Quarterly Newsletter of the National AIDS Foundation 2009 ¹3(22)


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2009 îí ¹3(22)

AIdS day december 1...


he 20th annual World AIDS Day has been commemorated as an opportunity to pay attention to HIV/AIDS issues globally.

World AIDS Day was conceived and adopted unanimously by 140 countries meeting at the World Summit of Ministers of Health on AIDS, London in January 1988. The concept of the World AIDS Day was supported by the World Health Organisation (WHO) and the date of December 1 was declared as World AIDS Day. Since that time, all the nations around the world have been organizing campaigns to celebrate this day annually under certain shared theme developed by WHO and Joint United Nations Programme on HIV/AIDS. In Mongolia, a variaty of HIV/AIDS prevention and awareness raising activities has been implemented in the scope of the World AIDS Day since 1990. With financial support from NAF, an NGO “Information, Cmmunication and Initiative Center” organized awareness raising activities during period between November 27 and December 1, 2008 in the light of the World AIDS Day- December 1.

An awareness raising activity was held at the the busiest department store and supermarkets /all the branches of “Nomin” supermarket network/ among general public during the peak shopping hours of 15.00-18.00 o`clock on Sunday,

the crowd as well. Moreover, on Friday, the 28th of November, an awareness raising event was organised in the “Ikh Mongol” pub where young people visit a lot. A Question & Answer contest was held among the customers of the pub and the winner was awarded with condoms and a t-shirt, which was an interesting event for many people. the November 30th. During this time, information board was set up and various information education communication materials such as brochures, bracelets and cell phone decorations with messages about HIV/AIDS and STI prevention, and condom use were distributed to the people and comprehensive information on current situation of HIV/AIDS was disseminated to

On December 1, in cooperation with “Unitel” company, awareness raising materials accompanied by cell phone decorations, bracelets and condoms were distributed to young people served by the OKTA and ROKMON centers of the company. During these activities, around 6000 people visited these service centers.

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A skills building workshop “How to write a project proposal?” was held

Building capacity of its partner NGOs/CBOs and providing them with neccessary technical and financial support has always been a part of NAF’s mission and one of its main strategic directions. In compliance with this strategy, we organised a training entitled “How to write a project proposal?” during the period of December 13-15, 2008. Main purpose of the training was to impart knowledge and skills of developing community focused proj-

ect proposals to its newly selected partner NGOs/ CBOs, and to improve capacity of both the existing and newly selected partner NGO/CBOs. The training was designed in a systematic way and a total of 18 people consisting of project managers and officers from the partnering NGOs/CBOs participated in the training. The participants were taught about a concept of a project proposal, its main structure; process of writing a project pro-

posal; what are goals and objectives of a project; what should be changed for whom; how to identify project implementation period and expected results; how to assess risks; how to do budget breakdown; how to monitor and evaluate project implementation; what could be criterias for writing a succesful project proposal; and tips to consider during implementation of the project, etc.

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A training on how conduct cbo capacity analysis, with use of a toolkit entitled “Community based organizations’ CapaCity analysis”
uilding the organizational, HIV technical, and policy capacity of civil society organizations is key to planning and delivering high quality responses to HIV. NAF, with an aim to strengthen capacity of public and non-governmental organisations working actively in the field of HIV/AIDS and STI prevention, and to provide assisstance to them, has been developing and publishing various manuals and toolkits and training materials, and adopting international toolkits and materials, getting them translated into Mongolian language with adjustments to suit to our country`s context when it

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organisations, with an aim to train them as facilitators who then will conduct the capacity analysis of their respective community based organizations using the participatory methodologies given in the toolkit. The participants gained knowledge and practical skills on how to assess the capacity of their organisations, how to identify organisational needs, and how to plan responsive actions to meet the identified organisational needs in a complex manner. As a result of obtaining these methodologies, users will be able to generate both quantitative and qualitative baseline information, which can be used to track progress in organizational development.

is required, and making those publications accessable to relevant government and civil society organisations. Within the scope of this task, we published a toolkit entitled “Community Based Organisations’s Capacity Analysis”, which is a toolkit used for assessing and building capacities for high quality responses to HIV. This toolkit has initially been developed by International HIV/AIDS Alliance and it provides structured approaches to the participatory identification of capacity building needs and planning of responses. On December 21-23, 2008, we organised a training among the project officers from our partner
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A support center to carry out HIV/AIDS and STI prevention activities among MSMs has been established
Based on needs and requests from the MSM community, NAF has established a community support center with an aim of preventing gay men from HIV/AIDS and STIs and officially launched its opening on the date of December 4, 2008. This center has a goal to reach both new and already existing community members who were not able to be part of the HIV/AIDS and STIs prevention projects and programmes implemented in Ulaanbaatar. Main activities and services of the support center would be including and not limited to the activities below: • Reveal new communities and provide them with trainings on sexual health, sexual orientation, and HIV/AIDS and STI prevention; • Provide the communities with psychological counseling and help them to get voluntary counseling and testing service; • Organise family support group meeting and provide family members of MSMs with psychological counseling; • Provide hotline counseling service /at phone number: 88684861/; • Organize mobilizing activities /cultural, art and sports events etc./; • Organize open group discussions based on selected themes; • Promote the importance and benefits of voluntary counseling and testing service and help the community to get medical care and treatment services; • Provide online counseling, etc. STAFF: Manager of the support center: N.Otgonbaatar Officer of the center: D.Myagmardorj Officer of the center: G.Dul Volunteer: G.Uuganbayar Volunteer: A.Enkhtuvshin
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LOOKING AHEAD–”Get up, stand up, don’t give up the fight”’

