Integration of HIV/AIDS into APRM

Bunmi MakinwaUNAIDS Country Coordinator/Ethiopia andRepresentative for African Regional Organizations

2

APRM: Strategic Framework

NEPAD - Strategic Policy Framework and Socio-economic Development Programme of the African Union Declaration on Democracy, Political,

Economic and Corporate Governance

• African Peer Review Mechanism

3

APRM: Definition

African self-monitoring mechanism Voluntarily acceded to by Member

States of the African Union Open to all member states of the AU

4

APRM: Purpose

Foster the adoption of policies, standards and practices that lead to political stability, high economic growth, sustainable development and accelerated sub-regional and

continental economic integration

5

APRM: Principles

National ownership and leadership by the participating countries

Participation of all key stakeholders Transparency Accountability Technical competence Credibility Freedom from political

manipulation

6

APRM: Key Components

Democracy and Good Political Governance

Economic Governance and Management

Corporate Governance Socio-economic Development

7

APRM: Assessment Framework

Key objectives as per ComponentRespective international and regional

codes and standards

• Criteria for assessment of

performance

• Indicators (qualitative and quantitative)

8

APRM: Stages

Stage 1: Preparation (national level, APR Secretariat)

Stage 2: Self-assessment and preparation of a Preliminary Programme of Action

Stage 3: APR Team mission Stage 4: Preparation and submission of the

APR Team’s report; review by APR Panel and APR Forum

Stage 5: Making report public, implementation of the Programme of Action

9

APRM: Progress

16 countries have acceded: Algeria, Burkina Faso, Cameroon, Republic of Congo, Ethiopia, Gabon, Ghana, Kenya, Mali, Mauritius, Mozambique, Nigeria, Rwanda, Senegal, Republic of South Africa, Uganda

Ghana, Rwanda – Review Reports submitted to APR Forum

Mauritius – review in progress Kenya – review in progress Nigeria – Support Mission carried out

10

HIV/AIDS in NEPAD

HIV/AIDS largely missingMDG 6 missing among long-term goalsHIV/AIDS – one of communicable

diseasesNo targets set for HIV/AIDS Action described in general terms:

• bring epidemics under control • lead campaign for increased

international financial support

11

HIV/AIDS in APRM Now

HIV/AIDS reflected insufficiently:Key international and regional

instruments on HIV/AIDS missingCommitments on HIV/AIDS made

internationally and regionally reflected insufficiently

HIV/AIDS addressed within subsets of development issues, not as a development issue in its own right

12

HIV/AIDS in APRM Now

Democracy and Good Political GovernanceNo explicit objectives,

• Criteria, or • Indicators on HIV/AIDS

13

HIV/AIDS in APRM Now

Economic Governance and Management:Promotion of policies that support

sustainable development: • Sectoral or micro-economic policies

• Socio-economic indicators including but not limited to health, education, HIV/AIDS and housing

14

HIV/AIDS in APRM Now

Corporate Governance:Corporations as good corporate citizens

with regards to human rights, social responsibility• Responsiveness to concerns of

communities:• Engagement in social and community

development programmes• Examples of corporate social

responsibility projects

15

HIV/AIDS in APRM Now

Socio-economic Development :Accelerating socio-economic

development for sustainable development and poverty eradication• Outcomes of policies and mechanisms

• MDGs indicators

16

HIV/AIDS in APRM Now

Socio-economic Development :Strengthening policies, delivery

mechanisms and outcomes in key social areas including HIV/AIDS• Measures taken by government

• Legal, policy, institutional steps• Volume, criteria for resource allocation• Participation of all stakeholders

• Outcomes on social indicators • HIV prevalence disaggregated

17

HIV/AIDS in APRM:why emphasis?

HIV/AIDS: Threatens political stability Undermines social and economic

development Imposes an enormous economic burden Affects all levels of society Will determine Africa’s progress in achieving

the goals of economic growth, sustainable development and accelerated regionaland global integration

18

HIV/AIDS in APRM: why emphasis?

International and regional commitments: Abuja Declaration and Framework for Action for the Fight

against HIV/AIDS, TB and Other Related Infectious Diseases

UNGASS Declaration of Commitment on HIV/AIDS

19

HIV/AIDS in APRM: what to emphasize?

Codes and Standards: inclusion of Abuja Declaration and Framework,

UNGASS Declaration Objectives and criteria:

introducing HIV/AIDS objectives and criteria into all components

Indicators: selecting HIV/AIDS indicators for existing

objectives (including Abuja / UNGASS indicators)

selecting indicators for new objectives (including Abuja / UNGASS indicators)

20

Expanding HIV/AIDS in APRM: Objectives, Criteria, Indicators

Democracy and Good Political Governance:HIV/AIDS and human rights

• Non-discrimination, elimination of stigma• Rights of people living with HIV/AIDS• Women’s rights• Rights of children orphaned and affected by

HIV/AIDS• Rights of vulnerable populations

• Development, endorsement, enforcement of legislation

21

Expanding HIV/AIDS in APRM: Objectives, Criteria, Indicators

Democracy and Good Political GovernanceHIV/AIDS in conflict areas:

• Protection of vulnerable populations• Care and support to people living with and

affected by HIV/AIDS• Development, implementation of policies

HIV/AIDS and uniformed services:• HIV/AIDS programmes for uniformed

professionals• Development, implementation of

policies and programmes

22

Expanding HIV/AIDS in APRM: Objectives, Criteria, Indicators

Economic Governance and Management:Supportive macro-economic policy:

• Supportive policy framework:• Share of budget allocated to HIV/AIDS• Resource mobilization

Macroeconomic projections:• Economic impact of HIV/AIDS:

• Assessment• Development, implementation of

strategies to mitigate the impact

23

Expanding HIV/AIDS in APRM: Objectives, Criteria, Indicators

Economic Governance and Management:Sound, transparent, predictable

government economic policies:• Coordination of efforts of various

departments• Timeliness and reliability of HIV/AIDS

resource transfers to implementers at central and decentralized levels

• Absorptive capacity of implementers

24

Expanding HIV/AIDS in APRM: Objectives, Criteria, Indicators

Corporate Governance:Enabling environment:

• Factors that impact on business activity• Assessment of HIV/AIDS impact• Efforts to mitigate the impact

Corporations as good corporate citizens:• Observing human rights and labour laws

• HIV/AIDS workplace policies andprogrammes

25

Expanding HIV/AIDS in APRM: Objectives, Criteria, Indicators

Socio-economic Development :Accelerating socio-economic development

• Integration of HIV/AIDS into sustainable development strategy and planning

• Leadership• Mainstreaming of HIV/AIDS into sectors• Capacity building• Participation • Community mobilization

26

Expanding HIV/AIDS in APRM: Objectives, Criteria, Indicators

Socio-economic Development :Policy, delivery mechanisms, outcomes:

• Measures by Government:• HIV/AIDS policy development and

implementation status • HIV/AIDS protection, prevention,

treatment, care and support (availability; uptake; outcomes)

• Gender focus• Reaching most vulnerable and

marginalized

27

HIV/AIDS in APRM: Next Steps

Acceptance at political level of emphasis and expanded integration of HIV/AIDS into APRM

Internalization of the approach by countries

Guidance to countries on the implementation

28

Support by UNAIDS

Political acceptance:Dialogue with the NEPAD Secretariat

Internalization by countriesAdvocacy and engagement at the country

level Guidance to countries on

implementation:Support at the country level – Ghana

Opportunities

Self assessment and bench marking Recognition and ChampionshipLearning and Strengthening

Thank you Amasegnalu