07-20-2008 6:04 PM
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Fenna E. Bacchus

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Kenya
Not currently affiliated with the Global Fund
- Posts 159
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Re: Week 5: coordinating programs supported by several partners
Didi Asima and Esteemed Members of this e-Forum,
Asima reminds of my three brief years in a rural primary school of about 800 students that was 90% Hindu, 8% Muslim and 2% of other ethnicity. I had to learn as early as age 8+ that my friends had to take eggs to school in a biscuit tin to the teachers to sell in order to survive. I also learnt that every Monday they bought stamps/bonds, and when the booklet was full they had actually saved money at the postal bank. It was also amazing that during the rice planting season there were so many absences and that this was a way of life for those that will shape the future of Suriname as doctors and engineers.
I remember the Mulvi coming home to bring wedding invitations for a Muslim wedding in the village, giving me some grains of rice in my hands and inviting us to come. I remember Ramadhan, Idul –Fitre, Phagwa, Dewali all celebrated in one school. We never saw a difference between Muslims and Indians because the European Principal Mr. Jan Bakker made sure he blended our lives and cultures in such a unique way that we will not define ourselves by ethnicity or religion. And of course as a little girl a 17 year old Muslim boy was so much in love with me and was he cute… He would serenade me after school and ride his bicycle next to me singing the most beautiful love songs of Lata, Mohammed Ravi, Rajesh Khanna, Kishore Kumar, Mukesh, Raj Kapoor, Amitab Bachchan, Dilip Kumar, Mumtaz, Sharmila Tagore, Hema Malini, Raj Kapoor, Mahendra Kapoor, Dev Anand and Shashi Kapoor. I remember that some of these idols visited Suriname. By the way, I just love to hear the boys singing to me.
What I didn’t know is that my life would change, because we had to move from the rural area to the city where of course I had to deal with the culture shock from things being just different. I spent four years of my life in a Hindu Religious High School, where I was taught and raised in Hindu traditions, language and culture and also was very exposed to the worldviews. I actually learnt to read and write Hindi, not knowing it also led me through transformation of worldview that required me to immerse myself in the culture and traditions, learn all the prayers, attend the teachings of the pandit and become wise. I need to brush up when I come to see you and Asish and all the others in India. I studied Hindu religion for 4 years and have developed a very deep appreciation for it.
Then my life took another drastic turn in 1997 when I met wonderful African friends who got me so curious and intrigued in Africa that I ended up in the University and spent three years taking courses in African Foreign Policy, History, Political Economy, Health Care and Post Colonial Realities. In between, I also had some exposure to economic development of Latin America. I became too greedy for knowledge that I would not want to spend my life going out with friends, but just cram in as much as I can. I also did one year of Epidemiology and Infectious Diseases. I was so intrigued by it that I would sit at the feet of elder African Professors and read as much as I can from their Books shelves. I studied the various African traditional worldviews, how they perceive health and well being, Preventative Health such as vaccinations, Western Medicine, and Western Methodologies of Birth Control and HIV/AIDS prevention. I studied the cyclical time concept and more for the past 10 years and believe you me, what I learnt in Primary School, High School and University started to come together creating a very unique body of knowledge. Knowing Africa from a theoretical perspective wasn’t enough for me…I had to head for the grassroots to meet our rural people with Kente or Kitenge wrapped around my body with my head tied. This has been my university from 2002 where I study people’s worldviews and learnt what I would’ve never known in a formal institution of Higher Learning.
Didi Asima, I had to go to the origins and source of knowledge from my teens to present to corroborate my position on issues in the world, positions that I many times find myself standing alone on, persist and persuade through scholarly arguments of a qualitative analysis, country or entity policies, logic and relentless rebuttals until I sway an entire international conference to come my way. I’m also learning that the richness of epistemology also ties my past into my present activities to give this validity.
Asima, was this an accident or a coincident?
We have to learn to clearly articulate our positions, make sure it is grounded in epistemology, research and logic. Epistemology is the theory of knowledge and the branch of philosophy that studies the nature of knowledge, in particular its foundations, scope, and validity.
Then we have to look at the interdisciplinary relationships to that knowledge and its relevancy to our argument.
I’m became a proud student of the new university of the e-forum discussions in April 2008. You all have helped me unravel many other mysteries at the grassroots in the context in which it is supposed to be understood. I am eternally indebted to each one of you individually and collectively. When I read all of the submission, I see the beauty of culture, I see the worldviews unfolding to me, I see the influence of belief systems, I see the colour of your expressions, I see the rigidity of idealists that the poor grassroots NGOs/CBOs have a difficult time relating to. When our people at the grassroots have made a huge effort to write a few lines we should show appreciation and respond to them. They cannot even begin to relate to our submissions, because what we are wrting isn't casted in the realities of the rural people’s worldview. Those are the people we serve.
This is exactly how we loose them on this e-forum, because some of us write way above their level of conceptualization (understanding and processing of information) and lived realities. Their lived realities are a stark contrast from those of us that use complex language to transmit information into simple ideas that everyone should be able to understand. How many times on this e-forum have the CBO’s from India engaged their CCMs??? They just write a few lines and you can clearly see the disconnect between the CCM and the CBOs. I see little or no communication between CCM India and the Indian CBOs that are challenged. What I see is communication flying way over someone’s head!!!
So when the question is asked “how should the GF coordinate programs supported by several partners”, you understand now where the root cause is that impedes effective collaboration between several partners…simplified communication in a language that CBOs and all other stakeholders can relate to across the board.
Some of us can only relate to the practical aspects of collaboration based on the pitfalls we have observed between multiple stakeholders, the processes and flawed structures that allow for corruption and other vices to gain root. This is appreciated; however, for those of us endowed with epistemology, we should take our discussion to the source of the problem, the nature of that knowledge and build the foundations of our argument on it so that it can stand. We also should take a critical look at the scope and breadth of this knowledge and its interrelationships to other disciplines and then justify our arguments.
Now you understand where my journey has taken me and why I adopted India as a country and Africa as a continent because of the shared commonalities in Illiteracy and the scourge of HIV/AIDS.
I also am able to differentiate the worldview of poverty in India versus Africa and I am still growing.
By the way do you like Parrots? If India has parrots I want to come and get a few of the talkers to take to the Aviary I intend to build in Kenya.
In closing, I deeply appreciate all submissions read during this specific discussion on “How should the GF coordinate programs supported by several partners” and have enjoyed all the submissions especially Robson’s, Satyam, Sawsan, Maria, Thamer, Ashish, Jane and Collins. Didi Asima, you are such an inspiration to me and I thank you for your kind words. I'm very humble by it and not deserving of it. Our other friends have been so quiet and they know who they are. I love the family concept and we should encourage each other and I would like to see your cute face.
Asish, Satyam is crying out for help; please reach out to him. He is conveying a very important message to all of us, but you are closest in proximity and we should all support our brother. I will be watching further developments…This is our ethical and moral obligation and goes beyond our fudiciary responsibility.
With love,
Didi Fenna
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07-20-2008 10:57 AM
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Robson Olwe

