Preventing and Coping with HIV/AIDS in Post-Conflict Societies: Gender-Based Lessons from Sub-Saharan Africa

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/tel1/./01/05/04/249674m

                       UNCLASSIFIED    

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SUMMARY

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1. SUMMARY:  A THREE DAY SYMPOSIUM ON PREVENTING AND

COPING WITH HIV/AIDS IN POST-CONFLICT SOCIETIES:

GENDER-BASED LESSONS FROM SUB-SAHARAN AFRICA WAS HELD

FROM 26-28 MARCH 2001 IN DURBAN, SOUTH AFRICA.  26

AFRICAN PARTICIPANTS FROM EAST AND SOUTHERN AFRICA

ATTENDED.  COUNTRIES INCLUDED WERE BURUNDI, DEMOCRATIC

REPUBLIC OF THE CONGO, ETHIOPIA, KENYA, MOZAMBIQUE,

NAMIBIA, REPUBLIC OF THE CONGO, RWANDA, SOUTH AFRICA,

TANZANIA, UGANDA, AND ZAMBIA.  THESE HIV/AIDS

PRACTITIONERS, LARGELY INDIGENOUS AND NON-GOVERNMENTAL

WITH SOME GOVERNMENTAL PARTICIPATION, DEVELOPED A

#DURBAN DECLARATION# STATING THAT CONFLICT, HIV/AIDS

AND GENDER INEQUALITIES ARE INEXTRICABLY RELATED.

SOLUTIONS TO THESE PROBLEMS REQUIRE MULTI-SECTORAL,

CROSS-SECTORAL AND SYNERGISTIC APPROACHES.

PARTICIPANTS PLAN TO DEVELOP A STRATEGIC PLAN THAT

LINKS HIV/AIDS, CONFLICT, AND GENDER FOR THE NATIONAL

AND REGIONAL LEVELS BY DEVELOPING AN EFFECTIVE

DIALOGUE WITH GOVERNMENT AT COMMITTEE AND CABINET

LEVELS, CIVIL SOCIETY ACTORS, THE PRESS, AND OTHER

SALIENT ACTORS SUCH AS FIRST LADIES. THE SYMPOSIUM

DEMONSTRATED THAT WE LIVE IN AN ERA WHERE AIDS IS NOT

SIMPLY A DISEASE OR AN EPIDEMIC, BUT A FACT OF LIFE

AND A COMPLEX SOCIAL DYNAMIC THAT IS INTRICATELY TIED

TO ISSUES OF GENDER AND CONFLICT. THE DURBAN

DECLARATION TEXT IS REPORTED IN PARAGRAPHS 23-31.

 

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WORKSHOP METHODOLOGY

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2. METHODOLOGY OF SYMPOSIUM: OVER THE THREE DAYS,

PARTICIPANTS SHARED THEIR STORIES FROM THE TRENCHES

THAT ELUCIDATED THE LINKS AMONG HIV/AIDS, CONFLICT,

AND GENDER.  PRIOR TO THE SYMPOSIUM, EACH PARTICIPANT

PREPARED A PAPER ILLUSTRATING THEIR ORGANIZATION'S OR

COUNTRY'S EXPERIENCES.  PARTICIPANTS SHARED THESE

STORIES IN A SERIES OF PANEL PRESENTATIONS AND SMALL

WORKING GROUPS.  THESE LESSONS LEARNED WILL BE PART OF

A BEST PRACTICES DOCUMENT THAT WILL BE PREPARED BY

TULANE UNIVERSITY OVER THE NEXT FEW MONTHS.

PARTICIPANTS SHARED THESE IDEAS WITH INTERNATIONAL AND

USAID COLLEAGUES FOR CREATING AN EFFECTIVE AND COGENT

PLATFORM FOR ACTION AND ADVOCACY.

 

3. STRATEGIC FRAMEWORK SETTING: PARTICIPANTS PLAN TO

BEGIN THEIR STRATEGIC ANALYSIS BY MEETING WITH USAID

MISSIONS IN AFRICA TO BRIEF MISSIONS ON THE WORKSHOP.

THEY THEN PLAN TO DEVELOP A STRATEGIC PLAN THAT LINKS

HIV, GENDER, AND CONFLICT FOR THE NATIONAL AND

REGIONAL LEVELS FOR EFFECTIVE DIALOGUE WITH GOVERNMENT

AT COMMITTEE AND CABINET LEVELS, OTHER CIVIL SOCIETY ACTORS, THE

 PRESS, AND OTHER SALIENT ACTORS SUCH AS FIRST LADIES.

 

4. WORKSHOP GOALS: (A) TO PROVIDE A QUICK OVERVIEW OF

GENDER-SENSITIVE PRACTICES AND KNOWLEDGE IN PREVENTING

AND COPING WITH HIV/AIDS IN THE AFTERMATH OF VIOLENT

CONFLICT; (B) TO EXPAND THIS KNOWLEDGE BASE BY SHARING

AND DISSEMINATING THE EXPERIENCES OF AFRICANS WHO ARE

CONFRONTING THESE ISSUES IN THEIR COUNTRIES; AND, (C)

TO IDENTIFY RECOMMENDATIONS AND STRATEGIES FOR

PRACTITIONERS, POLICYMAKERS, AND DONORS ON HOW THESE

EFFORTS CAN BE BEST SUPPORTED.  THEMATIC AREAS

INCLUDED: (A) DEMOBILIZATION AND REINTEGRATION OF

ARMED FORCES, (B) GIRLS' EMPOWERMENT, (C) CARING FOR

ORPHANS AND PEOPLE LIVING WITH HIV/AIDS, (D)

REHABILITATING OR REBUILDING HEALTH SERVICES, (E)

HEALTH AS A BRIDGE TO PEACE, (F) LOCAL, NATIONAL, AND

REGIONAL RESPONSES, AND (G) GRASS ROOTS LESSONS

LEARNED AND RECOMMENDATIONS FOR PRACTITIONERS, AFRICAN

GOVERNMENTS, AND DONORS.

