram, iScale Advocacy Breakfast Series Aspen Institute Washington, D.C. 15 January 2011.

piper
Download Presentation

Changing the World through Local-to-Global Advocacy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Changing the World through Local-to-Global Advocacy Scaling and Assessing Impact from the Campaign to End Pediatric HIV/AIDS (CEPA) by Dr. Paul S. Zeitz, Executive Director & Professor Sanjeev Khagram, iScale Advocacy Breakfast SeriesAspen Institute Washington, D.C. 15 January 2011

  2. Campaign to End Pediatric HIV/AIDS (CEPA) GOALS: Going to Scale with PPTCT+ and Pediatric Treatment 80% coverage for pediatric HIV/AIDS treatment and 80% coverage for PPTCT+ services by December 31, 2015 • Current CIFF Support: May 2009 –April 2012 • GPAN/GAA Committed to CEPA(+), 2011-2015

  3. CEPA’s Advocacy Objectives Objective 1: Comprehensive Family Centered Care and Nutrition Objective 2: Early Infant Diagnosis and Treatment Objective 7: Overcoming Stigma and Discrimination Objective 3: Access to Appropriate Medicines and Commodities End 2015 Goal: 80% Coverage for Comprehensive PMTCT+ and Pediatric HIV/AIDS Treatment Objective 4: Full Funding Objective 6: Overcoming Human Resources Crisis Objective 5: Reprogramming to Achieve CEPA Impact

  4. CEPA Initiating Partners, 2009-2010 • Initiating Countries Kenya, Mozambique, Zambia, Nigeria, Tanzania, Uganda: indigenous civil-society networks • Sub-Saharan Africa Region • ANECCA, PATAM, HAI Stock Outs Campaign, Health GAP, OSISA, Graça Machel Trust • Global Partners GAA, Health GAP Evaluation Partner: iScale Funding Partners: Children’s Investment Fund Foundation (CIFF), UNICEF, others

  5. “Waging Justice”– A Performance-based Advocacy Approach Agenda Setting Conception Policy Analysis Issue Identification Target Accountability Pressure Decision-Makers Mobilize Public Accountability Advocacy Advocacy Accountability Results & Outcomes Accountability Generate Media Build Partnerships NOTE: GPAN’s advocacy approach was developed utilizing the Annie E. Casey Foundation’s “Guide to Measuring Advocacy and Policy,” conversations with interviewees, and analysis by Dalberg Global Development Advisors.

  6. Overview of the “Waging Justice” Advocacy Approach Develop clearly defined, campaign-specific Theory of Changeand Theories of Actionto achieve strategic political advocacy outcomes that align with GPAN’s overall Theory of Change. Utilize criteria for prioritizing among network models and targeted advocacy outcomes in order to successfully advance GPAN’s priority initiatives or campaigns. Develop a clear approach to achieving impactbased on experience, environmental mapping, and an understanding of key gaps in the advocacy landscape. Agenda Setting Conception Issue Identification Mobilize Public Policy Analysis Utilize a networked advocacy approach to pressure decision-makers, mobilize constituencies, and build partnerships. 5. Create or support campaign networks to design and implement advocacy action plans that prioritize specific outcomes and reflect the needs and priorities of affected communities. 6. Engage in strategic political communications that speak truth to power, help frame the advocacy debate, and ensure rapid response to emerging advocacy opportunities. Pressure Decision Makers Advocacy Generate Media Target Accountability Build Partnerships Support watchdog mechanisms and networks to hold political leaders and other stakeholders accountable for their commitments. Conduct performance-based advocacy through robust systems that facilitate monitoring, evaluation, and continuous learning, e.g., Impact Planning, Assessment, Reporting and Learning (IPARL) system. Results & Outcomes Accountability Advocacy Accountability Account- ability

  7. Strategic Focus on Five Priority Advocacy Outcomes “Waging Justice” Performance based Approach ADVOCACY OUTCOMES Paradigm-busting POLICIES Secure evidence-based policies that achieve ground-breaking progress, rather than small-scale incremental change Increased and improved needs-based FUNDING Mobilize significant, sufficient, and sustained funding from diverse sources, e.g., public and private, and ensure efficient disbursement and implementation mechanisms Inter-Connected Strategic Objectives ACCOUNTABILITY for people-level impacts Strengthen and create watchdog and enforcement mechanisms to ensure improved implementation of global, regional, and national commitments CIVIL SOCIETY inclusion in decision-making and implementation Increase civil-society participation and engagement with global, regional, and national institutions, and ensure local ownership of program design and implementation New and transformed INSTITUTIONS Strengthen the performance and impact of existing institutions through policy, procedural, and governance reforms, and create new institutions as needed