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Uganda
Not currently affiliated with the Global Fund
- Posts 22
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Re: Week 5: coordinating programs supported by several partners
Dear e-Forum,
GF is to scale up existing efforts to initiate new activities to include a close collaboration with various partners and Ministries to ensure the continued awareness of people and carrying out intervention through social interventions to increase surviability of those with HIV/AIDS in the absense of ART. Partners should adopt sector wide approach in some sectors. This should take long-term view in which integrated and sustainable systems are embedded. The specific interventions in this project are all fundermental, complement each other and are long-term. This approach is in itself an assurance of sustainability.
Partner support should either be through government budget to communities or through project modalities. Key policy issues should be addressed for strengthening GF organisational capabilities which call for a major re-orientation of roles. GF project management standards at most units seem to be poor largely as result of staffing difficulties, mis-directio of resources and the absence of key performance indicators which can be applied to monitor and control GF activities. Without a formalised system of control, GF appears very busy.
Also a number of weaknesses exist in the present structure of reporting relationships which GF follow and conflicting interests which they are continually exposed to related to host governments and the CCM. At present, the majority of CCMs have to meet the competing demands of both the host government and secretariat, in addition to their normal day to day GF roles, such as project preparation and monitoring. This position impose a number of difficulties particularily in those units where staff are directly accountable to specific government departments. Loyalities remain split and in the majority of cases the dictates of the host government will override GF commitments. This weaknesses is exacerbated by the practice of host governments determining appointments of Gf staff. Under this arrangement, any supervision that could be exercised for example the secretariat, is likely to remain superficial a position which invariably affect coordination. CCMs ought to be controlled by a central body such as the scecretariat, rather than member states. The selection and formal appointments should however be done by a central body such as the secretariat. It is imperative that this is carried out to de link CCM staff from relevant host governments.
Operational assistance should however continue to be provided by a host governments as part of their contribution to GF organisation. A fundemental area which should be strengthen is information and proper use of national contact points. GF activities can be better coordinated if partners streamline the collection of base data which should facilitate planning. In addition, partners contact points should be assisted with resources to enable them respond more effective to GF programme activities. Given the size of Gf portfolio currently at well over the GDP of any single partner, the overidding aims and objectives should be placed above individual partner interest. Without such a re-orientation, current achievements and potential benefits, GF are likely to be permanently harmed through poor management of resources which can lead to loss of partner credibility.
In this respect partners should play a pivotal role of facilitating the achievement of GF management. This will neverless require partners appreciate the nature of GF and that overall benefits would only be realised if individual claims are subordinated for the common good. If GF objectives are to be achieved, cooperating partners should be an integral part of activities.
There is need to target resource mobilisation. this should be complemented by guidelines which define what role each of the GF institutions will be required to play in mobilising funding resources. It will be important to distinguish bilateral arrangements entered into by individual partners aganist efforts coordinated through the formal institutions of GF. Individual preferences of partners would be harmonised if the GF funding requirements are presented as one proposal which highlights priority areas and coordinated by defined bodies. At present this activity is poorly coordinated and opportunities have not been optimised for the common good. The relative advantages that individual government with partners has tended to influence the direction and selection of implementors of GF projects. this tendency has in other cases where countries attempted institutions led to lopsided approach and proved a recipe for disintegration.
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07-20-2008 9:25 AM
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Jane

