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Week 1: The role of the Global Fund at the national level [21-28 April]
Last post 05-22-2008 6:12 PM by Flo. 15 replies.
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  • 05-22-2008 6:12 PM

    • Flo


    • Top 200 Contributor
    • 04-14-2008
    • United Kingdom
      Not currently affiliated with the Global Fund
    • Posts 2

    Re: Week 1: The role of the Global Fund at the national level [21-28 April]

    I have read some exciting razor sharp and fine contributions from various countries through past and current experiences. Gender disparities still exist but should be a thing of the past now that the globe has moved from dark ages to a world of technology and science that has helped nations to move on. The past should now be our experience to build on, closing the gaps and to improve on in this era. Therefore, issues like inequality, race and ethnicity problems, culture and beliefs problems, language barriers and its problems, and finally sexuality should have been corrected to suit and fit our respective nations. By now, we should be having a powerful reservoir of knowledge: a think-tank to share and enrich ourselves from, and to draw from. Human coexistence remains a problem globally due to unavailability of wisdom of coexistence in our countries.
     
    In my dream, I pray for nations that are void of greed, evil and hate. My contribution is that, the GF should detect terms of references on:
     
    (a) the use of funds at national and regional levels;
     
    (b) eligibility should be through thorough scrutinized procedures and on adherence to GF set standards, defined tasks and roles, set targets and deadlines for completion of tasks, clearly defined aims and objectives should be agreed by GF;
     
    (c) evaluation and audit should be spearheaded by GF to avoid theft;
     
    (d) transparency in the use of funds both at national and regional levels must be checked by GF and accounts should be made available for checks by any organizations willing to;
     
    (e) strict rules and regulations on recruitment of subjects should be monitored by GF;
     
    (f) private interviews of subjects must be part of a checks and balances of procedures by GF to discourage harassment and bullying, gender disparities, discrimination against the sick, e.g. HIV/AIDS, disabled, on religious grounds, on tribal grounds, poverty status, illiteracy, and literally physical force and stigmatization of participants, a serious act still largely practiced by some countries with impunity.
     
    However, GF Education Workshops at national and regional levels attempting to narrow the inequalities gap in health beliefs, language, interviewers vs. interviewing, project management, race and ethnicity, women issues, sexuality, disability, religions and discrimination of any kind or form: is essential towards narrowing these gaps, defining new understanding that is necessary in research work to identify socioeconomic and dermographic indicatiors which may be useful in dealing with health disparities too. Programmes that are relevant to stakeholders and those that are community-oriented would certainly boost participation at all levels.
     
    I thank you All.
     
    Flo
  • 05-20-2008 2:35 PM

    Re: Week 1: The role of the Global Fund at the national level [21-28 April]

    We invite you to post your contributions directly to the forums.

    Dear members,

    Please find below the contribution from Jane from Nigeria.

    Thank you for your contribution!

    Alastair
    e-Forum Facilitator


    First, try to get the gender needs assessment. Identify gender sensitive activists and use them for program planning and implementation.

    Develop the capacity of women through equal opportunity to Education, Job Opportunity/Employment. There is a saying that goes: If you are poor, you are disadvantage, if you are poor and a woman, you are doubly disadvantaged. Again most laws and customs support women discrimination, hence the need for women empowerment. Initiating, establishing and funding skills acquisition programs for women. Addressing Heritage issues, give attention to community participation/ advocacy that carry gender messages.

  • 05-19-2008 5:04 PM

    Re: Week 1: The role of the Global Fund at the national level [21-28 April]

    We invite you to post your contributions directly to the forums.
     
    Dear e-Forum 2008 members,
     
    please find below a contribution made by ASHISH SRIVASTAVA from India.
     
    Best regards,
    Facilitator MyGlobalFund.org



    Regarding gender sensitive approach & resposiveness all three mechanisms are important for strong & more effective partnership for sustained impact. In gender sensitive program planning new gender aspect can include improved overall nutrition& bio-availability for lactating mothers & undernourished,under weight female childrens. Understanding of genetic factors , differential resistence to diseases,prevention of gender sensitive cultural& traditional practices.
     
    Business models, TRP,can also help in elimination of mal-practices of gender sensitive approach.Business models should be related to improving socio-economic condition of marginalised ,gender condition vulnerable to climatic condition,socio-legal rights of infrastructure natural& productive resources,civil society participation with rural community focussing on gender sensitive approach.

