Civil Society & Scaling Up Critical enablers

1. Civil Society & Scaling Up Critical enablers

2. 1. A Convincing Story of communities A coherent narrative of the role of communities and civil society in health Speaks to: Real community systems (research needed) Public health and its non-medical components Niche responses of community vs the state The value add of communities in and to health

3. 2 A Convincing Story of Critical Enablers A coherent narrative of the role of critical enablers in both the HIV response and health more broadly Quantification In Brazil, if teenage girls were able to delay pregnancy until their early twenties, its economy would be $3.5 billion more productive. In India, this number jumps to $7.7 billion. (World Bank) Interaction Girls who experience sexual violence are three times more likely to have an unwanted pregnancy, and girls ages 10 to 14 who are pregnant are five times more likely to die in childbirth than women ages 20 to 24. (Together for Girls)

4. 3. The Other Integration: SRHR and HIV Too much policy focus too little problematizing Exceptional focus, integrated response NCD link

5. 4. A new Narrative on Rights What’s wrong with the old one? ICPD, CSW and and the revenge of previously marginalized conservatives Rights as a particular geo-political agenda Findings leverage in the right places

6. 5. Unpacking National Ownership Unintended consequences Disappearing resourcing for civil society responses Similar for structural responses: the ART dilemma Re-medicalization of the response

7. 6. Priority stakeholders Refocus on vulnerability Women and girls (special focus on informal urban) Adolescents (including positive and key population) Key populations Denial of rights, denial of sex, denial of voice

8. 7. Growing antagonism towards civil society Increasing restrictions on CSOs State chauvinism Alternative development paradigms New development models Implications for democracy, the rule of law, and issues of plurality and diversity in countries

9. 8. Production of scientific quality evidence World Bank: Investing in communities achieves results (2012) Policy requires publication CSO – academia – policy links

10. 9. Social entrepreneurship A need to move from ‘charity’ to investment Sustainability of community interventions Unusual suspects

11. 10. An Investment Framework Venture capitalists and social capitalists Start-up support bridging finance structural adjustment loans surety insurance

12. Community Systems for Critical Enablement