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Nigeria
Local Fund Agent (LFA)
- Posts 34
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Re: Week 5: coordinating programs supported by several partners
The very essence of support by any development partner is to reduce poverty and promote good health, as such the Funders should provide a holistic approach to development by identifying broad factors in such societies which are essential determinants of development and then clearly define their interests, aims and objectives to avoid clash of interests and duplication of efforts.
- Should focus on conditions that make such projects development pro-poor in the sense that the system contributes to effective health promotion and poverty reduction and not the other way round.
- Be practical, by coordinating the projects well through summarizing and suggesting ideologies and approaches to sustainable development over time.
- Suggest potential action by use of specific formats for reporting, analysis and evaluation. This will go a long way in reducing inherent in-fighting or conflict between supporters in pursuit of human development and economic growth.
- Donors should maintain a state of stability in aid flows, and avoid excessive policy conditionality and insufficient coordination by unskilled human capacities.
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07-20-2008 5:40 AM
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Asima Chakraborty

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India
Not currently affiliated with the Global Fund
- Posts 23
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Re: Week 5: coordinating programs supported by several partners
Dear my sister Fenna,
I have pleasure to congratulate you for your earlier responses in my e-forum discussion. The GlobalFund has become a family with its members and you have become the central character of the family.
I have nothing more to say about your comments over the subjects and member’s view. I can feel you literature that is coming from your core of heart, knowledge and spirit of merit. I keep silence to imagine your fly from smooth runway of gesture.
It is difficult to explain you in my little words, and reach to your wide spectrum.
I like your beautiful picture with your parrot.
With love,
Your Didi Asima Chakraborty,
India
(Didi- meant elder sister in Bengali language)
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07-19-2008 8:04 PM
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Asima Chakraborty

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India
Not currently affiliated with the Global Fund
- Posts 23
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Re: Week 5: coordinating programs supported by several partners
Dear Forum friends,
Countries are considering the importance of social challenges in the public health, especially in the diseases of HIV/AIDS, TB Malaria. The public and private sector, civil society, the government and the non-government organizations are the leading participants on the challenges to diminish the vulnerability on infection.
The GlobalFund is a sustainable partner to prevent infection on the risk areas and provide mechanism to take challenges on the countries considering treatment, care and support. Civil Society, Government and the corporate houses has been increasingly establishing modern functioning rapidly to scale up the response to the diseases. The GF is efficient to play a significant role to support the partners and built up a sustainable relation to work efficiently in the targeted group of people to stop infection.
Thank you all.
Asima Chakraborty General Secretary TOPER
Kolkata, India
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07-19-2008 3:57 PM
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Fenna E. Bacchus

