Mbn hiv/aids evaluation final report Team of consultants


Malawi Status of WPP



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Malawi

Status of WPP

Some comments

Role of CFAs

ICOCA (CORDAID)

No WPP

Senior manager is drafting an action plan to acquire funding for internal mainstreaming

Workshop on WPP development

YONECO (HIVOS)

In draft




Workshop on WPP development (’05)


Lilongwe Diocese (Plan)

In draft




No role of CFA

JOPM (NOVIB)

Active WPP

Including access to ART, ensuring confidentiality, condoms available

Workshops on WPP development


Mulanje Mission Hospital (ICCO)

Draft WPP of CHAM

WPP not approved by CHAM Board, but senior management of MMH intends to put draft into practice as from 2006

Workshop on WPP development

Plan country office

In draft








Zuid-Afrika

Status of WPP

Some commends

Role of CFAs

ALP (HIVOS)

WPP at the university

WPP not known by all staff

Condoms available



No role of CFA

ALP supports WPP development in other organisations




AFSA (ICCO)

Active WPP

Including access to treatment

Condoms available



No role of CFA, costs are covered by budget support of ICCO


St. Joseph Care (CORDAID)

Active WPP

Not including access to treatment due to lack of funding

No role of CFA

SWEAT (NOVIB)

Draft WPP

Waiting approval of board of directors, implementation plan not developed yet

Condoms available



5000 EUR NOVIB, used for development of WPP and implementation plan


The Black Sash (CORDAID)

WPP




Assisted by CDRA (partner of Cordaid)

NISAA (NOVIB)

WPP, action plan in draft

Problems with funding

Staff started income generating projects to create a fund for treatment costs



No condoms available (are not actively promoted in the NISAA approach)


5000 EUR of Novib, used to elaborate implementation plan

OLIVE (CORDAID)

Active WPP

Much AIDS work with staff

Additional funding

Positive Muslims (NOVIB)

WPP approved by executive committee (2005), currently working on the implementation






Development of WPP was a prerequisite for the funding by Novib

SACBC AIDS desk (CORDAID)

No info







PCRD, Port Elizabeth (ICCO)

draft WPP and action plan

Discussion with staff still has to be started, monitoring system will be set up

Include access to treatment


Other donor (Bread for the world) facilitated this process

SEF (HIVOS)

Draft WPP

Senior management still has to be consulted, but policy informally in place (including access to treatment, relatives not included in policy) Budget covers costs for treatment for 5 persons/year.


No info

SCLC Southern cape (NOVIB)

Draft WPP

Revision of the WPP drafted in 2002

Other donor (Africa Group Sweden) facilitated the process (workshops and funding)

5000 EUR of Novib




Zimbabwe

Status of WPP

Some comments

Role of CFAs

Safaids (HIVOS)

Active WPP

Including access to treatment, SAfAIDS taskforce undertakes IGAs to fund expenses of HIV+ staff members not covered by insurance.

CFA pays additional medical insurance coverage


WASN (HIVOS – now Novib)

Draft WPP

draft WPP was never finalised, but principles are being implemented

Initiated by CFA, CFA pays additional medical insurance coverage (partnership ended). Another CFA will take over this responsibility on condition that WASN finalises the WPP


Tsungirirai (NOVIB)

No WPP

senior staff participated in the workshop. Senior management intend to start process soon.