    Business models should ensure better access to markets,improved working& service condition, legal aid in the unorganised  business
    sector& basic services, literacy level, adult education,universal primary education. TRP& Board are tecnical concepts which are very useful in prevention strategies& treatment ,awareness, behavioural change ,capacity building & health care provision in gender sensitive approaches & responsiveness.

    Other mechanism can include humanitarian approaches with administration support, organisation that are gender sensitive may
    catalyse& encourage gender responsiveness, country corporate leader-ship,basic services education,health, financial infrastructure
    & universal benefit.

    THANKYOU
                                      ASHISH SRIVSTAVA
                              EX-International marketing
                                c.c.m(SEAR-INDIA)81237 
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  • 05-11-2008 8:25 AM

    • hilarystanding


    • Top 150 Contributor
    • 04-19-2008
    • United Kingdom
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    • Posts 3

    Re: Week 1: The role of the Global Fund at the national level [21-28 April]

    I have read with interest the comments posted on this question. I think that many of them point in the same direction - i.e. to the need to contextualise gender and any associated sensitivity in ways that make sense to those involved in operational programmes. I would suggest that the current guidelines - although a big step forward - do not really help people to do that. There are several reasons for this.
     
     
    First, they are too abstract. it is difficult for non-gender specialists to relate to a document that provides no examples to help the reader to understand the point. Second, as one commentator has already pointed out, and especially in the context of risk factors for HIV and cultural understandings of sexuality, the simple distinctions between sex and gender and "men and "women" are not helpful for sexual health programming. Third, the matrix - which focuses only on access issues - is very hard to fill in, both because of these simple dichotomies and because clear distinctions between these levels do not exist in practice. Fourth, the focus solely on service access as the determinant of gender inequality misses a whole lot of things that have a gendered component, e.g. "voice" and decision making, the gendered nature of the health care economy (women are major producers as well as consumer of health care).
     
    The guidelines would be more useful with a) an updated understanding of concepts of gender and health, b) a set of practical examples drawn for the three areas of taking a gendered approach in response to different problems and c) some practical examples of indicators that have worked well in specific contexts (e.g. how to track gender where HMIS data are poor or very limited). These could also be cross-referenced to health systems guidance.
     
    thank you for this opportunity to comment on the GF efforts to incorporate gender
     
    hilary standing
    Institute of Development Studies
    University of Sussex
    UK Visiting Professor
    BRAC University James P.Grant School of Public Health
    Dhaka, Bangladesh
  • 05-07-2008 12:30 AM

    Re: Week 1: The role of the Global Fund at the national level [21-28 April]

    Gender-aware research for development is a valuable tool to identify ways in which women and men are affected by processes of farm-level technological change and also ways in which gender biases in institutions, affect the implementation and outcome of agricultural reform policies.
     
    • Developing labour-saving technologies can particularly enhance major social and economic benefits for women and their families. Thus any endeavor for R4D can be successful only if technology preferences are analyzed critically from a gender perspective. 
    • The findings shed light on the linkages between gender, poverty and technology demand-responsiveness. Better sustained use of agricultural technological packages are significantly associated with a better gender and poverty sensitivity in the demand-responsiveness of projects, user influence and control over project implementation, sharing of research operational work and benefits during operation, and user (men, women) satisfaction. The current supply- driven agenda of innovations cannot effectively respond to the complex social and environmental realities of vulnerable rural groups. 
    • Development of agricultural technologies and dissemination are better sustained when research projects offer informed choices to both men and women, poor and better off, thus empowering them to influence the process of R4D. 
    • The use of multi-method approaches is particularly important for the assessment of variables such as gender sensitive participation, resource control and the extent to which institutions employ gender sensitive planning, policy, management, organization and implementation methods.
    The Global Fund needs to develop or look at existing best-practices to catalyze gender responsiveness at the country level, to ensure that the needs of women/girls and men/boys are met by
  • 05-03-2008 6:20 AM

    • ragupathy


    • Top 150 Contributor
    • 04-15-2008
    • India
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    • Posts 3

    Re: Week 1: The role of the Global Fund at the national level [21-28 April]

    What could the Global Fund do to better support gender-sensitive program planning and implementation at the country level?

    • The Round 8 proposal guidelines and application forms include new gender aspects. How could the Round 9 guidelines and forms be further improved in this regard?
    • Do the mechanisms of the Global Fund¡¦s business model (e.g. the Board, TRP, TERG, and the Secretariat) facilitate and encourage a gender sensitive approach?
    • What other mechanisms could the Global Fund employ to catalyze gender responsiveness at the country level, ensuring that the needs of w omen and girls and men and boys are met?

