Collaborative Fund for HIV Treatment Preparedness

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HIV Collaborative Fund A Partnership of Tides
Network and the International Treatment
Preparedness Coalition
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Communities affected by AIDS need resources to
mobilize to

• Advocate for comprehensive and equitable care
• Monitor government activities
• Educate people to access and use treatment
• Overcome stigma and discrimination
• Mobilize to support each other and implement
  strategies to ensure comprehensive care.

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The HIV Collaborative Fund A community-driven
funding mechanism that provides

• Small grants to community organizations for
  treatment education, mobilization, and advocacy
  projects
• Regional coordination and networking to share
  information and advocacy strategies
• Technical assistance to support grantees
• Program evaluation.

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Progress to Date

• Over 600 small grants in 70 countries in four
  years.
• Over 6 million distributed in grants.
• Over 3 million distributed for regional network
  development.
• Over 750,000 distributed for technical
  assistance and evaluation.

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A Partnership for Community Mobilization

• International Treatment Preparedness Coalition
  Leading HIV treatment activists from around the
  world. Direct the substantive direction of the
  program.
• Tides Network Resource mobilization,
  facilitation of grant making processes, grants
  and financial administration

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ITPC

• A global coalition of treatment activists
• Publishes Missing the Target reports analyzing
  treatment access on country levels
• Advocates on global level for treatment access
  and comprehensive care for all people living with
  HIV
• International Coordinator based in Bangkok at the
  Asian-Pacific Network of People Living with HIV

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To join ITPCitpc_at_apnplus.org
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Funding in 11 regions

• Eastern Europe/
• Central Asia
• Caribbean
• Latin America
• Southeast Asia
• China

• South Asia
• Southern Africa
• West Africa
• Central Africa
• East Africa
• Women in Africa

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Regional Coordinators
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How does it work

• ITPC regional members set funding priorities for
  their region.
• Community Review Panels (CRP) of 8 - 10 people
  conduct peer-reviewed grant selection process.
• CRPs are geographically diverse, have good gender
  balance, and majority are people living with
  HIV/AIDS.
• Collaborative Fund staff disburse funds and
  ensure accountability.
• People living with HIV/AIDS are involved in every
  aspect of the process and all funded programs.

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Reaching Vulnerable, Affected Communities

• Women in rural areas
• MSM
• Drug users
• Sex workers
• How does this global effort complement and
  strengthen health systems?

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Increases individual demand for health services

• Giramatsiko Post Test Club, Bushenyi, Uganda
• Peer-based training and community mobilization.
• In 3 months, 968 PLWHA were reached.
• 440 of these supported to publicly disclose their
  HIV positive status and seek treatment openly.
• 202 PLWHA enrolled in the Kabwohe Joint Clinic
  Research Centre (KCRC) program to access
  cotrimoxazole prophylaxis.

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Provides a safe bridge into treatment and
prevention

• South Indian Positives (SIP), Chennai, India
• Reaches hundreds of trans-gendered persons, a
  population facing severe stigma and
  discrimination.
• SIP works with health care and service providers
  to better address the needs of this population.
  And, as they develop relationships with
  individuals, they are able to support and
  encourage them to seek out care and treatment.

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Provides medical information in lay
languageNomadic Integrated Development Agency
(NIDRA) - Kenya
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Supports home based care and treatment adherence

• Shuang Miao Village PLWHA Group, Zhecheng, Henan
  Province, China
• Worked in multiple communities to support PLWHA
  in choosing and adhering ART regimens. The
  results through surveys, questionnaires and
  visits, the project found that
• PLWHAs who participated became medically
  adherent.
• They were no longer scared of OIs. (Previously,
  at the discovery of an
• OI, they would assume they couldnt live and
  attempt suicide, or resort to
• worship, prayer, or even searching for magic
  drug.)
• They no longer considered government-distributed
  ARV medicines as
• poison.
• Nobody would rather die than take ARV medicines.
  
• They no longer thought only imported drugs could
  treat HIV.

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Monitors quality of care

• CHECCOS, Guadalajara, Mexico
• In Guadalajara, advocates of CHECCOS monitored
  HIV health provision at 50 hospitals.
• The result Using a database with e-mails from
  PLWHA to record shortages or abnormality in care,
  they identified 17 drugs in shortage or
  stock-outs,16 instances of shortages of HIV
  monitoring tests, three reports of poor
  compliance with medical protocols. 26 PLWHA
  dared to directly report and face public
  servants, all of them solved their need for
  treatment.

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Advocates for improved and equitable health care

• Positive Initiative, Orenburg, Russia
• The group met with policy-makers and PLWHA were
  then invited to serve on the Oblast AIDS
  Coordination Council and the Orenburg Commission
  on Prevention of Alcoholism, Drug Addiction, and
  HIV/AIDS.
• In 2007, they successfully implemented a new law
  and program to ensure oblast support for PLWHA
  networks as part of AIDS programming.

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Technical Assistance and Network Support

• Each region determines technical assistance and
  network support needs.
• In China, each project was assigned a TA budget
  and mentor.
• In Eastern Europe, a website www.ITPCRU.org
  is a major communications hub for regional
  advocates.
• In Latin America, workshops were held to increase
  capacity of non-funded organizations.
• Grantees meet together to share experiences,
  develop their projects, build organizational
  capacity and ensure the quality of information.

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Monitoring and Evaluation

• An on-going commitment to program evaluation
• WHO funded an independent program evaluation.
  www.hivcollaborativefund.org
• Strategic framework for program evaluation now
  being implemented.
• Partnership with University of Amsterdam
  evaluating treatment literacy approaches in East
  Africa.
• No one has a greater stake in good evaluation
  than our grantees and the people they serve.

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A Collaboration of FundersThere are about 30
contributing partners who have or are supporting
the Collaborative Fund, including

• World Health Organization
• Rockefeller Foundation
• Ford Foundation
• Stephen Lewis Foundation
• Johnson Johnson
• UNAIDS
• Bill Melinda Gates Foundation
• MAC AIDS Fund

• AIDS Fonds Netherlands
• Open Society Institute
• Overbrook Foundation
• American Jewish World Services
• DFID
• Elton John AIDS Foundation
• Tides Foundation donors