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Kenya
Not currently affiliated with the Global Fund
- Posts 159
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Re: Week 5: coordinating programs supported by several partners
Esteemed e-forum Members and Facilitators and the Global Fund,
The article I attached in my previous correspondence to you appeared in the 'Daily Nation' in Kenya.
Interestingly, millions of readers around the world didn’t know how to fully appreciate its implications until I explained this on 2 scholar's list serve from Africa (a majority of the members are Kenyans) and started getting feedback. These people are Ph.Ds, Masters degrees holders and Professors that are on both list serves, mostly practicing in the USA, Canada, Australia and the UK. My work to educate the world has taken on a whole new meaning now.
One one hand, the author of the aforementioned article isn't aware that the majority of the readers don't have a clue what is going on because they are not conversant (functionally literate in highly medical scientific literacy). It is no different with the programmes put out there by you people. You put out things that are delinked with the worldview of your communities. The issues you seek to address, look at the problem ...be it Malaria, TB or HIV/AIDS through the convenience of a Western lens, are explained in Western thought, when you are trying to solve problems of traditional people. That is why you people are not solving the problems and spending billions.
Yes, I commend you for having treated millions for Malaria and TB for the past 7 years, but you didn't tell the world in your reports how many re-infections occured or how many of the same people have to be treated again and again year after year. Is any one keeping track of that? Has any one introduced functional health literacy in those communities to take those people out of the perpetual vicious cycle of poverty (high density populations areas in the slums, houses build out of mud with a grass roof that are also an exposure to mosquitoes) which predisposes them to TB once 1 member in the family becomes reinfected? And when I tour the rural areas I can hardly find a mosquito net in the small dwelling. You think I have not been watching?
Again the article is an example that many of us are functionally literate, but when it comes to very advanced scientific literacy we are all at the bottem unless we are epidemiologists, immunologists, Medical Doctors or advanced public health practititioners or Infectious Diseases Specialists.
Tragically, if this article appeared in news bulletins around Africa less than 1% of the readers would make any sense out of it, let alone if it appeared in other parts of the world like India where we have a huge problem in the illiteracy spectrum.
I’m happy the research was carried out by a 'neutral' (tongue in cheek) source thereby making it objective and credible.
The 'world' has been quick to judge Africans, happily laying the blame on their 'Sexual habits', thereby labeling an entire continent as promiscuous. This vindicates an entire race and puts the whole question of the prevalence of HIV/AIDS infections in Africa into perspective.
The liberation from the scourge of illiteracy to control new HIV infections must be dealt with aggressively and immediately. If we want to make a dent in new HIV infections we must introduce functional health literacy to give people the understanding of cause and effect issues since their worldview is not prevention oriented, and, therefore cannot understand cause and effect issues...
People can't conceptualize and add their own meaning, interpretation and understanding to what we are teaching them, because it flies over their head and they dont want to embarress you that they don't understand you when you are teaching them. Furthemore, in the traditional African context, rote learning is used which is what the prevailing sense of reality orientation really is. As long as the learner doesnt put their own meaning, understanding, interpretation and idiosyncracies to the subject matter they are actually rote learning. What do you think those post test in HIV/AIDS education have been reflecting in Africa when you still see the prevalence staying up there on the roof? Our people are mostly rote learning, by virtue of the knowledge increase and we are publishing in these fantastic international journals called JAMA, The New England Journal of Medicine and Lancet and a few others that call them selves prestigious (as though African Journals of Medicine are inferior) and publish that a knowledge increase of 30- 90% was observed and think they have done such a good job!!!
When you see the prevalence of HIV/AIDS staying high year after year and nothing has decreased you should know something terribly has gone wrong and this is what it actually is wrong.
The way traditional peoples learn in the African Traditional culture is through the use of rote learning with songs, stories, riddles, myths and dances etc. The symbols (alphabet) and African numeric system are stored in a vehicle in the brain that can only accommodate such knowledge.
When we teach at the grassroots and other communities, we teach from a Western Scientific orientation or perspective. If we want our people to understand and do what we are teaching them, we must equip them with a new knowledge system which will create this new vehicle in the brain to accommodate the Alpabet and numerics and then we have to take them by the hand to functionalize this. This phenomenon is called neuroplasticity for those of you that love neuroscience.
This is the one only way we can be effective in the eradication of the three monstrous diseases. You are talking to the Global Expert here and not a stupid woman.
But you people continue using the same testing and curricula and my question to you is what have you been preventing?
We need to start thinking out of the box and also think like the communities we serve. How do they understand things, how do they process information, how do they conceptualize these complex issues of cause and effect? The brain doesn't develop that plasticity to adapt to a new knowledge system unless they have been exposed and functioning within that new knowledge system called literacy. This is how the brain develops that plasticity.
Plasticity means ...the ability of the brain to change itself....
Thank you for allowing me to bore you again with all this...if we all do the right thing we will make Africans live. Africa is the hub of civilization let us keep our continent alive.
I'M RENEWING MY CALL FOR A PARADIGM SHIFT AND HOPE THE GLOBAL FUND IS READY TO MAKE THE CHANGE SO I CAN BRING IN THE KNOWLEDGE SYSTEMS THAT WILL LIBERATE AFRICA FROM THE SCOURGE OF ILLITERACY AND HIV/AIDS and we can come close to meeting the MDGs.
INSHALLAH
THE LITERACY MDG DOCTOR
FIRE, Inc
544 Walnut Street
Altamonte Springs, FL 32714-2329
USA
+ 1 407 484 0292 (USA)
+ 254 (0) 728 76 9090 (Kenya)
+ 254 (0) 725 79 0053 (Kenya)
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07-19-2008 3:39 PM
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Sawsan El-Sheikh

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Egypt
Country Coordinating Mechanism (CCM)
- Posts 5
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Re: Week 5: coordinating programs supported by several partners
Firstly, I would like to say that Global Fund is really exerting great efforts to support various institutions. As for this topic, I would suggest the following:
- Setting up a new mechanism for evaluating and assessing the performance of the recipient of the fund.
- Holding regular meetings for discussing the aims achieved and the challenges that are yet to be confronted.
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07-18-2008 8:31 PM
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Fenna E. Bacchus