At the end of 2008, Dr Peter Piot, the founding Executive Director of UNAIDS, will leave his post after leading the organization since his appointment in 1994. He reflected on past milestones and future challenges in an interview with John Donnelly:
How are you feeling on the eve of your departure? Peter Piot: I thought my last couple of months would be pretty quiet. (Laughs) I underestimated that a bit. But my main objective has been to secure our funding for next year. That is always
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a challenge. When you look back on your time at UNAIDS, what do you consider the three biggest breakthroughs? PP: The first one came in 1996, when treatment was discovered and became available, and

equally important to that was the major reduction in the price of antiretrovirals later. They are both very important milestones. The second one was the UN General Assembly Special Session on HIV/AIDS in 2001. That was a turning point. After that, the Global Fund

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before introducing antiretroviral therapy, as so many suggested, we would still be nowhere on ART and millions would have died. What concerns you most about the response to the epidemic today? PP: What really concerns me is that while we’ve made measurable progress on access to treatment, we don’t have the same impact when it comes to HIV prevention. Is it because we need more time, or are we not on the right track? I personally think more and more that we need to be working with the professionals who do the marketing for branding businesses, who know how to influence people’s behaviors. HIV prevention is what will require the extra shot in the arm. est countries won’t be able to run their AIDS programmes. In developing countries, governments may have less income. They may have fewer remittances, less private direct investments. That means more people will be vulnerable, and could lead to an increase in sex work. We don’t know this will happen. But it’s something I’m very concerned about. You often describe yourself as an activist. What is your grade for activists over the past several years? Where have they succeeded? Failed? PP: I think activists have been hugely successful in terms of treatment, advocacy, and mobilizing funds, particularly for The Global Fund. That’s a top grade. But as for activists working for prevention, well, Treatment Action Campaign in South Africa is doing it, but they are an exception. How do you take politics out of the prevention debates? PP: It’s not possible-and there’s nothing wrong with that. It’s about fundamental choices in society and life. Thinking that we could have a society that is completely rational about these things is an illusion and may not be good. … You need to have a set of values and principles guiding policies, and then you automatically get into politics with AIDS. The key is to make sure it is good politics, the politics where as much as possible that if there is scientific evidence, that evidence is used to save lives. There are still countries where harm reduction in working with drug users is against the law. That’s bad politics. What’s going to be especially hard in prevention work ahead? PP: In Asia and Eastern Europe, we have to start looking beyond sex workers and drug users, and how it could make inroads in the general population. And secondly, in an increasing number of eastern and southern African countries, up to half of all infections are occurring in stable couples. How do we deal with that? That calls for a revision in our approaches. In addition we need help from business to professionalize HIV prevention. What will be the role of the modes of transmission studies that show where the new infections are likely to occur?
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(to Fight AIDS, Tuberculosis and Malaria) was created; presidents and prime ministers took charge of the response in many countries; AIDS made it to the top of the agenda in the world. It was no longer just an issue for ministers of health. It was discussed in places where you discuss the really big issues. And the third thing, I guess, is that the fact that the money we spent last year on AIDS reached US$ 10 billion. It’s a formidable resource mobilization. A really important part of that is the major role of people living with HIV. Money is the result of the combination of this activism and the political work symbolized in the General Assembly session. Can you describe a moment when you received epidemiological data that scared you? PP: Many of them. My most recent experience was when I saw the data recently on the rise in HIV in the gay populations in Asia. It was exactly what we saw in the West in the early 1980s. I saw the same thing with injecting drug users in Eastern Europe about 10 years ago. And when I was working in central Africa, in then Zaire, in the mid-1980s, South Africa had less than 2% prevalence. Then, a few years later, you saw it skyrocketing, and say, ‘Wow. That’s unbelievable.’ There have been many moments like this. It’s something that I think we should bear in mind when we think of the future of this epidemic. The virus will continue to surprise us. That’s why I’m very sceptical when people say about Asia, ‘Oh, it will be limited to concentrated populations.’ Maybe, maybe not. We don’t know. Has the fight against AIDS strengthened or weakened health systems? PP: There’s absolutely no evidence that I’ve seen that it undermines health services. If anything, it certainly strengthened certain services, such as laboratories. Determined governments will make sure that disease specific funding is used to strengthen local capacity. The AIDS epidemic itself has overburdened health systems. It also for the first time has brought money to strengthen the health workforce in, say, Malawi where they even built health clinics with AIDS funds. Ethiopia is another example. They have a strong government and a strongminister of health. He has been using AIDS funds to build rural health clinics. But let’s also not forget that if we had waited until the health services were fixed