    WOMEN AND GIRLS WHERE?

    Gender sensitive from whom?

    Gender responsiveness for what?

    Who are the deciders?

    Only these make any decision more meaningful.

    Suppose Global fund Board,  TRP, TERG, and the Secretariat have more qualified and experienced people – women etc. will they be able to provide things that are Gender sensitive and Gender responsiveness?

     

    The question of gender comes where there is weakness in women, where there are no powers or no possibilities to use power or where they are not able to exert equality. Then who can define and facilitate gender-sensitive program planning and implementation?

     

    Definitely, there can be no uniform format nor there be a single agenda to ensure equality and gender consciousness. As in the HIV /Gender policy statements drafted in India, there need to be continuous questioning and assessment on the system and its operations in respect of gender.

     

    A checklist has been designed to mainstream gender equality considerations in HIV programmes and as a tool to assist in monitoring and reporting upon gender mainstreaming activities……
     
    Priorities

    1.     Identification of relevant gender information, especially socio-economic information in such a way as to be included in programming planning discussions

    2.     Disaggregating of background data/situation analyses by age, sex and ethnic origin

    3.    Consultation of  gender specialists and representatives of women at all levels throughout the process

       

    Project formulation, implementation, and evaluation

    1.   Personnel belonging to programs informing themselves substantively of the gender dimensions of the HIV challenge to be solved

    2.    Consultation of women equally with men during the formulation process, especially female beneficiaries

    3.    Indication of clear proportion of financial resources allocated to the attainment to empower young girls, women and sexual minorities

    4.   Ensuring  gender balance in project training 

    5.    Reflection of  gender issues in  Programme and Project Evaluation Reports 

    6.   Monitoring by the personnel on project disbursements to ensure distribution of inputs to ensure equality of outcome for both women and men beneficiaries

    7.    A briefing to evaluation mission members on relevant gender issues with sufficient document support 

    8.    Ensuring that the review reflects  gender-related omissions and successes in the project/programme

    9.     Questioning and ascertaining whether the project personnel understand and apply process indicators of success 

    10.Providing  summary information on the gender dimensions of the GF activities systematically
     
    Gender training and briefing sessions

    1.      Identification of training or information needs  on gender mainstreaming

    2.      Providing  training or capacity building to meet these needs

    3.      Having  relevant documentation and training materials – distributing them at every level

    4.      Providing and presenting gender equality information systematically at meetings to generate productive discussion of gender issues and learning by the stakeholders

    Special events - workshops, seminars, press conferences, launchings, receptions, etc

    1.      Gender equality priorities in the selection of topics and agendas for special events

    2.      A  mechanism in place to ensure that women and men participate equally in special events as speakers, chairpersons, decision-makers etc. and are equally consulted during preparations and follow-up

    Representation of gender equality activities in the public arena, especially in the local media

    1.      Contacts with members of the local press corps who are sympathetic to gender equality

    2.      A briefing note or brochure on the gender mainstreaming priorities and activities to the press

     

    But what is listed above may not be in practice? Gender is a thing imbibed in culture and strewn in one’s blood. To bring a balance require a systematized advocacy as practiced in Dravidian atheism. In huts, in houses, in palaces, in streets, in plays, in the government and in all places say, say again and again and stand to it till it is accepted and achieved.  
     
    B RAGUPATHY
    INDIAN NETWORK FOR PEOPLE LIVING WITH HIV/AIDS
    Chennai
  • 04-30-2008 4:41 PM

    • Lynn Thiesmeyer


    • Top 200 Contributor
    • 04-15-2008
    • Japan
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    • Posts 2

    Re: Gender: the role of the Global Fund at the national level [21-28 April]

    Although it's April 30, I'd still like to throw out a general question. All of the contributions to this Forum have been excellent thus far and have hit upon the most urgent issues. Now I'd like to add a specific one: I work in Southeast Asia, and one of my research partners has shown the correlation between gender violence and HIV incidence. It's something we all take for granted but without specifically bringing it to the attention of policy stakeholders. Women who are in violent relationships have a higher incidence of HIV. This occurs for many of the more general reasons that all the contributors have named: inability to choose, economic vulnerability, inability to negotiate for safer sex; but also, as this study proved, because women currently in violent relationships tend to be women who were abused as girls. Gender is not a priority in some countries. In order to make it so, focussing on specifics related to gender and HIV, such as health, morbidity and lost productivity, is one strategy to make the point. What are your views on partner violence and their relation to other gendered health risks? I'd love to hear from everybody.
  • 04-29-2008 10:54 AM

    Re: Gender: the role of the Global Fund at the national level [21-28 April]

    Dear all,

      This is a wide topic! There are certain areas that could be supported by global fund in order to reduce the burden of HIV/AIDS and other STI in the community.