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Kenya
Not currently affiliated with the Global Fund
- Posts 159
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Re: Week 5: coordinating programs supported by several partners
Letter to the Global Fund.
This will put a whole new tailspin on program coordination by several partners in Africa. We are now going into priorities and moral ethical issues in program coordination and partnerships.
I have a few questions for the Africa collaborators on this e-forum also.
It it has been well known for a long time that a gene called gc1 made African people more susceptible to hiv.
Why is that after 6+ years of GF intervention so few people are on HIV/AIDS medicines when gc1 knowlege has been an established fact? Ideally, a vaccine would have served a better purpose if invented.
Shouldnt we stand in unison and call for a drastic shift in paradigm and aggressively beef up our prevention strategy since 90% of these innocent people infected with HIV may have been genetically predisposed to die a premature death?
With regards to aggressive treatment with the current treatment modalities, it seems in my humble opinion--this will not change the outcome for 30 million infected Africans, because 90% of our people according to the article below are already predisposed to die and don't have access to the Magic Johnson line of drugs that keeps the viral load at undetectable levels.
Now to condoms....If the condoms have a 67% efficacy ...and we have to tell our people not to have sex, you know this is not going to fly...having sex is a cultural norm and way of life in Africa...isnt it? Can anyone come to a Westerner and tell him to stop having sex? No. Using a condom, is a culturally acceptable norm in Western societies;however, in the African context, one doesnt eat the banana with the peel. When I spoke about worldviews in my earlier submission, this is an example how the traditional ascientific worldview perceives a condom.
Even if the African uses a condom is still leaves him/her vulnerable to infection because those mass produced Chinese and Malaysia condoms are not the top of the line anyway. I want to know which company produces 100% safe condoms that perform without nipping and ripping?
Are you aware that the 28 - 30 million of afflicted and affected people infected with the HIV virus, unless they are MD's, Epidemioligist, Immunologists, Infectious Diseases Specialists or Public Health Experts they dont necessarily have the gc1 discovery?
Do you know that Nurses in Africa do not necessarily know this and that by chance I found out about this.
If this gene has evolved, with my migor one year of Epi/Infectious Diseases background I argue that this may be a case of genetic mutation caused by Malaria Drugs..and if by chance these Malaria drugs are of Western Origin or Western invention then Western Medicine has a case to answer in that it increased the vulnerabilty of innocent people to HIV by 40%....
For months I have been calling for a shift in paradigm and have one convert Dr. Ali Amzad who backs me on this.
Now that more evidence has surfaced I am renewing my call to all e-forum members of the Global Fund, myself included, for the Global Fund to immediately fund Health Literacy Programs so that we can drastically decrease new infections from occuring, decrease the over all prevalence and stop putting bandaids on sores with a deadly root that needs to be addressed from the root ...illiteracy and lack of functional literacy spectrum. We have a moral and ethical duty towards Africa and its our fudiciary responsibility to act now to safe Africa.
We can no longer bury our heads in the sand and hide the facts as noted in the article below but we can fight for human dignity safe precious lives that will become Nurses, Doctors and Teachers that will safe the world.
A COMBINATION OF ILLITERACY, A 40% INCREASED VULNERABLITY TO HIV AND 90% OF AFRICANS HAVING THIS DEATH SENTENCE HANGING OVER THEIR HEADS IS SOMETHING I CANNOT LIVE WITH. CAN YOU LIVE WITH THIS?
THE PARTNERSHIP THAT IS NEEDED TO COORDINATE THIS UNTHINKABLE DISASTER IS ONE THAT WILL WILL SACRIFICE EVERYTHING THEY HAVE, HUMBLE THEMSELVES AND PUT AFRICA FIRST AND NOT THEIR PERSONAL AGENDA OR WORLDVIEW.
I believe those partners are right here on this e-forum. Lets get to work and get the job done.
Fenna E. Bacchus CEO/President
Functional Illiteracy Research and Education Inc.
544 Walnut Street
Altamonte Springs, FL 32714-2329 - USA
Tel/Fax: + 1(407) 774-6542
Cell: + 1(407) 484-0292 (Emergency Contact)
"If you want to go fast, then walk alone; but if you want to go far, walk with others". An African Proverb
Why more Africans get HIV
Story by GATONYE GATHURA
Publication Date: 7/18/2008 |
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Scientists may have finally found out why HIV infection is highest in sub-Saharan Africa, including Kenya, than other regions of the world.
American and British scientists say a gene which apparently evolved to protect people from malaria increases their vulnerability to HIV infection by 40 per cent.
Africans have a variation of the Duffy Antigen Receptor for Chemokines (DARC) gene which may interfere with their ability to fight HIV in its early stages. The study says the gene accounts for millions of extra HIV cases in sub-Saharan Africa.
Although scientists have always attributed the high incidence of HIV in Africa to differences in sexual behaviour, or that Africans are more promiscuous, they have also suspected that there may be genetic reasons to the phenomenon.
The gene influences the levels of chemicals called chemokines which play a role in the body’s defences against viruses, and a variation is held by approximately 90 per cent of Africans.
The origins of the variation are unclear, but it is thought to have evolved in response to malaria by offering protection against that disease.
The research, published on Wednesday in Cell Host & Microbe, was co-authored by Professor Robin Weiss of the UK, who worked with colleagues in the US to analyse data from a 25-year study of thousands of Americans of different ethnic backgrounds.
Discussing the study with Science News Professor Weiss said: “The big message here is that something that protected against malaria in the past is now leaving the host more susceptible to HIV.”
Lead author of the study, Professor Sunil K. Ahuja, from the University of Texas Health Science Center, added: “It turns out that having this variation is a double-edged sword. The finding is another valuable piece in the puzzle of HIV-Aids genetics.”
HIV affects 25 million people in sub-Saharan Africa today, an HIV burden greater than any other region of the world.
Around 90 per cent of people in Africa carry the genetic variation. The authors observe that sexual behaviour and other social factors do not fully explain the large discrepancy in HIV prevalence in populations around the world.
Dr Ade Fakoya, from the International HIV/AIDS Alliance, has been quoted by BBC Online saying the findings could explain why some countries had a much higher prevalence of the disease.
“There has always been this myth that people in sub-Saharan Africa were more likely to get HIV because of differences in their sexual behaviour, or that they are more promiscuous,” he said
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07-18-2008 6:41 PM
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tecomfoundation

