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CSO Workshop – 6
December 2013
Human rights risk
Timeline
February 2014
CSO Workshop – 6
December 2013
Global Fund Strategy
The Global Fund Strategy, Investing for Impact 2012-2016,
commits to protecting and promoting human rights by:
– Integrating human rights considerations throughout the
grant cycle,
– Ensuring the Global Fund does not support programs that
infringe human rights, and
– Increasing investment in programs that address human
rights barriers to accessing health services.
2
CSO Workshop – 6
December 2013
July 2013-December 2014
Transparency, accountability, participation
- Timeline and process posted online
- Staff and Human Rights Reference Group work together
- Biweekly Secretariat brown-bag discussions
Review and develop measures to manage risk of programs violating human
rights
Develop guidance and tools on
human rights for the New Funding
Model
Capacity-building
Communications
Phase 2 (2014)
Address risk of rights violations
Phase 1 (2013)
Investments to address barriers to
access
Human rights at the Global Fund: Timeline to implement the strategy
CSO Workshop – 6
December 2013
Timeline in detail
4
July
2013
Phase 1:
Investments
Focal points
training & manual
Brown-bag
series
Human rights in
staff induction
Country profiles
Human Rights
Info Note
TERG review
Portfolio review
Phase 2:
Human rights
risk
Research and
workshop
New standards &
procedures
Dec
2013
May
2014
Dec
2014
Completed Feb 2014
TBC
April 2014
May 2014
SIIC
TBD
Board
TBD
TBC
March 2014
CSO Workshop – 6
December 2013
Human rights risk working groups
Internal risk group
• CRG
• OIG
• Legal
• GMD
• ORM
• Procurement
5
External groups
• Privileges and Immunities
Convention
• Aid accountability at other donors
• Conflict areas/fragile states
• Prisons and closed settings
• Torture in health care settings
• Developing Country NGO
Delegation – community
consultations to begin soon
• Others… ?
CRG
Link between both groups
CSO Workshop – 6
December 2013
Two broad areas of human rights risk:
Environmental
Beyond direct control of PRs and
SRs, addressed through
human rights interventions
• Criminalization of key populations
• Weak or no rule of law – courts do not function
independently, or do not work at all
• Gender-based violence
• Discrimination by employers, schools
• No harm reduction services
• NGOs not allowed to register, open bank
accounts
• LGBT, AIDS advocates jailed
• Policing practices
• Conflict, war
• Etc…
Programmatic
Managed through selection of PRs
and SRs, or through contractual
relationships with them
• Treatment that constitutes torture, is inhumane
or degrading
• Use of scientifically unsound practices
• Forced sterilization
• Coercive testing and treatment (without
informed consent)
• Chaining patients, locked rooms
• Violations of medical confidentiality
• Other issues in discussion with GF Human Rights
Reference Group
6
CSO Workshop – 6
December 2013
Assess and manage environmental risk through grant design
2. Interventions from Human Rights Information Note
Use a rights-based approach to health service
design and delivery
• Consult with key populations, women
• Put the patient at the center, tailor services
to patient needs, integrate services with
local community
Package of interventions to remove legal
barriers to accessing health services
• Legal environment assessment and law
reform
• Legal literacy and legal aid
• Rights training for officials, health workers,
and police
• Community-based monitoring
• Policy advocacy and social accountability
Examples
• Zambia’s prisons have inmate TB peer
educators who assist with outreach,
screening and testing
• South Africa’s prisons have prisoner support
groups who monitor treatment access
• Myanmar networks of PLHIV and key
populations will monitor cases of medical
discrimination against PLHIV and TB patients,
and share them with a national law reform
working group of civil society and MPs
• Indonesian civil rights group LBH Masyarakat
trains people who inject drugs to be
community paralegals who advise their peers
• Legal aid services for MSM charged under
sodomy laws in Cameroon
CSO Workshop – 6
December 2013
Develop policies and procedures to address programmatic rights risks
• Establish minimum standards for grant recipients
• Developing draft standards in consultation with Human Rights Reference Group, OIG,
Legal, etc.
• Office of the Inspector General is already accepting human rights complaints on its
whistle-blower hotline
• Questions raised in discussions about how to handle future allegations of abuses
• Who receives allegations? Who investigates?
• What falls within Global Fund mandate? What can the Secretariat and the OIG
investigate?
• What is the role of the CCM?
• What is role of technical partners, civil society?
• What is role of LFAs?
• What steps should be taken to investigate and manage allegations?