Workshop on WPP,

Funds are available to support this process




Arise (Plan)

No WPP

Lack of capacity and funds

The program coordinator participated in a workshop organised by TROCAIRE in April 05, where the issue was raised. Plan Zimbabwe allocated a budget for capacity building on financial management


Jekesa Pfungwa (ICCO)

Draft WPP since ‘05

Waiting for feedback from the board, lack of capacity and funds to develop implementation plan

Partners are reluctant to ask the CFA for additional financial support

FACT (ICCO)

Active WPP

When ARVs become available FACT shall facilitate the enroment of an employee onto a project that provides and administer these

No info




India

Status of WPP

Some comments

Role of CFAs

GAP (CORDAID)

No WPP

GAP established a fund to pay for ARVs for staff and clients

No info

SIAAP (HIVOS)

No WPP

Same as above

Workshop SAN, member of core group that will take it further

ACHDS 5ICCO)

No WPP







NESA (NOVIB°

No WPP







APSA (CORDAID)

No WPP







INSA (ICCO)

No WPP







Samuha (Plan)

Active WPP

Including care and support for infected staff and their families, access to treatment

No role

Asha (ICCO)

No WPP




No info



Table 16b: Synthetic table of WPP development by counterparts (n=32)




Southern Africa (#24)

India (# 8)

No workplace policy

4

7

Workplace policy in draft

10

0

Active workplace policy

10

1

Most counterparts in Southern Africa (10 out of 24) are in a process of developing an HIV/AIDS workplace policy (including services and assistance to their staff). Ten counterparts were implementing the principle of the workplace policy but had no written implementation plan, indicators or related budget attached to the policy document (except AFSA in South Africa and Safaids in Zimbawe). On many occasions the process of workplace development was initiated by the CFAs through the organisation of workshops on workplace development, and -to a certain extent- the availability of additional funds. The (pro-active) contribution of the CFAs is very much appreciated by the counterparts. All counterparts acknowledge the importance of internal mainstreaming regarding the functioning of the organisation.


Table 17: Synthetic table of WPP development by counterparts in Southern Africa (n=24)




HIV/AIDS specific organisations (n=14)

Generalist organisations (n=10)

Total

(n=24)

No workplace policy

4

0

4

Workplace policy in draft

4

6

10

Active workplace policy

6

4

10

In Southern Africa, where most of the counterparts have drafted or are implementing WPP, there are no major differences between WPP development within HIV/AIDS specific organisations and the generalist organisations.


In India, organisational vulnerability to the impact of HIV/AIDS is limited to date because of the stage of the epidemic. The understanding of internal mainstreaming has not yet materialised in the Indian context (except Samuha/Samraksha and INSA. The latter has been well aware since over 10 years of issues around organisational vulnerability to HIV/AIDS but has not developed a WPP yet). None of the visited counterparts, with the exception of Plan’s partner Samuha/Samraksha, had developed a HIV/AIDS workplace policy or specifically undertaken AIDS work with staff. From the discussions there was a general understanding among the counterparts that their ‘work-related’ trainings for staff on HIV/AIDS and STD would also automatically contribute to a decrease in staff susceptibility to HIV. The South African experience shows that this automatism is not working.

A workshop was recently organised by SAN and took place two weeks before the evaluation visit. Novib and ICCO organised workshops on internal and external mainstreaming for counterparts in the North of India, starting in 2004.


The process leading to HIV/AIDS workplace policies include discussions and awareness raising activities with staff (with differences in intensity between counterparts). Approval by the board and additional costs are important bottlenecks (board that is reluctant taking into account the additional costs; in faith-based organisations the board was reluctant due to the content that was not in conformity with the promotion of condoms).

As workplace policies have not yet been actively implemented and monitored it is not possible to assess to what extent reduced denial and stigmatisation at the workplace have been reported. Based on the interviews and focus groups discussion, the evaluators are of the opinion that in Southern Africa as well as in India, there are barriers to an effective implementation of the workplace policy due to a fear of testing by staff members, a fear of disclosure or reluctance to openly discuss the impact of HIV/AIDS on personal lives amongst staff and management (some exceptions like AFSA, NISAA and SWEAT in South Africa and SAfAIDS and WASN in Zimbabwe). This observations concerns HIV/AIDS focussed as well as generalist organisations. The evaluators could not observe (based on interviews and analysis of reports) that gender relations have been discussed during the internal discussions leading to draft workplace policies.



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