Interventions and Key Activities
The PLHIV and key populations national organisations of PNG (Igat Hope (PLHIV), Kapul Champions (MSM & TG) and Friends Frangipani (Sex Workers) have combined forces in recent years to form the National KP Advocacy Consortium. This was in-part donor driven, following the withdrawal of DFAT Australia donor funding for the individual organisations in 2016. DFAT provides a single Coordinator position until end 2020 with no onward guarantee, so the Coordinator position is now included in this proposal. The Consortium is currently hosted within the UNAIDS Country Office. In 2021 the GF-funded SKPA Regional program will provide funding for two project officers and a finance officer through its SR, the Burnet Institute. Project officers will coordinate community-based monitoring program/advocacy and KP network support. The community-based monitoring will also collect information on the quality and accessibility of TB services. There is currently no equivalent TB community organisation to implement this.
CLM - Community-led monitoring (originally called CB - community-based monitoring)
Significant work on tool development and initial training of KP members has already taken place in 2019/20 under the GF-funded SKPA regional project. USAID has also included further tool development and roll-out in its 2020 Country Operations Plan (COP). Activities for this funding request:
Support Technical assistance to develop the systems and procedures for data management, analysis and dissemination, algorithms for advocacy plan development and issues resolution, and tracking/M&E mechanisms for outputs and outcomes
Provincial tool roll-out training in six provinces each year – 25 KP members trained in each province (150/annum and total of 450 KP trained)
Support Technical assistance to develop the recording and reporting system within the Consortium
Support Technical assistance to prepare quarterly reports and communication materials and capacity build KP Consortium capacity
Community-led advocacy and research
Core support to the Consortium Support KP Consortium Coordinator position Years 1-3.
Support operational costs including monthly rental, and other core costs Y2-Y3.
One national Consortium Summit (attached to the National HIV Summit), with resources and technical support for preparation of the program, with concurrent days for each KP organisation to meet and have its Annual General Meeting.
Network development support to the provinces: coaching visits to assist in facilitation of KP network meetings in 2 HIV high-burden provinces per quarter. Linked with the community-based monitoring initiative.
Technical support to the Consortium to maintain communication with members and networks through Facebook and other social networking strategies.
Institutional capacity building, planning and leadership development
Support TA to develop an Advocacy and Leadership capacity development program. A structured capacity development program with six monthly face-to-face and then blocks of fortnightly practice-based support and coaching to build skills in analysing data, developing advocacy materials and implementing strategies. A particular focus on YKP to bring new young people into the networks at national and provincial level. Support 10 participants per year for KP leaders, 30 KP leaders trained; six-monthly face-to-face with fortnightly practice-based support and coaching
RATIONALE
Community system strengthening: The KP Advocacy Consortium is gaining strength and capacity and is now proving to be an effective and sustainable model for the participation of people from KPs in PNG. In the current allocation period, KP members working under the PR gained significant skills in community consultation by facilitating community meetings and provincial network strengthening exercises. In this allocation period, the Consortium will be supported to gain the skills and experience it needs to move out from under its auspicing bodies and become more independent, improving its ongoing sustainability and strengthening the participation of KPs in the HIV response.
Community-led monitoring: The outcomes of the HIV response in PNG have been (and continue to be) compromised periodically by stockouts and shortages of essential drugs (ART, OI, STI medications), test-kits (HIV, STI testing), and condoms and lubricant. There are also some persistent issues with quality and consistency of health treatment and stigma and discrimination, particularly in health and police/justice services. Community-based monitoring will assist in documenting and bringing to attention these issues, and in finding resolution pathways. Whilst community members and networks have been consistent in bringing these issues to the attention of policy-makers, administrators and service providers, the community-based monitoring system provides a structure to build a stronger evidence-base for these critical issues.
EXPECTED OUTCOMES
Improve quality of care – increase HIV prevention package uptake
Efficiency gains in providing integrated services
HIV KP Consortium able to manage its own finances and programs
Community-based monitoring system providing quarterly reports to NACS and NDOH
Evidence of national and provincial level problem solving/issues resolution through community monitoring
Evidence of increased participation of provincial networks in provincial decision-making