• What procedures will be followed if allegations are found to be true?
• What additional needs will there be for training and resourcing the Secretariat and the
OIG?

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Implementing Human Rights at the Global Fund

  • 1. CSO Workshop – 6 December 2013 Human rights risk Timeline February 2014
  • 2. CSO Workshop – 6 December 2013 Global Fund Strategy The Global Fund Strategy, Investing for Impact 2012-2016, commits to protecting and promoting human rights by: – Integrating human rights considerations throughout the grant cycle, – Ensuring the Global Fund does not support programs that infringe human rights, and – Increasing investment in programs that address human rights barriers to accessing health services. 2
  • 3. CSO Workshop – 6 December 2013 July 2013-December 2014 Transparency, accountability, participation - Timeline and process posted online - Staff and Human Rights Reference Group work together - Biweekly Secretariat brown-bag discussions Review and develop measures to manage risk of programs violating human rights Develop guidance and tools on human rights for the New Funding Model Capacity-building Communications Phase 2 (2014) Address risk of rights violations Phase 1 (2013) Investments to address barriers to access Human rights at the Global Fund: Timeline to implement the strategy
  • 4. CSO Workshop – 6 December 2013 Timeline in detail 4 July 2013 Phase 1: Investments Focal points training & manual Brown-bag series Human rights in staff induction Country profiles Human Rights Info Note TERG review Portfolio review Phase 2: Human rights risk Research and workshop New standards & procedures Dec 2013 May 2014 Dec 2014 Completed Feb 2014 TBC April 2014 May 2014 SIIC TBD Board TBD TBC March 2014
  • 5. CSO Workshop – 6 December 2013 Human rights risk working groups Internal risk group • CRG • OIG • Legal • GMD • ORM • Procurement 5 External groups • Privileges and Immunities Convention • Aid accountability at other donors • Conflict areas/fragile states • Prisons and closed settings • Torture in health care settings • Developing Country NGO Delegation – community consultations to begin soon • Others… ? CRG Link between both groups
  • 6. CSO Workshop – 6 December 2013 Two broad areas of human rights risk: Environmental Beyond direct control of PRs and SRs, addressed through human rights interventions • Criminalization of key populations • Weak or no rule of law – courts do not function independently, or do not work at all • Gender-based violence • Discrimination by employers, schools • No harm reduction services • NGOs not allowed to register, open bank accounts • LGBT, AIDS advocates jailed • Policing practices • Conflict, war • Etc… Programmatic Managed through selection of PRs and SRs, or through contractual relationships with them • Treatment that constitutes torture, is inhumane or degrading • Use of scientifically unsound practices • Forced sterilization • Coercive testing and treatment (without informed consent) • Chaining patients, locked rooms • Violations of medical confidentiality • Other issues in discussion with GF Human Rights Reference Group 6
  • 7. CSO Workshop – 6 December 2013 Assess and manage environmental risk through grant design 2. Interventions from Human Rights Information Note Use a rights-based approach to health service design and delivery • Consult with key populations, women • Put the patient at the center, tailor services to patient needs, integrate services with local community Package of interventions to remove legal barriers to accessing health services • Legal environment assessment and law reform • Legal literacy and legal aid • Rights training for officials, health workers, and police • Community-based monitoring • Policy advocacy and social accountability Examples • Zambia’s prisons have inmate TB peer educators who assist with outreach, screening and testing • South Africa’s prisons have prisoner support groups who monitor treatment access • Myanmar networks of PLHIV and key populations will monitor cases of medical discrimination against PLHIV and TB patients, and share them with a national law reform working group of civil society and MPs • Indonesian civil rights group LBH Masyarakat trains people who inject drugs to be community paralegals who advise their peers • Legal aid services for MSM charged under sodomy laws in Cameroon
  • 8. CSO Workshop – 6 December 2013 Develop policies and procedures to address programmatic rights risks • Establish minimum standards for grant recipients • Developing draft standards in consultation with Human Rights Reference Group, OIG, Legal, etc. • Office of the Inspector General is already accepting human rights complaints on its whistle-blower hotline • Questions raised in discussions about how to handle future allegations of abuses • Who receives allegations? Who investigates? • What falls within Global Fund mandate? What can the Secretariat and the OIG investigate? • What is the role of the CCM? • What is role of technical partners, civil society? • What is role of LFAs? • What steps should be taken to investigate and manage allegations? • What procedures will be followed if allegations are found to be true? • What additional needs will there be for training and resourcing the Secretariat and the OIG?