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New Investment Framework. CRITICAL ENABLERS. BASIC PROGRAMME ACTIVITIES. OBJECTIVES. Key populations. Children & mothers. Social enablers Political commitment & advocacy Laws, policies & practices Community mobilization Stigma reduction Mass media
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New Investment Framework CRITICAL ENABLERS BASIC PROGRAMME ACTIVITIES OBJECTIVES Keypopulations Children & mothers • Social enablers • Political commitment & advocacy • Laws, policies & practices • Community mobilization • Stigma reduction • Mass media • Local responses, to change risk environment Stopping new infections Behaviour change Condoms Keeping people alive • Programme enablers • Community-centered design & delivery • Programme communication • Management & incentives • Production & distribution • Research & innovation Care & treatment Male circumcision SYNERGIES WITH DEVELOPMENT SECTORS Social protection; Education; Legal Reform; Gender equality; Poverty reduction; Gender-based violence; Health systems (incl. treatment of STIs, blood safety); Community systems; Employer practices.
Critical enablers: concepts • Complement basic programme activities • Highly context specific • Social enablers “make possible environments conducive for rational HIV responses” • Programme enablers “create demand for and help improve the performance of key interventions”
Social enablers: activities included • Political commitment & advocacy • Laws, policies & practices • Community mobilization (outreach, support, transparency and accountability) • Stigma reduction • Local responses to change risk environment (e.g. closing hours of beer shops, firewood collection in daylight)
Social enablers: problematic categories • Gender violence as it relates directly to HIV risk (not the synergy with gender as a development sector) • Mass media as a creator of a supportive environment (not mass media to change behaviour)
Programme enablers • Community-centered design & delivery • Programme communication • Management & incentives • Procurement & distribution • Research & innovation
Critical enabler costing assumptions Base: ∑ basic programme components + VCT + community mobilization + mass media
Investment Framework: unit cost for community mobilization, regional averages