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Engaging Communities
   for Health and
    Development
                       From GIPA to MEPA…
                       Meaningful Engagement of People
                       living with and those At-risk of HIV and AIDS




                                Community Engagement Strengthening for the Philippine
                                         HIV Response (CES4PHR) Program

                                      A joint Initiative of the Philippine NGO Support Program (PHANSuP), Inc.
                       and the Philippine National AIDS Council (PNAC) for the Fifth AIDS Medium Term Plan for 2011-2013
                                     supported by the International HIV/AIDS Alliance and the MAC AIDS Fund

                                                                                     Philippine NGO Support Program (PHANSuP), Inc.
....Go to the community
Engaging Communities
   for Health and                  .......Live with them,
    Development
                                   ...........Learn from them
                                   ...................LOVE them


                       Start with what they know, build with what they have.
                       But with the best leaders, when the work is done;
                       the task accomplished, the people will say:


                       "WE HAVE DONE IT
                       OURSELVES”
                                                           Lao Tsu. China, 700 BC

                                                              Philippine NGO Support Program (PHANSuP), Inc.
What is Community Engagement?**

Engaging Communities
                                Deepening our thoughts of what “engagement” is and how it differs from merely
   for Health and               participation and involvement, we have found it useful to see them as separate
    Development                 and distinct; and see involvement and participation as steps on the way to
                                engagement such that:



                                        Engagement…           is about continuous dialogue – the development
                                        and maintenance of relationships and actions between communities and
                                        organisations where decisions, are shared and based on mutual and
                                        growing understanding; and actions are accountable, transparent and
                                        meaningful.

                         Participation…         is about people being active partners in the regeneration of
                         communities – contributing and sharing in the decisions that affect their lives.
                         Participation should enable people to have a degree of power and control in the
                         processes with which they are involved.


             Involvement…              is about involvement in community activities in a variety of different ways.
             Community involvement often starts with agenda and programmes that originate outside the
             community.

                 ** Adopted from: http://changesuk.net/themes/community-engagement/


                                                                                      Philippine NGO Support Program (PHANSuP), Inc.
When claim-holders engage with their duty-bearers,
                           their NEEDS are filled and HUMAN RIGHTS fulfilled
Engaging Communities
   for Health and
    Development                                The Response is
                                               Relationship-based

                   When claim-holders participate in decision-making processes,
                   they are claiming fulfillment of their HUMAN RIGHTS

                                               The Response is
                                               RIGHTS-based

                When people involve themselves in the services provided by
                their duty-bearers, they benefit to fill their NEED

                                               The Response is
                                               NEEDS-based

                                                         Philippine NGO Support Program (PHANSuP), Inc.
“I access services because I have a
                                responsibility to address my own and                       Most
                                my peers‟ HIV risk and vulnerability as                    Empowering
Engaging Communities                    well as my country”
   for Health and
    Development
                         The engagement between the claim-holder and the duty-bearer
                         makes their role as “power-holders” in the response to HIV



                                 “I go to my service providers
                              because it is my right to access the                  Empowering
                               services afforded to me by law”

                        The participation of the community in decision-making makes them
                        as “claim holders” and the service providers as “duty-bearers”



                       “I go to the clinic because I need             Least
                          the services for my illness”                Empowering
                        The involvement of the community makes their role as “need-
                        bearers” and those who provide their needs as “service providers”



                                                                     Philippine NGO Support Program (PHANSuP), Inc.
Engaging Communities
   for Health and
                                   From GIPA to MEPA
    Development



                       greater involvement  meaningful engagement:
                   The meaningful engagement of people living with HIV and those at-
                   risk (MEPA) – is a process in which communities, their groups and
                   leaders are empowered to be “Meaningfully Engaged” to a response
                   that respond to their life issues together with their duty-bearers.
                   Community engagement contribute to the response to HIV and AIDS
                   in all areas of Assessment, Planning, Implementation, Monitoring and
                   Evaluation

                       At PHANSuP, we are „Engaging Communities for
                       Health and Development‟


                                                                Philippine NGO Support Program (PHANSuP), Inc.
Engaging Communities
   for Health and
    Development



                                                    PLHIV

                                     OFWs                    LGBT

                                             PHANSuP’s
                                              7 Key HIV
                                             Community             Male
                                    PWID                           Sex
                                               Groups             Workers

                                                        Female
                                           Street
                                                         Sex
                                           Youth
                                                        Workers




           The MePA Process:
        Meaningful Engagement
        of People Living with and
             those At-Risk of
                HIV/AIDS

                                                                            Philippine NGO Support Program (PHANSuP), Inc.
Community Engagement Mechanism

                                   The Engager:
Engaging Communities
   for Health and
    Development
                                                                          Involvement
                                                                          Outcomes
                                                                          (Needs-based)