You’ve identified a US$ 10 billion annual shortfall in the fight against AIDS. What’s your best argumentto increase funding? PP: The number one argument is that funding for AIDS works, is saving lives, and has shown high return on investments. The needs are there. Just take treatment-close to 4 million are now on antiretrovirals today, but still about 8 million need it. Also, we are so far better equipped to spend the money before. Initially, systems had to be developed, labs established, people trained. Delivering the goods is now cheaper because we have made the initial investments. How could the global financial crisis affect programmes? PP: If there’s a decline in funding, the return on the investment will be much less. Postponing action just increases the bill later on. I worry now that governments will cut the social sector first. That is often the experience in economic downturns. In Japan, after their financial crisis in 1990, they cut development assistance by 60%. And without ODA, without The Global Fund, the heavily AIDS-affected and poor-

PP: They should be very helpful because we don’t always know what is going on. We may be basing our prevention work on where the epidemic was five years ago. It may have changed, or may not have changed. My concern is not only that we have good studies, but the studies are used. In Lesotho, similar studies led to changes. In Thailand, they are trying to change the prevention approach based on new information, and in China, the studies are drawing attention to homosexual men. Most difficult will be in countries with generalized epidemicshow to interpret the information. If HIV is in married or stable couples, boy, that’s quite a lot of people, and how do you do that? In your speech at the International AIDS Conference in Mexico City, you quoted Bob Marley’s lyrics, “GET UP, STAND UP, DON’T GIVE UP THE FIGHT”. Then you said, “That’s what I will do. What will you do?”

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PP: I don’t know yet. I’ll be in an academic position at Imperial College in London, United Kingdom, and will continue some work in AIDS, but as a citizen and member of the community. I need some time now to work on my next life. But I definitely want to work across disciplines. Like Bob Marley said, ‘We’ve got a mind of our own’”.



The Red Ribbon Award

he red ribbon is a global symbol in the movement to address AIDS. The Red Ribbon Award, launched on World AIDS Day, will honor and celebrate twenty-five outstanding community organisations, that demonstrate leadership and action in curtailing the spread and impact of HIV and AIDS IN THE FOLLOWING FIVE CATEGORIES:


not individuals; Special consideration is given to nominations from low and middle income countries; Past Red Ribbon Award Winners are not eligible.

transmitted infections and gender-based violence.

LANGUAGE Nominations are accepted in English, Spanish and French. PRIZE All 25 Red Ribbon Award-winning communities will receive $5,000 each. Five of these communities will receive special recognition and an additional $15,000. In total 25 winners were announced from over 500 nominations from 147 countries across the globe. THE FIVE ORGANIZATIONS ARE:
• •

Providing access to care, treatment and support for people living with HIV. Promoting human rights and addressing social injustices including homophobia, sexism and any other example of stigma and discrimination. Empowering women and girls and addressing gender inequalities that fuel the spread of HIV. Providing support to children orphaned by AIDS and other vulnerable children Promoting HIV prevention programmes and services.

Fortaleciendo la Diversidad - Mexico focuses on improving the quality of life, health and acceptance of transgender populations and sex workers while providing HIV prevention services such as facilitating access to voluntary testing and monthly condom distribution in San Luis. Mama’s Club - Uganda is a communitybased organization working to empower HIV positive mothers by providing psychosocial peer to peer support, prevention literacy, income generating skills, and mentor training for young mothers. Promoteurs Objectifs Zéro Sida (POZ) Haiti operates from five sites to offer guidance, counseling and support to over 2,000 people living with HIV and collaborates with religious leaders and the media to shape the Haitian response to AIDS


Grassroots initiatives, community-based organizations, small non-governmental organizations and faith-based organizations are eligible for the Red Ribbon Award; large organizations, international NGOs and governmental programs or institutions are not eligible; Awards are being presented to communities,

Association de Lutte contre le Sida (ALCS) - Morocco who have advocated for the human rights of people living with HIV since 1988 and achieved a variety of policy and programmatic successes including providing access to antiretrovirals, increased HIV awareness and voluntary counseling and testing. FIMIZORE (“Organization for the rights of all”) - Madagascar works to reduce the vulnerability of sex workers to HIV, sexually

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