Global Report on Results
Overall goal: Improved quality of life for people living with or affected by HIV and AIDS
Between 2011 and 2014, NCA provided medical assistance and social and economic support for almost 50,000 people living with or affected by HIV and AIDS in seven countries. For many of these rights-holders, the quality of life has improved.
Buddhist Monks in Vietnam enabled to carry out social work
By focusing on faith-based partners in the implementation of projects, their competence on HIV and AIDS related issues has increased. Faith actors have used their outreach potential to play a major role in delivering services to people infected and affected by HIV. Some of the most outstanding results are found in Southeast Asia, where NCA has mobilised faith-based actors to deliver care and support to those directly affected by the epidemic, and also to provide other health and social services. This case focuses on NCA’s work with religious actors in Vietnam and how this support has enabled some of them to carry out on social work.
NCA Vietnam has gradually been building partnerships and working to increase the participation of religious actors in fighting stigmatisation and discrimination related to HIV and AIDS in local communities. Stigmatisation is a barrier to effective HIV prevention and treatment programmes and causes poor adherence to prevention and treatment services. NCA has focused on developing the organisational capacity of FBOs through facilitating their legal registration and creating an enabling and supportive environment for them in civil society. The quality and results of the work done on HIV and AIDS by NCA and partners has led to a new recognition and space for FBOs to engage in social work, after being restricted from this since 1975. Through the support of NCA, the faculty of social work of the Buddhist University (BU) in Ho Chi Minh City was re-established in 2012 and NCA has since assisted the BU in teacher training and the development of curricula. The training courses for Buddhist monks and nuns are expected to make a difference in their perception, skills, working methods and approaches towards development and social work, establishing a broader platform than the traditional model of charity work. This will be the foundation for mainstreaming social work in the Buddhist educational system. In the 3rd quarter of 2015, the first 37 students will graduate and become social workers and social mobilisers of Buddhist pagodas and institutions across Vietnam, providing health care services including psychosocial care. In addition to developing the capacity of FBO partners, NCA has initiated demonstration models on promoting comprehensive care for People Living With HIV (PLWH). The contribution and involvement of FBO partners and rights-holders have created sustainable and accountable models for target groups. Some successful models are: the establishment of a referral system; the revolving loan scheme for PLWH; and models on life skills education for children. These models are now owned, maintained and still being replicated by FBOs, local NGOs and communities.
Another groundbreaking result was the establishment and registration of three organisations as CSOs (two of these faith-based/Buddhist) during the reporting period, with the help of NCA’s legal and diplomatic support. These CSOs are now able to implement projects on treatment and care for PLWH. Hai Duc and Phap Bao centres are the first FBOs in Vietnam to be registered as CSOs, and are eligible to receive direct international funding for their work and to develop their organisations. A third achievement was the change of national and religious laws, policies and regulations that previously discriminated against PLWH, a change which can be attributed to joint advocacy efforts by NCA and 54 FBOs and other CSOs.
NCA’s global Social Mitigation of HIV and AIDS programme has a major focus on service delivery, in the form of care, support and life skills training to vulnerable people. This focus has been an important contribution to promoting human dignity and justice. Faith-based actors have played important roles in this work, and have contributed to reducing stigmatisation and discrimination.
Contrary to the objectives outlined in NCA’s Global Strategy (2011-2015), very few of the country programmes working on HIV and AIDS have developed strong components on mobilisation of rights-holders to claim their rights and advocacy towards duty-bearers to fulfil these rights. There are some exceptions, such as the Vietnam programme, but most programmes have first and foremost been basic service delivery programmes with an additional focus on awareness-raising and activities aimed at reducing stigmatisation and discrimination. In some contexts, such as Angola, this situation was due to the fact that there still is pervasive stigmatisation of PLWHA, which made it difficult to mobilise PLWA to demand their rights from duty-bearers. Limited funding possibilities for HIV and AIDS projects have also been a challenge for programme development in countries like Angola and Ethiopia. A third reason for this lack of focus on rights-based strategies such as mobilisation and advocacy within the HIV and AIDS work is that many of the countries in which NCA works are characterised by a low level of knowledge and awareness among the population on HIV and AIDS. There is also often a lack of adequate social services offered by the government for PLWHA. Therefore, NCA’s partners have seen the need for them to continue providing basic service delivery accompanied with information and education activities. Because of these limitations, the results under the global HIV and AIDS programme are rather limited.
NCA will not carry forward a separate HIV and AIDS programme in the next strategy.
Achieved in Vietnam and Malawi. The HIV and AIDS epidemic is feminised and by addressing gender inequalities in Malawi a change in increased male participation in community-based care for PLWHA is seen. 40% of caregivers are now men compared to 5% before the project started.
Achieved in Vietnam and Malawi, not fully achieved in Angola. In Angola partner interventions lacked a rightsbased approach, which could challenge power relations or injustice faced by the PLWHA. Partners had limited results in addressing the exclusion of PLWHA within their own religious communities nor in the wider society.
Achieved in Ethiopia, Thailand and Vietnam. In Malawi NCA has supported an Access to Drugs campaign. This resulted in empowerment of communities to hold duty-bearers accountable over promises made in relation to availability of drugs and medicine at health facility level.
This global outcome was not selected by any of the countries working on this global programme.
Achieved in all countries. The access to PTCM services has increased in all countries and education and livelihood projects have increased access to school for OVC and secured income for families affected and infected by HIV. In Thailand, NCA and partners developed different models where PLWHA are producing different products like fish and mushroom. This has secured their income and their children can continue their schooling.
Achieved in Laos, Ethiopia and Malawi. In Malawi, NCA supported sessions with couples on sex and sexuality. Couples were sensitised on stereotypical gender norms, roles and relations that predispose them to HIV infection. The sessions resulted in improved mutual faithfulness among couples.Back