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Ghana
Principal Recipient (PR)
- Posts 11
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Re: Week 5: coordinating programs supported by several partners
Global Fund and their partners are doing great job in Africa by helping African countries to eradicate the most killer desease such as Malaria and other dreadful deseases such as Tuberculosis and HIV/AIDS which are devastating the continent. Problems associated with programs funded by numrious partners can be solved by having the partners work as a team and work towards a common goal. They should have common programs, common implementation measures and common fund for each partner to contrbute.
Last but not the least, partners are to make available technical inputs which aid in facilitating the implementaion of programs supported by them.
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07-18-2008 5:34 PM
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Fenna E. Bacchus

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Kenya
Not currently affiliated with the Global Fund
- Posts 159
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Re: Week 5: coordinating programs supported by several partners
Esteemed e-forum Members and Facilitators,
What an honour to read from all of you and to learn so much from you. I'm deeply indebted to you for all what you have taught me and for all of you that have been writing to me. I'm humbly at your feet and a student of culture, worldviews and language development. Through your submissions I am able to study your worldview, belief or not and get to know a lot about your mindset.
This session is very informative and I hope we all will gain background knowledge of what makes multiple partnerships successful in terms of coordination. I have reviewed your excellent responses and want to use my role as a global expert to focus on the most overlooked issue in this e-forum: the issue of Worldviews. This then takes this discussion couple notches higher to where I would like to discuss the GF's frame of reference. I have been conducting a retrospective review in preparation of the presentation and publication of qualitative research study on the MDGs, the GF, Higher Education and the Grass Roots Communities and I learnt a lot on this e-forum and also a lot how the GF operates.
In my discussions for the past 10 years with a global expert in cross cultural anthropology, who is my mentor and advisor, he has been an advisor to Clinton and two presidents that preceded him, Prof Wilson made a very critical statement that goes as follows: "Westerners and others hold a total different worldview compared to the Leadership in Africa, China, Russia, North Korea etc. They go into countries thinking they can dictate their agenda and its necessity, and the intent to change people, but yet they lack the very basics skills and understanding of the worldviews of the governments and the cultures they interact with and seek to collaborate with".
Thankfully, Prof Emmanuel Wilson, a Sierra Leonian is on our Board of Directors and able to guide us with this most critical issue. Prof Wilson's expertise in Worldviews is crucial to our understanding how to address often misunderstood expressions, gestures and actions by partners and governments. Our misunderstandings of their expressions, actions and gestures, whether verbal or nonverbal, ultimately lead to friction and disagreements. This is actually most overlooked in any negotiations and most critical in achieving successful effective collaboration from onset with partners and stakeholders.
In the economic development arena, Western leadership doesn't just comes with their own agenda...Collins this is an understatement. Not just do the Westerners have their own packages, but the Chinese, Japanese, Russians, Iranians, Egyptian and Indians etc. in the private and government sectors come with their own development agenda and packages and with a total different worldview and set of expections. Their philosophy, mission and vision is totally different compared to their host Government and Stakeholders they intend to forge partnerships with.Were all of you aware of this?
We cannot expect to coordinate programs supported by several partners if our understanding of their worldview is not factored in....With other words...before approaching a partner or if a partner sends a letter of intent ...before entering into any negotiations we must first study their worldview...what are the dynamics of that worldview? We must enter into that mindset of who they are, what they want, what their expectations are, what they represent and how will they respond if we make a certain gesture or statement...and then what will our response be to such etc..
This is from my research repertoire and in the Manuscripts I am getting ready for publication. The reason for me sharing this with you is that issues surrounding a worldview are extremely complex, but yet pivotal to the success of any partnership and successful outcomes on the ground. If you have underestimated the worldview you will achieve very little and waste millions of dollars.
If you choose to use my work or reference to this response, it is important to note that this came from my manuscripts (Bacchus 2001) and that you give the author credit. Now you know why I am studying worldviews for the past 7 years because this is at the heart of any successful programme initiatives.
A worldview is a framework created by competing endogenous and exogenous forces that shape the way a person perceives reality, the framework within which a person accepts sudden change and new knowledge (Bacchus 2001).
An indigenous worldview is a worldview that originates in and is characteristic of a certain region or country (Bacchus 2001).
An a-scientific worldview is a belief in dramatic events and development of spirit origination; for example, the Native American believes that mountains and rivers have spirits (Bacchus 2001)
Bacchus (2001) defines a scientific worldview as a culture that sees the world as cause and effect, and whose development is mechanical.
A colonized worldview is an ideology imposed upon and ingrained in the indigenous peoples of the Third World for the purpose of continued subjugation and exploitation; a vicious cycle that perpetuates itself in the intellectual classes through North Atlantic centres as well as in Third World country’s tertiary educational systems resulting in the promotion of and a continued state of stagnated development and/or underdevelopment in the Third World (Bacchus 2001, modified 2003).
Thank you for allowing me in a window of your world
Fenna E. Bacchus CEO/President
Functional Illiteracy Research and Education Inc.
544 Walnut Street
Altamonte Springs, FL 32714-2329 - USA
Tel/Fax: + 1(407) 774-6542
Cell:+ 1 (407) 484-0292 (Emergency Contact)
"If you want to go fast, then walk alone; but if you want to go far, walk with others". An African Proverb
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07-18-2008 4:46 PM
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mariasururu