    1]. Community-based institutional policies/regulations that exploit vulnerable women and girls sexually hence exposing them to HIV/AIDS. There is need to come up with strategies and support the activities that will achieve the recommended objectives towarsd fighting these exploitative policies. Take for example the beach policies around Lake Victoria in Kenya exploit women and vulnerable girsl sexually. Significant proportion of STIs around this region originate from the fishing industry. The behaviour is not adequately changing despite the massive campaign against HIV/AIDS being spearheaded by the government and NGO/CBOs in these regions. Women and girls doing bussiness in this area have to be sexually attached to men who could be infected by STD or HIV/AIDS. The females cannot get adequate fish from the lake without obeying such policies. Some women are widows and they have children to feed. Some do not have any other sourse of income except to do bussiness at the beaches. There is need to find ways of fighting such policies which have persisted for years and which have become means of spreading HIV/AIDS. There is also need to improve economic status of such women which may be hard to implement to satisfaction. There are also factories and other industries with such policies like in hotel industries that need to be targeted.

    2]. Referal system between traditional/community health workers and qualified staff. Most community-based health providers do not feef free and refer reproductive health conditions which they cannot manage to qualified staff. They tend to stick to patients even if he/she cannot treat STD or carry out effective delivery. This referal system need to be improved because it affect mostly the vulnerable women and girls.

    3]. Operational Research on the effectiveness of drugs used in treating STDs. A good number of qualified health providers and community-based ones still use drugs not recommended by national program. They claim that the drugs work well provided the patients follow instructions well. Some still use tetracycline caps, procain penicillin etc in treating GUD, urethral discharge etc. One wonders whether such drugs cure the disease or just suppress the condition. Such cases have been noted especially along the beaches. It is noted that most of the time poor girls and women fall victim.

    4]. Men are forgotten. There are very few reproductive health/social programs targetting men. Whether an orphened boy or man has been grabbed by a wealthy HIV positive woman, people take it to be normal. There are many boys/men who are also sexually exploited and this lead to the spread of HIV/AIDS. The global funds need to have men specific programs for the vulnerable ones. They are many.

    Thanks

    Dr Odhiambo Kembe

    PATH, Kenya

  • 04-29-2008 8:01 AM

    • hussainhdf


    • Top 75 Contributor
    • 04-15-2008
    • Pakistan
      Not currently affiliated with the Global Fund
    • Posts 5

    Re: Gender: the role of the Global Fund at the national level [21-28 April]

    The society that we abode in today seems to be at the verge of total collapse because of various social, economic and health issues and epidemics. The health epidemic that we are currently confronting is the widely spreading disease aids, HIV/AIDS of course have to be effectively told about so that the general pubic should know about the immensely precipitating epidemic. The global fund involvement would prominently play an important role to completely eradicate the chances of spreading HIV/AIDS.

    As fas as the gender inequalities are concerned i firmly believe that they should be curtailed and all those affected by gender discrimination should be brought to broad day light to fully expose the issue. The efforts in this regard are undoubtedly hindered by some of the miscreants in the society. People should be made aware of the eye opening results of the illicit sexual relations the ultimate end of which is undoubtedly a humiliated death.
    INGOs and NGOs should lend hand of the global fund to assertively support the issues not addressed yet

    Thanks,
    Hussain Shah HDF Pakistan Islamabad
  • 04-29-2008 7:37 AM

    • Amzad Ali


    • Top 75 Contributor
    • 03-04-2008
    • Bangladesh
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    • Posts 5

    Re: Gender: the role of the Global Fund at the national level [21-28 April]

    Currently, as per the GF and most of the donor, the gender sensitive programming usually means to address certain 'number" (50% or so) of women/girls. This is, indeed, good as step-1 but not comprehensive at all; what the next is? Or how to address the gender discrimination more effectively, the step-2 by the GF.

