Missing the Target: Treatment Monitoring & Advocacy Project for Universal Access to HIV Care

1. Treatment Monitoring & Advocacy Project:“Missing the Target Report Series”OthomanMelloukITPC-NA/ALCS

2. ITPC:Worldwide coalition of PLWHIV and their supporters and advocates. Uses a communitybasedapproach to achieveuniversalaccess to treatment, prevention and all health care services for PLWHIV and thoseat-risk. • The treatment monitoring and advocacyproject (TMAP): produces « Missing the Target » reports seriesthatidentifybarriers to delivery of AIDS services and holds national governments and global institutions accountable for improved efforts(12 reports)

3. Why monitoring through Missing the Target (MTT)? • Started with need to track “3 by 5” initiative from a civil society perspective • Recognition: scale up dependent on politics, money and implementation issues • Need to make governments and global agencies accountable for progress • Focus on outcomes, identify specific barriers & be solution-oriented • Inform advocacy with objective research

4. Identifybarriers to access to HIV treamentfrom Civil Society and PLWHIV perspective Developcapacities of communityactivists in: research, data collection & analysis and their use in advocacy Set priorities for advocacywith the goal to reachUniversal Access to HIV treatment Objectives of the research

5. Research Approach and Methods • Civil society teams based in countries • Standardized research template • Research based on confidential interviews with diverse informants: civil society, local and national government, health workers, policy makers • Centralized editing, coordination, global and domestic media • Focus on recommendations to change national policies and response of global agencies

6. MTT 10 : Barriers to Treatment 2.0 Scale-up • Why? • Confusions about the concept • No visibility about implementation plans at country level • Need for involvement of CS, PLWHIV and Key affected pop in implementation and monitoring • How? • By using the process of collecting information for the report as a learningtool

7. Methodology • In country Research teams: • ITPC RegionalCoordinators + Local Researcher (focus groups, indepth interviews withkeyinformants) • Instruments: • FGD Scripts –from PLWHIV, Key affected populations • In-depth Interviews: • Officials, CBOs, Care providers, PLWHIV, Key affected pop.

8. Collaboration with Local Scientists/Researchers • The RCs benefit from this exercise as building/strengthening their own capacity for ongoing/future research. • Apart from completing the research in time for the MTT10 report, the goal is to continuing to build and strengthen research skills beyond MTT10. • The findings of the MTT10 report will be used for hypothesis generation and providing a basis for research studies that lead to develop community based indicators for monitoring and evaluation of scale-up.

9. Results • Strenghtencapacities of local advocates in data collection and analysis • Pool of communityresearchersacross countries able to investigate issues • Sensitizecommunities, policymakers, care providers and implementers on issues related to treatment • Ability to network and liaise with the community stakeholders, district administration and health department

10. Inform process of strategic planning at national, regional and global level • The findings of the MTT10 report should be used for hypothesis generation and providing a basis for research studies that lead to develop community based indicators for monitoring and evaluation of scale-up.

11. Thank You www.itpcmena.org