Background

Protecting and promoting the rights of people affected by HIV and marginalized populations is the cornerstone of effective AIDS, public health and development responses. UNDP supports countries to create an enabling human rights environment, promote gender equality, and address the HIV-related vulnerabilities and needs of women and girls. UNDP also works to respond to HIV among men who have sex with men and transgender populations, and supports legal frameworks including enabling trade and intellectual property legislation for improved access to affordable essential medicines and commodities.

As the lead agency on human rights and law within the Joint UN Programme on AIDS (UNAIDS), UNDP’s work includes the provision of technical assistance, advocacy and strategic information relating to programmes to strengthen and support HIV-related human rights. The Global Fund to Fight AIDS, Tuberculosis and Malaria (‘the Global Fund’) is one of the major financiers of the global AIDS response, providing about 23% of the external funding to programs implemented in developing countries. The framework document of the Global Fund explicitly states that focus on human rights is a key determinant of programs that the Fund will support: “ the Global Fund supports programs that… Aim to eliminate stigmatization of and discrimination against those infected and affected by HIV/AIDS, especially for women, children and vulnerable groups”. Information on stigma and discrimination is required in the proposal form, but there is currently no requirement that other human rights issues be specifically referred to, nor any requirement that HIV-related human rights issues be addressed in terms of programmes or activities.

In 2008 UNAIDS commissioned a mapping (carried out by the International HIV/AIDS Alliance) of the extent to which key HIV-related human rights issues and selected programmes to address these were planned in national HIV strategies (HIV action frameworks), operational plans and approved Global Fund proposals in 54 selected countries. The analysis of 37 approved HIV proposals from Rounds 6 and 7 in the UNAIDS mapping found that there is little consistency in terms of the systemic inclusion of human rights programmes in proposal plans, budgets and performance indicators[1]

The Global Fund has also recently undertaken a mapping of gender related activities in grants from Rounds 1-7. This mapping includes some specific human rights issues within the scope of the analysis. Further, the Global Fund secretariat is currently mapping legal services programmes included in Global Fund grants.

These above-referenced exercises have provided an insight into the role being played by the Global Fund in supporting programmes that address HIV-related human rights issues. They also provide a starting point for this more systemic review and analysis of the extent to which programmes to support HIV-related human rights issues are implemented with support from the Global Fund.

This mapping will develop a methodology for review, and apply this to complete the analysis of the two Global Fund Rounds already partially examined in the previous mapping exercise. The results of the review (including the relevant results of the UNAIDS mapping) will be collated into a database and analysed in terms of the support (planning and implementation) to the selected programmes/activities provided by the Global Fund. Lessons learned from the applied methodology will also be shared and any suggested revisions to the methodology that could inform any future reviews of the grant portfolio.

Round 6 and 7 grants are suitable for this more comprehensive analysis as they are already all in implementation of Phase 1 and will therefore have progress report data available for analysis. Phase 2 review documentation, which is available for a number of the Round 6 grants, will be analysed where available.
 
Objectives

The objectives of the review are to examine the successful Global Fund proposals and grant documents for Rounds 6 and 7 to determine the extent to which:

  • they expressly aim to contribute to the improvement of human rights issues in the context of HIV and include concrete activities, budget and indicators towards such aims; and
  • those activities identified have been implemented and measured to date.

--------------------------------------------------------------------------------

[1] Report: Exercise to Map HIV Related Human Rights Issues as Obstacles, Priorities, Programmes and Activities within Selected Data Sources Relating to the National Response to HIV in 56 Countries. (unpublished, UNAIDS,  March 2009)

Duties and Responsibilities

The review and analysis will be based on thee main tasks:

  • Develop and agree a robust methodology and framework for analysis which captures the scope of HIV-related human rights programmes in Rounds 6 and 7 of the Global Fund grant portfolio.
  • Application of the agreed methodology to conduct a review of Rounds 6 and 7 proposal and grant documents (including Global Fund HIV proposals and respective grant agreements, grant progress reports and score cards) with regards to HIV-related human rights objectives, activities, budgets, and indicators, and the implementation of these activities to date. Note: contractor is responsible for identifying and collating the relevant documents.
  • Analysis of the inclusion of human rights issues in grants, per programme type, income level of country, per HIV epidemic type, per total value of grant, per type of principal recipient and per type of core activity of the grant (treatment, prevention, mitigation) etc.   Analysis to include consideration of any areas of weakness in terms of the planning and implementation of such programmes, and suggestions for actions by the Global Fund, UNAIDS and other key stakeholders to support the scale up of these programmes/activities in Global Fund-funded programs.

 
Scope of data sources to be used

  • All approved Global Fund HIV proposals from Round 6 and 7 (Total number 59, of which 37 already mapped in UNAIDS database)
  • Grant agreements of Round 6 and 7: budgets and performance frameworks of those programs that included human rights issues or activities in the proposal.
  • Progress reports (GPR) of those programs that included human rights issues in the grant budget or performance framework.
  • Phase 2 grant score card of those that included human rights issues in the grant budget or performance framework, and have gone through Phase 2 review (15 Round 6 HIV grants by end October 2009).
  • Database created by the previous mapping exercise of UNAIDS.
  • Database of gender activities mapping in selected proposals, Rounds 6 and 7 data.

 
Outline of methodology (for revision if necessary)

1)     Review of relevant documents by rapid reading and text/word search of key terms that relate to programmes to address HIV-related human rights issues[1].  For example, the review will identify the following types of programmes/activities:

  • Legal support for people living with HIV and members of vulnerable and marginalised groups
  • Legal audits and law reform programmes
  • ‘Know your rights/laws’ campaigns
  • Human rights training for key service providers
  • Stigma and discrimination reduction programmes

 
2)      Once identified in a particular document, the programme/activity is categorized as relating to one of the agreed programme types and the relevant information recorded in a database.

 
3)      Develop a database that records the key information for analysis, including programme information (such as budget, indicators, and implementation progress/performance for each activity/programme identified) as well as other key variables such as country region and epidemic type.

Deliverables

  • Database of programs reviewed, listed and coded according to extent by which they include programmes and activities of the type described above that address HIV-related human rights issues and the key information relating to each such activity/program (such as budget, indicators, stage of implementation and/or performance).
  • Written report (approximately 30 pages), including description of methodology, main findings, analysis of Global Fund support to HIV-related human rights issues and programmes/activities in Round 6 and 7 programs from proposal to implementation and comments and lessons learned report from using the methodology to inform analysis of later rounds.

Timeframe (to be further negotiated with UNDP upon contract offer)

Proposed methodology and framework for analysis by January 15, 2010

Draft review and analysis by February 28, 2010.

Review to be completed by March 15,2010

--------------------------------------------------------------------------------

[1] Terms used in UNAIDS mapping: Human rights, Rights, Stigma, Discrimination, Legal, Litigation, Judiciary, Judges, Legislation, Bill, Law, Supportive Environment, Policy, Empowerment, Confidentiality, Ethics, Advocacy, Consent, Equity, Equality, Inequality, Equality, Gender, Violence, Maringalised/Marginalisation, Homophobia, Property, Inheritance.

Competencies

  • In-depth understanding and experience with Global Fund processes and the database of program documents managed by the Global Fund;
  • A demonstrated ability to develop research methodologies, and carry out high quality research and analysis of HIV-related human rights programmes and activities;
  • Experience in relevant research and analysis of project-related documents
  • Time management and ability to work independently;
  • Excellent communication skills, including report-writing skills.

Required Skills and Experience

  • An advanced degree in human rights or development;
  • At least 2 years of relevant work experience in the area of human rights, HIV and research;
  • Experience in research and data analysis in the field of health and human rights;
  • Understanding of the role and processes of the Global Fund on HIV/AIDS, TB and Malaria
  • Fluency in English and French is required.