             Individual outcomes
             (BCC)
                                                                          Partnership
                                                                          Outcomes
                                                                          (Rights-based)



        Engagement
        Outcomes
        (Relationship-based)



                 Duty bearer:                             Claim holder: Communities
              Government/CSOs

                                                                      Response to HIV or
                                                                       any other issues


                                                    Philippine NGO Support Program (PHANSuP), Inc.
Case Study: Community Engagement for Building a Unified
                                                    (C.E.B.U.) Response Project
                                                                                              Cebu Response Project:
                                              PHANSuP: Community Engager                          MOU signed by
                                                                                            PWID, PLIHIV, Sex Workers
Engaging Communities                                                                        community groups with Local
   for Health and                                                                            Government and PHANSuP
    Development               USAID
                                                                                        Philippine National AIDS Council
                       IHAA
                                                                                           AIDS Society of the Philippines
                 UN Agencies                                                                  Department of Health
                and the UNAIDS



                                                                                                                   PLHIV
       City Health Department

                                                                                                    MSMs and Transgender
         HACT-VSMC
                                                                                                         Male Sex Workers

        Social Hygiene
                                                                                                       Female Sex Workers
            Clinics
           Local NGOs
                                                                                             People Who Inject Drugs

                           Duty bearers:                                   Claim holders:
                         Government/NGO                                    Communities


                                                             5th AIDS Medium Term Plan

                                                                                 Philippine NGO Support Program (PHANSuP), Inc.
4 Pillars of Community Engagement
Engaging Communities
   for Health and
    Development
                         Pillar 1        Pillar 2         Pillar 3                   Pillar 4
                       Constituency     Knowledge         Policy                     Service
                       Development     Management        Advocacy                    Delivery



                                                         Communities
                                       Communities
                                                           articulating            Communities
                           A well-         sharing
                                                           their voices             driving the
                         functioning    experiences
                                                         to campaign                 increased
                        Community-           and
                                                          their causes                uptake of
                           based       transforming
                                                         and influence              services at
                           Groups         these into
                                                             enabling                 the local
                        (CBGs) with         useful
                                                          policies that               providers
                          civically-     knowledge
                                                         engage them                   through
                          engaged       that address
                                                              in the                    social
                          members            their
                                                         development               mobilisation
                                       vulnerabilities
                                                          endeavours


                                                                  Philippine NGO Support Program (PHANSuP), Inc.
Community Groups Engaged in Key Priority Areas for HIV


Engaging Communities
                                                                  Laoag
   for Health and
    Development                                                 Tuguegarao




                           Manila                                          Baguio
                          Quezon City                                     Angeles
                          Pasay City                                      Olongapo
                                                                          Legazpi




                                                                           Ormoc-Tacloban
                         Mindoro
                       Malay-Boracay                                             Cebu
                          Iloilo
                         Bacolod
                                                                                         Cagayan de Oro
                                                                                             Davao
                                                                                          General Santos


                            Zamboanga
                                                                           Philippine NGO Support Program (PHANSuP), Inc.
Communities with Injecting Drug Use Behaviours
                                                                       (People who Inject Drugs)


Engaging Communities
   for Health and                                                 4 CBGs and
    Development
                              3 PROJECT SITES                     4 Service Delivery Champions


                                                                                                   1 Service Delivery
                                                                     2 Community-
                                                                                                   Champion: Social
                                                                     based Groups
                                                                                                     Hygiene Clinic
                         2 Service Delivery Champions:
                        Reproductive Health and Wellness
                       Center and Human Development and
                             Empowerment Services
                                                                                       Cebu
                                                                                       City
             1 Community-
             based Group

                                                                           1 Community-                 1 Service Delivery
                                                                           based Groups                 Champion: Social
                                                                                                          Hygiene Clinic




                            Zamboanga                                                           General
                               City                                                             Santos


                                                                           Philippine NGO Support Program (PHANSuP), Inc.
Communities with High MSM Behaviours in HIV Key Priority Cities
                                                                                                    Gay and Transgender Groups
                                   10 Learning Alliance Hubs                                        Street Youth
                                                                                                    Male Sex Workers
Engaging Communities
   for Health and                                                                                   Pimps of Sex Workers
    Development                                                                                     4 MSM in Cyber Space
                              Baguio, Angeles,                                                      Tourism Frontlines
                                 Olongapo                                                            PLHIV



                          Cities of                                    Bicol Region
                        Manila, Pasay,
                          Quezon


                                                                                                 Tacloban, Orm
                                                                                                   oc, Leyte
                           Laguna, Mindo
                                ro


