effective local approaches in the africa lgbti context michael ighodaro icarh
TRANSCRIPT
Effective Local Approaches In The Africa LGBTI Context
Michael IghodaroICARH
IntroductionIn Nigeria difference between LGBTI organizations and funders approaches to working with community to reach their target populations.
The challenge is how to be effective in reaching the target populations, especially with the HIV positive LGBTI community and the “hard to reach” older LGBT population.
Effective Local Approaches
COMMUNITY DIALOGUE
COMMUNITY MOBILIZATION
PEER EDUATION
Effective Local Approaches
OUTREACH EVENTS
SPECIAL EVENTS
MSM HIV POSITIVE SUPPORT GROUP
Effective Local Approaches
SENSITIZATION OF HEALTH CARE PROVIDERS
MSM CLINICS
COMMUNITY OWNERSHIP
Effective Local Approaches
PALLIATIVE CARE TEAM
SKILLS ACQUISITION CENTERS
LGBTI COMMUNITY CENTRES
CHALLENGES1. Need for comprehensive MSM+ programming
2. Limited funding to local LGBTI organizations in Africa for implementation
3. Emphasis on numbers and no measurement of quality of services delivered
4. Need to address stigma & discrimination of MSM+ within the LGBTI community
5. Laws against LGBT
Summary1. Engage local LGBT community for all programs involving
them
2. More emphasis on programs for MSM+
3. Need to address both human rights and health
4. Identify and address psycho-social health needs of HIV positive LGBT
“Effective” Local Approaches to Working
with LGBT/GMTThe Namibia Experience
History of the LGBT movement in Namibia
From hate speech and violent rhetoric to organising as a movement
Establishment of trp as a voice for LGBT in Namibia
From advocacy and human rights to public health and HIV
Demise of trp and community mandate for ORN
Starting from scratch again- re-establishing an organisation
Organisational development in the context of dwindling resources
PV as a ASO with interest in local advocacy and movement building- Tusano to Tonata
Partnership and hosting agreement to support the LGBT movement- CSO to CSO support
Autonomy, organisational integrity and conflict resolution
Upper middle income status and funding of LGBT organisations
Dwindling donor support and increasing governmental financing of programmes- meaning for marginalised and stigmatised groups
HIV funding solely for MSM; impact on wider human rights discourse; using MSM HIV funding to address structural challenges such as stigma, discrimination and rights
Exclusion of LBT groups from programming and discourse on human rights; need to collect data on social vulnerability and HIV risk e.g. SGBV
Community involvement in organisational development and programming; what is LGBT led?
LGBT identified board of trusteesLGBT identified staff and building a cadre of interns at
central officeCommunity based structures; LGBT identified
community facilitators as peer educators, safe spaces for counselling, access to commodities and referral linkages to care
Collecting programme data and human rights violations in communities; an ear on the ground
Extending reach (esp. the hardest to reach) through using ‘snowballing’ as a programming method.
Going beyond behaviour change communication
Completing the continuum of care; social support and safe spaces
MSM living with HIV; treatment and care in socially competent and non-stigmatising settings
Combination prevention- going beyond behaviour change and integrating biomedical and structural interventions (SFH programme)
Addressing poverty, stigma and violence (SGBV)
Advocating for an enabling environment
Inclusion in national policies and programmesCurrent NSF and implicationsGlobal Fund CCMMinistry of Health and Social Services TWGs IBBSS Task ForceNANGOF Sector representation; gender health
and human rightsRegional, continental and global advocacy effortsWorking with multilateral partners and embassies
to create a dialogue and keep the discourse alive
Monitoring, evaluation and Research
Confidentiality in programming; using unique identifier codes
From quantity to quality; missing the stories behind the figures
Challenges in collecting violations; LGBT distrust in the criminal justice system
Research; community involvement from training, planning, implementation and report dissemination
Research advocacy?
Thank you