    Till date, many of us count the number of women not the underlying factors.  The underlying social-economical and religious norms and practices are to be changed, and women-friendly to get optimum response for the women. Most of the faith base leaders are men and addressing them for changing attitude and practice towards women is gender sensitive? It is then number of some "men"? Another example, most of the police officials and constable are men, and addressing them may not count as gender sensitive program as in the target or indicator since we'll find few numbers what are 'men'! Or most of the garments workers are female, and addressing them directly without policy support or working with the men who are controlling is very much gender sensitive? How much we are really addressing the men to make them gender sensitive and responsive to the women accordingly?

    I just put these comments to have our further understanding on the issues of gender discrimination and how better we can address those in the coming days in relation with HIV, TB and Malaria by the GF, although would defiantly have greater impact in the country beyond the specific disease only.

    The GF, may, facilitate addressing gender issues in two ways- one during project evaluation/approval by the TRP and another one is during project assessment, based on qualitative and quantitative indicator set by the project, at the end of 2nd year and that may be one of the criteria based on what the project will get extension for next three years or not (along with other criteria set by the GF). GF may put more importance on quantitative indicators apart from only the figures as they have local fund agents; span of work of the LFA can easily be increased and improved as well.

    Now, the question is how to do all these?

    Firstly, the GF gender facts sheet may be improvised to encourage the CCM to put certain issues to address the root cause of gender discrimination. There can be guidelines on how to address the root cause and what could be the possible ways. And finally, the TRP may use a “gender-score’ sheet to measure these. Nevertheless, GF may post the score sheet along with the fact sheet open to all.

    Secondly, the GF can use “gender-score’ sheet (tailored as per project appraisal) for auditing the on going project before extension to the second phase. And, here also more attention on the qualitative issues along with figures.

    These two methods (may be few other as well) can also be adopted for other purposes that GF might want to be followed and implemented by the countries; just re-tailoring accordingly!

    Thanks.

  • 04-28-2008 2:46 PM

    Re: Gender: the role of the Global Fund at the national level [21-28 April]

     
    dear team of my global fund
     
    i read your question .HIV/AIDS has most effective social intervention.most of the should reserve for the HIV/AIDS program.because HIV/AIDS is very fast transmitted disease and it day by day continously get multiplication therefore fistly your team should recomand for the hIV/AIDS.
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  • 04-26-2008 1:40 AM

    • dr.pankajgupta


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    • 04-25-2008
    • India
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    • Posts 2

    Re: Gender: the role of the Global Fund at the national level [21-28 April]

    I am working at ground level to fight against TB/TB-HIV in INDIA. Here I would like to stress on the fact that identifying a gender based community for fund allocation is good but please see that it should be applied only to the HIV disease. Basicaly it is social issue in most of the countries which affect gender sensitivity. Data provided by country should only be taken as a overview of problem probability ; it may be supported by some international independent survey about problem & about how  efficient health system in that country is! 

    Business model does not show gender sensitiveness in general as it can only be determined at country or state level. To make it more gender sensitive region wise policies should be made.
     
    Gender responsiveness at the country level is dependent on multiple factors. Education status and cultural habits are the most determining factors among many. It may not be same in entire country as there is great disparity even at intracountry level. Strangely financial factor is not as strong to affect gender responsiveness as the general awareness.
     
     Entirely separate fund allocation for improving general health awareness in a country may be a good support to project activity. Here key is to identify the target population and accordingly different media should be used instead of having the same policy in whole of the country.
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  • 04-24-2008 6:33 AM

    Re: Re:Gender: the role of the Global Fund at the national level [21-28 April]

     Historic endeavor has succeeded in bolstering many countries’ ability to respond to the health care needs of their people. But as with any first, much can be improved. Any effort to increase civil society participation in an international institution as complex, wide-reaching and well
    funded as the Global Fund faces inherent challenges.
     
    For instance, the Global Fund established flexible, national guidelines designed to provide countries room to develop funding proposals that best  suit their needs, but in some cases these guidelines have led to confusion and miscommunication about civil society’s role in the monitoring and implementation of projects, potentially frustrating civil society participants. In Kenya, for example, this confusion coupled with additional factors, such as logistical challenges, inadequate human and financial resources, and poor communications, has led to a dramatic decline in the number of proposals being submitted by civil society organizations.
     
    As various civil society organizations and others monitor the Global Fund’s unique governance structure and its effectiveness in achieving its mission—to fight HIV/AIDS, tuberculosis and malaria—it is important that these and other lessons be shared so that improvements can be  made to strengthen the Global Fund and, more broadly, to promote civil society participation in other international and multilateral organizations.
     