                                                                                          Cebu, Mandaue,
                                                                                             Lapulapu
                Iloilo, Boracay,
                     BAcolod

                                                                                                          Davao Region

                              Zamboanga
                               Peninsula
                                                                                            General Santos
                                                                                                City

                                                                                      Philippine NGO Support Program (PHANSuP), Inc.
Philippine NGO Support Program, Inc. (PHANSuP)
Engaging Communities
                                         www.facebook.com/phansup
   for Health and
    Development
                       PHANSuP, one of the two pioneer independent national linking
                       organizations of the UK-based International HIV/AIDS Alliance
                       (www.aidsalliance.org) , is a health and development NGO with
                       more than 19 years of solid experience in engaging communities
                       co-create lasting, people-centered solutions to health and
                       development inequities and disparities.


                       PHANSuP and the Philippine National AIDS Council (PNAC)
                       forged a Partnership Agreement on 2 November 2010 aimed to
                       accelerate local responses to HIV and AIDS through the
                       “Community Engagement Strengthening for the Philippine HIV
                       Response (CES4PHR) Program” using PHANSuP’s Framework
                       on “Meaningful Engagement of People Living with HIV and
                       those At-risk (MePA)” as a key strategy in
                       initiating, implementing and sustaining an effective HIV
                       response at the local level.

                                                                Philippine NGO Support Program (PHANSuP), Inc.

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Phansup community engagement framework

