Development and disasters in a time of HIV and AIDS

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Development and disasters in a time of HIV and
AIDS

• Slides for use in facilitating training on HIV
  mainstreaming
• Part 4.1 of HIV mainstreaming toolkit

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CAFODs twin-tracked responses to HIV

• HIV focused responses in programmes and in
  organisational considerations
• HIV mainstreamed into all of CAFODs
• development and humanitarian work and into
• its staff and management policies and practices

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The twin tracks
Changing programme/work conditions in order
to Remain effective AND Do no harm In a context
of HIV and AIDS
Direct HIV work
HIV focused
Indirect HIV work
HIV mainstreaming
Stand alone

• Fund an HIV HBC project
• Fund HIV counselling and testing
• Develop an HIV in the workplace policy
• Write about HIV for CAFOD magazine
• Fund HIV education in sex education curriculum

• Ensure women as well as men control programme
  decisions
• Dont locate latrines in isolated areas
• Provide lighter tools for child and older
  farmers
• Have a Staff code of conduct
• Support staff dealing with traumatic work
  situations

External mainstreaming
Integrated
Internal mainstreaming
Indirect HIV work
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HIV mainstreaming

• Recognises that HIV and AIDS are, or will become,
  factors affecting programme communities and
  NGO/programme staff alike
• Mainstreaming is the process of making changes to
  programme work and to employment practices in
  order to
• Remain relevant and effective
• Do no harm

In situations also affected by HIV and AIDS
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HIV mainstreaming is not

• Making everyone do HIV work
• Diverting people away from their core work to do
  HIV work
• Making everyone be an HIV and AIDS expert
• Sticking an HIV component into every programme
  response or every employment procedure
• Making changes to programmes or employment issues
  that apply only to people identified as living
  with HIV
• Saying we all think of HIV but in reality
  continuing with business as normal

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Why do HIV mainstreaming?

• Because
• The reality of HIV and AIDS affects, or will
  affect, peoples ability to advance any and all
  development work
• Failure to mainstream will make an organisations
  work increasingly ineffective and irrelevant in
  contexts also affected by HIV
• Failure will affect NGOs and partner programmes
  sustainability because of lost skills and
  experience
• Failure can mean that organisations worsen the
  effects of HIV and AIDS they become part of
  the problem!

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Example of programme external mainstreaming

• Scenario
• Food insecurity escalating, causing increased
  distress migration.Sickness and death are
  increasing alarmingly. HIV prevalence is also
  high in the area.
• Programme objectives
• To distribute food to the worst affected
• To set up cash for work projects to curb
  migration
• To provide seeds and tools to strengthen
  household food security
• To improve farming and animal husbandry techniques

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What did the programme do differently or
additionally in order toRemain relevant and do
no harm

• Still focused on its original objectives, the
  programme
• Made sure to include women- and child-headed
  households
• Set the timing of food distribution to minimise
  sexual attacks
• Ensured decisions were shared and distribution
  work supervised by both women and men
• Reduced size and weight of tools and sacks of
  seed so that children and elderly can use them
• Introduced less labour-intensive farming and
  animal husbandry techniques
• Introduced equal pay for all tasks so that women,
  frail and elderly can benefit
• Introduced a code of conduct and monitoring of
  this, for programme staff
• Introduced flexible hours so that staff and
  community can attend to sick family members

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Example of organisational internal mainstreaming

• Scenario
• Livelihoods for all is an international NGO
  that supports development and humanitarian relief
  programmes in countries of the South. Many staff
  members travel regularly to work alongside
  programme partners, often working in physically
  difficult and emotionally draining circumstances.
  Some staff are away from home for prolonged
  periods. The NGO has offices in a number of
  countries. Absenteeism because of sickness or to
  attend funerals has increased in the last year in
  some country offices.
• The NGO has an HIV in the workplace policy, as
  part of its staff handbook of employment
  policies, and all staff are aware of this.
  Recently, the NGO conducted an HIV mainstreaming
  analysis of the organisation.

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What did the NGO do differently or additionally
in order toRemain relevant and do no harm

• The NGO identified the following points and areas
  for change
• Reviewed the support provided to staff dealing
  with difficult scenarios increased contact with
  home, assured rest days away from the work, good
  de-briefing and support on return from trips,
  all provided as standard
• Included coping mechanisms during time away from
  home and risk assessment of sexual
  vulnerabilities, in pre-trip security briefings
• Identified contingency plans for recruitment and
  ongoing work in country offices where there is a
  high level of staff absenteeism because of
  sickness or attendance at funerals
• Identified measures to minimise stress from work
  overloads and pressures of bullying by managers
  or colleagues
• Introduced a code of conduct that includes
  consideration of potential abuse of position by
  staff for sexual gains

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The complete mainstreaming process Stages in HIV
mainstreaming the five As
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