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Kenya
Not currently affiliated with the Global Fund
- Posts 8
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Re: Week 5: coordinating programs supported by several partners
Dear Members,
In my view, it is is really important for GF to work with other partners in order to overcome challenges. GF programs mostly deals with VCT and drug distribution. Let us not forget that most people who get assistance from GF programs are poor and it is important to note that while it is always a relief for them to get the drugs, they are often faced with a bigger problem that of poverty, and we all know that food is an essencial part of the treatment.
Let us not lose sight of what we are dealing with. We are dealing with three very deadly global epidemics which is a disaster for all aspects of development and if the epidemics are not halted, it will continue to eradicate families and communities. Since GF works for the poor and vulnerable, coordinating programs suported by several partners would ensure that long-term support is achieved. The partnership could make it easy to include programs to support accessability of clean water, food and sanitation, as well as caring for both the sick and those left behind.
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07-18-2008 1:40 PM
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Thamer Kadum Yousif Al hilfy

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Iraq
Country Coordinating Mechanism (CCM)
- Posts 15
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Re: Week 5: coordinating programs supported by several partners
the main advantages of a program that is supported by several parners are gaining more experties and the chance for more thoughts sharing,and in the case of iraq,we feel comfortable by this coordination,still the main challenge that we might face is the effective communication and understanding between all partners and the mechanism that should prove to be effective.
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07-18-2008 9:41 AM
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ASHISH SRIVASTAVA

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India
Consultant
- Posts 185
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Re: Week 5: coordinating programs supported by several partners
In implementation of coordinated program supported by several
partners,effective role of national plan & reporting requirement
based upon demographical,trends,population projections,legal&
constitutional bio-behaviour factors are essential for reducing
challenges in countries.
Effective national plan should consist of suitable implementation
of local conditions,degree of representation at various level in a
country,integration of labour,occupational health provision ,
accessibility of national immunization program rather than delayed
global approaches in prevention of human suffering could give
more effective support to co-ordinated program in reducing challenges exists in many developing countries.
National plan should ensure products flow (drugs,consumer goods
favoured environmental factors,effective & selective provision of
industrial production,governance,intermediaries services (banking,
education,health services for coordinated program supported by
several partners.
National fiscal policy should ensure availability of essential
drugs,products& services by reducing custom duty,variation in tax,
GNP strengthening.
Country's constitutional support,legal sanctity including legal
prohibition on abnormal gender practices,prevention on high risk
behaviour,cross cultural abnormal relationalship,practices&
unethical practices could give effective support to CSS(community
system strengthening includes grass root solution, gender empowerment,
marginalised groups with less resources of livelyhood,NGO,community
based organisation in reducing challenges in a country.
Degree of national program representation & its integration with
legalisation method e.g. legal provision for drug substitution,
cleaner alternatives,regulatory approval for indigenous products&
services procurement, accessibility of patent filing for developing
countries in prevention of human suffering.Participation,contribution,expertise,coverage,education,capacity,
& resource allocation of several partners should be clearly defined
in co-ordinated programs .
Degree of representation of above factors may differ in varied
socio-economical,socio-political conditions in countries.Countries
should also analyse challenging condition ,costrained factors.
These evaluations could give development of indicators,reporting
mechanism,feasibility,flexibility for implementation of coordinated
program supported by several partners.
Thank you
ASHISH SRIVASTAVA
ex-International Marketing
CCM(SEAR-INDIA)81237
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07-16-2008 1:31 PM
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Kidegcollins