  • 1. Engaging Communities for Health and Development From GIPA to MEPA… Meaningful Engagement of People living with and those At-risk of HIV and AIDS Community Engagement Strengthening for the Philippine HIV Response (CES4PHR) Program A joint Initiative of the Philippine NGO Support Program (PHANSuP), Inc. and the Philippine National AIDS Council (PNAC) for the Fifth AIDS Medium Term Plan for 2011-2013 supported by the International HIV/AIDS Alliance and the MAC AIDS Fund Philippine NGO Support Program (PHANSuP), Inc.
  • 2. ....Go to the community Engaging Communities for Health and .......Live with them, Development ...........Learn from them ...................LOVE them Start with what they know, build with what they have. But with the best leaders, when the work is done; the task accomplished, the people will say: "WE HAVE DONE IT OURSELVES” Lao Tsu. China, 700 BC Philippine NGO Support Program (PHANSuP), Inc.
  • 3. What is Community Engagement?** Engaging Communities Deepening our thoughts of what “engagement” is and how it differs from merely for Health and participation and involvement, we have found it useful to see them as separate Development and distinct; and see involvement and participation as steps on the way to engagement such that: Engagement… is about continuous dialogue – the development and maintenance of relationships and actions between communities and organisations where decisions, are shared and based on mutual and growing understanding; and actions are accountable, transparent and meaningful. Participation… is about people being active partners in the regeneration of communities – contributing and sharing in the decisions that affect their lives. Participation should enable people to have a degree of power and control in the processes with which they are involved. Involvement… is about involvement in community activities in a variety of different ways. Community involvement often starts with agenda and programmes that originate outside the community. ** Adopted from: http://changesuk.net/themes/community-engagement/ Philippine NGO Support Program (PHANSuP), Inc.
  • 4. When claim-holders engage with their duty-bearers, their NEEDS are filled and HUMAN RIGHTS fulfilled Engaging Communities for Health and Development The Response is Relationship-based When claim-holders participate in decision-making processes, they are claiming fulfillment of their HUMAN RIGHTS The Response is RIGHTS-based When people involve themselves in the services provided by their duty-bearers, they benefit to fill their NEED The Response is NEEDS-based Philippine NGO Support Program (PHANSuP), Inc.
  • 5. “I access services because I have a responsibility to address my own and Most my peers‟ HIV risk and vulnerability as Empowering Engaging Communities well as my country” for Health and Development The engagement between the claim-holder and the duty-bearer makes their role as “power-holders” in the response to HIV “I go to my service providers because it is my right to access the Empowering services afforded to me by law” The participation of the community in decision-making makes them as “claim holders” and the service providers as “duty-bearers” “I go to the clinic because I need Least the services for my illness” Empowering The involvement of the community makes their role as “need- bearers” and those who provide their needs as “service providers” Philippine NGO Support Program (PHANSuP), Inc.
  • 6. Engaging Communities for Health and From GIPA to MEPA Development greater involvement  meaningful engagement: The meaningful engagement of people living with HIV and those at- risk (MEPA) – is a process in which communities, their groups and leaders are empowered to be “Meaningfully Engaged” to a response that respond to their life issues together with their duty-bearers. Community engagement contribute to the response to HIV and AIDS in all areas of Assessment, Planning, Implementation, Monitoring and Evaluation At PHANSuP, we are „Engaging Communities for Health and Development‟ Philippine NGO Support Program (PHANSuP), Inc.
  • 7. Engaging Communities for Health and Development PLHIV OFWs LGBT PHANSuP’s 7 Key HIV Community Male PWID Sex Groups Workers Female Street Sex Youth Workers The MePA Process: Meaningful Engagement of People Living with and those At-Risk of HIV/AIDS Philippine NGO Support Program (PHANSuP), Inc.
  • 8. Community Engagement Mechanism The Engager: Engaging Communities for Health and Development Involvement Outcomes (Needs-based) Individual outcomes (BCC) Partnership Outcomes (Rights-based) Engagement Outcomes (Relationship-based) Duty bearer: Claim holder: Communities Government/CSOs Response to HIV or any other issues Philippine NGO Support Program (PHANSuP), Inc.
  • 9. Case Study: Community Engagement for Building a Unified (C.E.B.U.) Response Project Cebu Response Project: PHANSuP: Community Engager MOU signed by PWID, PLIHIV, Sex Workers Engaging Communities community groups with Local for Health and Government and PHANSuP Development USAID Philippine National AIDS Council IHAA AIDS Society of the Philippines UN Agencies Department of Health and the UNAIDS PLHIV City Health Department MSMs and Transgender HACT-VSMC Male Sex Workers Social Hygiene Female Sex Workers Clinics Local NGOs People Who Inject Drugs Duty bearers: Claim holders: Government/NGO Communities 5th AIDS Medium Term Plan Philippine NGO Support Program (PHANSuP), Inc.
  • 10. 4 Pillars of Community Engagement Engaging Communities for Health and Development Pillar 1 Pillar 2 Pillar 3 Pillar 4 Constituency Knowledge Policy Service Development Management Advocacy Delivery Communities Communities articulating Communities A well- sharing their voices driving the functioning experiences to campaign increased Community- and their causes uptake of based transforming and influence services at Groups these into enabling the local (CBGs) with useful policies that providers civically- knowledge engage them through engaged that address in the social members their development mobilisation vulnerabilities endeavours Philippine NGO Support Program (PHANSuP), Inc.
  • 11. Community Groups Engaged in Key Priority Areas for HIV Engaging Communities Laoag for Health and Development Tuguegarao Manila Baguio Quezon City Angeles Pasay City Olongapo Legazpi Ormoc-Tacloban Mindoro Malay-Boracay Cebu Iloilo Bacolod Cagayan de Oro Davao General Santos Zamboanga Philippine NGO Support Program (PHANSuP), Inc.
  • 12. Communities with Injecting Drug Use Behaviours (People who Inject Drugs) Engaging Communities for Health and 4 CBGs and Development 3 PROJECT SITES 4 Service Delivery Champions 1 Service Delivery 2 Community- Champion: Social based Groups Hygiene Clinic 2 Service Delivery Champions: Reproductive Health and Wellness Center and Human Development and Empowerment Services Cebu City 1 Community- based Group 1 Community- 1 Service Delivery based Groups Champion: Social Hygiene Clinic Zamboanga General City Santos Philippine NGO Support Program (PHANSuP), Inc.
  • 13. Communities with High MSM Behaviours in HIV Key Priority Cities Gay and Transgender Groups 10 Learning Alliance Hubs Street Youth Male Sex Workers Engaging Communities for Health and Pimps of Sex Workers Development 4 MSM in Cyber Space Baguio, Angeles, Tourism Frontlines Olongapo PLHIV Cities of Bicol Region Manila, Pasay, Quezon Tacloban, Orm oc, Leyte Laguna, Mindo ro Cebu, Mandaue, Lapulapu Iloilo, Boracay, BAcolod Davao Region Zamboanga Peninsula General Santos City Philippine NGO Support Program (PHANSuP), Inc.
  • 14. Philippine NGO Support Program, Inc. (PHANSuP) Engaging Communities www.facebook.com/phansup for Health and Development PHANSuP, one of the two pioneer independent national linking organizations of the UK-based International HIV/AIDS Alliance (www.aidsalliance.org) , is a health and development NGO with more than 19 years of solid experience in engaging communities co-create lasting, people-centered solutions to health and development inequities and disparities. PHANSuP and the Philippine National AIDS Council (PNAC) forged a Partnership Agreement on 2 November 2010 aimed to accelerate local responses to HIV and AIDS through the “Community Engagement Strengthening for the Philippine HIV Response (CES4PHR) Program” using PHANSuP’s Framework on “Meaningful Engagement of People Living with HIV and those At-risk (MePA)” as a key strategy in initiating, implementing and sustaining an effective HIV response at the local level. Philippine NGO Support Program (PHANSuP), Inc.