  8. Design of “Impact Planning, Assessment, Reporting & Learning” (IPARL) Approach • Optimizes performance-based advocacy model • Supports real-time learning and informs strategy and course correction • Utilization focused • Ties monitoring & evaluation to strategy • Integrates multiple evaluation purposes • Integrates multiple types of evaluation data • Assesses outcomes and impacts • Educates key stakeholders and society • Addresses needs of multiple stakeholders (advocates, citizens, funders,)

  9. CEPA IPARL COMPONENTS Link IE and M&E activities with Strategy • Clearly articulated and elaborated CEPA-wide Theory of Change • Clearly articulated global and national, regional, and global level “Theories of Action” for CEPA partners • An integrated assessment framework aligned with global, regional and national level strategies – includes: baseline data, score card of indicators, evidence of change journals, and periodic assessments (review and evaluation) • Learning and improvement activities • Constituency voice and feedback • Public and donor reporting

  10. Theories of Action that Include Evidence/KPIs to Monitor Progress Towards Advocacy Outcomes and Advocacy Outputs Advocacy Outcome Bottleneck Advocacy Output National policy strengthened to prevent discrimination against HIV positive mothers and children. Stigma Report on national stigma index is published Bottleneck Evidence/KPIs: Stigma Report Evidence/KPIs: Punishments for discrimination in National policy are made more severe Lack of coordinated care Advocacy Output Advocacy Outcome National Training curricula is drafted by relevant actors An accredited set of National Training curricula for task shifting is established. Bottleneck Evidence/KPIs: National Training curricula document Evidence/KPIs: Draft of Training Curricula Limited number and capacity of trained health care professionals Advocacy Outcome Advocacy Output Comprehensive and harmonized pediatric care policies, guidelines, and standard operating procedures are adopted by National Government, donors, and providers. Pediatric care policy guidelines drafted by Ministry of Health Evidence/KPIs: Draft of Pediatric care policy guidelines Evidence/KPIs: Relevant legislation

  11. “Robot” Traffic Light SystemColor Code for Monitoring Progress

  12. CEPA’s IPARL • Campaign-wide theory of change aligned with partner-level theories of action at national, regional and global levels • Shift in focus from activities to outcomes and in linking strategy to M&E and IE • Real-time learning to inform strategy and course correction for “Big Win” • Integration of multiple types of evaluation data • Enhanced capacity in all partners, improving non-CEPA related advocacy • Trimester “Advocacy Impact” Reports • Midterm Evaluation completed in March 2011

  13. Advantages of CEPA’s IPARL • Aligned “Nexus” of agreed upon advocacy outcomes and KPIs across local-to-global network • “Agenda-setting” effect of extensive Advocacy Action Planning • Partners shifting from activity-based to outcomes-based thinking, planning & accountability: although requires long-term investment • IPARL allows for course correction & enhanced advocacy impact • Measurable Advocacy Outcomes and Outputs achieved at all levels; varying progress by objective depending on opportunities and capacity.

  14. Risks/Challenges for Optimizing Advocacy • IPARL becomes the focus, rather than strategic advocacy; • Capacity of advocacy organization to implement IPARL in US & Africa • Risk that funders will rigidly link performance-based advocacy investments funding • Overcoming IPARL-KPI-Fatigue Syndrome • Risk of retrofitting IPARL to advocacy realities • IPARL limits Adapting/Changing to political realities • Adaptation in different political environments • IPARL is donor-driven

  15. Lessons: Performance-based Advocacy (PBA) • PBA is an integral part of the early stage planning process, incorporating regular (every 6-12 months) monitoring reviews • Advocates need to be convinced PBA is more effective • PBA requires a cultural shift, intensive capacity building, and robust peer mentoring systems • PBA must be fit-for-purpose, with sustained financial support by funding partners • PBA is optimized with high degree of trust between advocates, evaluation experts, and funding partners • PBA enhances a “global action network (GAN)” approach to transnational advocacy • Authentic ownership by advocates at national, regional, and global levels is essential

  16. "True peace is not merely the absence of tension: it is the presence of justice." --Reverend Martin Luther King Jr.

More Related