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Uganda
Not currently affiliated with the Global Fund
- Posts 22
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Re: Week 5: coordinating programs supported by several partners
Dear members,
The Global Fund should work with other partners so that they are able to overcome some of the challenges by this am saying since Global Fund mainly deals with the VCT, Distribution of drugs, etc. Other partners should also work with the Global Fund in giving support such as feeding to those who are already taking the drugs.
I want to give my experience here in Gulu recently a lady who was on ART went to a certains NGOs with her medical form from the hospital that is being supported by the Global Funds to get assistance but she was turned down on the ground that she is from the Global Fund supported Hospital.
Dear members, for us to succeed in our struggle all the stakeholders should work together because drugs without proper feeding I do not think it will work well. Global Fund should bring on board all the stakeholder in the fight and explain their roles properly to them so that other stakeholders should be able to pick on other roles since all of us are working hard to achieve the same goal.
Collins Kidega Gulu,
Uganda
kidegacollins@yahoo.com
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07-16-2008 9:39 AM
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ASHISH SRIVASTAVA

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India
Consultant
- Posts 185
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Re: Week 5: coordinating programs supported by several partners
In preceding discussion ,participants from many countries have
highlighted social expectation challenges,inaccessibility of
GF products & services in less GDP countries,lack of intervention
strategies,degree of representation of GF products& services with
co-ordinated program.
In regional overview each country has own basic national plan,under
varied social,economical,environmental,technical,human development,
constitutional factors country's national plan structure may differ
from other countries in implementation of GF program & co-ordinated
programs.These varied factors are also cause of challenges for
co-ordinated program supported by several partners.
Definitely public-private partnership ,corporate financial,MNCs
contribution,product procurement e.g.(PRODUCT)RED have given
significant strategical,financial,performance evaluation contribution
in coverage of GF programs.
Several partners e.g. WHO,UNAIDS,UNDP,USAID,UNITAID-CLEAN SPACE
MECHANISM,MDGs,world bank,MNCs,PSUs,have also provided surveillance
system,methodology,intervention strategies,integrated preventions,
treatment,care services,community & civil-society mobilization.
Since inception GF has focused disbursement of funds,grant mechanism,
&resources mobilization according to country's need,expectation,
national budget consideration.In implementation of GF program&
co-ordinated program, several partner's capacity,expertise,coverage,
degree of representation are important components of co-ordinated
program.GF&its partners could reduce challenges of countries by
providing specific (PSUs)support,MNCs,research institutional mechanism,development of surveillance sentinel sites,methodology,
intervention strategy,performance based system,corporate-contribution.
In third world countries & developing countries
accessibility of goods,products,& services procurement are challenging
factors.In the above challenging environment GF & its partners can
take right selection approaches of public sectors& multinational
companies for specific products& services support e.g. ART, HARRT
(highly active anti-retroviral),these public sector companies
could give structural,brand,packaging,pricing,export support to
GF products& services in less health infrastructure ,less GNP
countries.
Analysis of internal& external constraints in less GDP countries,
could give correct measures of challenges e.g. patent, international
certification,pricing favoured consumers expectation,less competition,
income-product& services demand relationship,consumers pattern,
size of population in a country,national income status,technological
condition in countries,monopoly& large Number of seller,drugs
production practices.
GF& its partners could reduce country's challenges by providing
data health survey,integration & expansion of research institute
(ICTC,DMC)in coverage,testing,treatment,integrated prevention,
care services,operational feasibility,analysis of risk factors,
communication,uninterrupted supply of essential drugs.Integration of
national plan reporting system,national estimation with several
partners in co-ordinated program could reduce challenges exists in
implementation .Cororate financial contribution ,NGO(community -
based)participation,expansion,consolidation in voluntary counselling,testing,monitoring,could reduce varied challenges in
co-ordinated programs.
Thank you,
ASHISH SRIVASTAVA
ex-International Marketing
CCM(SEAR-INDIA)81237
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