    I. More Fully Integrate Gender into Global Fund Operations and Policies
    •  The board, country coordinating mechanisms, civil society delegations, and the Global Fund secretariat should increase gender expertise within their bodies.
    •  Integrate gender analysis throughout Global Fund operations, including policy, planning, monitoring and evaluation.
     
    II. Enhance Civil Society’s Role in Global Fund Governance
    •  Ensure that board chairs and executive directors sustain the Global Fund’s commitment to enabling meaningful civil society participation.
    •  Civil society organizations should strive to improve the quality of civil society 
    representation within the Global Fund.
    •  Strengthen county coordinating mechanism guidelines to facilitate meaningful civil society participation.
    •  Clarify the role of country coordinating mechanisms in monitoring projects approved by the Global Fund.
    •  Improve communication between the board and civil society representatives, among civil society representatives and within country coordinating mechanisms.
    • Ensure transparency in the process of nominating delegation board members.
    • Improve transparency within the country coordinating mechanisms. 
     
     
    To fully have integration of gender differences within all sectors of the Global Fund, my main prior is "Enhanced Civil Society’s Role in Global Fund Governance"
     
    Best Regards,
     
    Marco Gomes
     

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  • 04-23-2008 6:31 AM

    • hussainhdf


    • Top 75 Contributor
    • 04-15-2008
    • Pakistan
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    • Posts 5

    Re:Gender: the role of the Global Fund at the national level [21-28 April]

    we are living in a conservative traditional community where religious values are valued more than any other law rule or regulations.
    As fas as our country (Pakistan) is concerned so we have two modes of living one is urban and another is rural. We observe that even in the rural population gender discrimination is not properly reported. The women are working in the field side by side with a man because our religion has empowered women and they are given the equal rights as that of man.
     
    They are schools for girls as well as boys, we have rights of property both for man and woman. The wife has the right to divorce like husband. We have a polygamous society but even husband can not remarry without the permission of wife.
     
    However, in the some of the areas these rules are not properly applied and we still have some biased view about women. They are considered to be confined in the four walls of a house. We have to struggle a lot to change the discriminatory ideals of the less educated society for the empowerment of the women and global fund can launch its programs which have to be properly implemented through community sensitization and mobilization.
     
    Thanks
     
    Hussain Shah Islamabad,Pakistan
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  • 04-22-2008 12:23 PM

    • Svetlana - Q


    • Top 500 Contributor
    • 04-22-2008
    • Bosnia And Herzegowina
      Sub-recipient (SR)
    • Posts 1

    Re: Gender: the role of the Global Fund at the national level [21-28 April]

    Hello, I have read some of the present documents, and am interested in finding out whether gender can be viewed on a more basic level other than unchangably seen as male or female ... and not only as such when it pertains to sexual and gender minorities?

    Organization Q, Sarajevo, BiH, is currently working on the outreach activities with MSM population in the Federation of BiH. However, we also work with the whole LGBTIQ population in the country, and have included everyone in our activities. The problem that we have in reporting is that we do not assume nor do we divide people only in two sexes and purely on their appearance.

    Once we ask people how they identify in regards to sex and/or gender, sometimes we get various answers and sometimes we do not get the same answer for both sex and gender in the same line. Given, that our organization works on the issues of construction and deconstruction of sex and gender, as well as views sex and gender as identites, our approach is slightly different and often very different from the systems of other organizations including Global Fund in regards to reporting.

    Perhaps what can be done in regards to gender for Round 9 is for the definition of gender to change from male/female to a personal sense/identification which might be in line with social division of male/female, might deny it or transgress it in some way. Also, people have to be allowed to identify themselves in regards to this and not be identified by others based on pure assumption.

    Indicators have to be created in order to allow other categories to show up. Otherwise, I am left with the following issues/problems: 

    • What can be done so that the reporting of indicators is based on how people identify and not how the organizations has divided sex for them?
    • What can be done so that people in the field ask questions regarding sex and gender so that sex/gender is not assumed?
    • What can be done for other individuals/identities within sexual/gender minorities to be included besides the MSM population?

    We have done a lot of research and have made our studies public, so in the case we can be of assistance regarding this let me know or just visit our web page at www.***.ba/udruzenje.htm.  

    Best regards,
    Svetlana Organization Q Sarajevo, BiH
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