 

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BACKGROUND TO WORKSHOP

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5. BACKGROUND: STATISTICS ON HIV/CONFLICT/GENDER:

PARTICIPANTS AGREED WITH THE INITIAL OBSERVATIONS OF

USAID/AFR/SD/CMR (REF. CABLE STATE 044234): VIOLENT

CONFLICT AND HIV/AIDS POSE FORMIDABLE THREATS TO HUMAN

SECURITY IN AFRICA. THE NUMBER AND NATURE OF VIOLENT

CONFLICTS AND RELATED COMPLEX EMERGENCIES, COUPLED

WITH THE HIV/AIDS PANDEMIC IS NOW IMPEDING DEVELOPMENT

IN AFRICA, AND NEGATING MANY OF THE GAINS ACHIEVED.

HALF OF ALL THE WORLD'S CONFLICTS IN 1999 WERE LOCATED

IN SUB-SAHARAN AFRICA (SSA), INVOLVING TWO THIRDS OF

THE COUNTRIES IN THE REGION. SIX HIGH INTENSITY

CONFLICTS (CAUSING OVER A THOUSAND DEATHS PER YEAR)

WERE STILL RAGING IN THE REGION IN LATE 2000.  AS OF

JANUARY 2001, AFRICA HAD 3.5 MILLION REFUGEES AND 1.7

MILLION INTERNALLY DISPLACED PEOPLE (IDPS).  AFRICA IS

ALSO THE PART OF THE GLOBE THAT HAS BEEN HARDEST HIT

BY HIV/AIDS. OVER 25 MILLION PEOPLE, OR NEARLY 70

PERCENT OF THE WORLD'S 34.5 MILLION AFFLICTED WITH

HIV/AIDS, AND 90 PERCENT OF DEATHS FROM AIDS ARE TO BE

FOUND IN A REGION THAT IS HOME TO JUST 10 PERCENT OF

THE WORLD'S POPULATION.  OVER HALF OF THE AFRICANS

AFFLICTED BY HIV/AIDS PEOPLE ARE WOMEN.

 

6. BACKGROUND: LINKS AMONG HIV/CONFLICT/GENDER:

ALTHOUGH THERE IS LITTLE CROSS-COUNTRY EPIDEMIOLOGICAL

DATA AVAILABLE, THERE IS EVIDENCE TO SUGGEST THAT

CONFLICTS INCREASE THE RISK AND IMPACT OF HIV/AIDS IN

SEVERAL WAYS. CONFLICTS DISLOCATE COMMUNITIES, CREATE

FLOWS OF REFUGEES AND INTERNALLY DISPLACED PERSONS,

AND SERIOUSLY DISRUPT FAMILY LIFE. THERE IS AN

INCREASE IN THE NUMBER OF WOMEN HEADED HOUSEHOLDS.

SOLDIERS AND FIGHTERS COME INTO GREATER CONTACT WITH

CIVILIANS IN SITUATIONS WHERE WOMEN, YOUNG GIRLS AND

BOYS ARE HIGHLY VULNERABLE TO SEXUAL AND GENDER-BASED

VIOLENCE, SEXUAL EXPLOITATION, AND RISKY SEXUAL

BEHAVIOR DUE TO INCREASED PSYCHOSOCIAL TRAUMA AND

BREAKDOWN OF BASIC SERVICES.  THE MAGNITUDE OF THESE

PROBLEMS HAS PROMPTED CONSIDERABLE WORK AMONG NATIONAL

AND INTERNATIONAL ACTORS TO MAINSTREAM HIV/AIDS

PREVENTION, SCREENING, EDUCATION, TREATMENT, AND

CONTROL INTO HUMANITARIAN RESPONSE AND POST-CONFLICT

RECONSTRUCTION. GENDER SENSITIVE APPROACHES THAT

AFFECT THE EFFECTIVENESS OF RESPONSES TO THE AIDS

PANDEMIC ARE KEY IN AFRICA, GIVEN WOMEN'S DUAL ROLE AS

CARE GIVERS AND HOUSEHOLD INCOME EARNERS.  NOTING THAT

OVER 50 PERCENT OF NEW HIV INFECTIONS IN AFRICA OCCUR

IN WOMEN, YOUNG WOMEN SEEM TO BE PARTICULARLY

VULNERABLE. FOR EXAMPLE, ONE IN FOUR SOUTH AFRICAN

WOMEN IN THE 20-29 AGE GROUP CARRY THE VIRUS TODAY.

THE NUMBER ONE FORM OF TRANSMISSION OF HIV AMONG WOMEN

IN AFRICA IS SEXUAL INTERCOURSE. WOMEN'S INCREASED

RISK FOR HIV HAS BEEN ASSOCIATED WITH PROSTITUTION,

TRAFFICKING OF WOMEN AND CHILDREN, DOMESTIC VIOLENCE,

FORCED MARRIAGES, RAPE AND INCEST, POOR HEALTH,

(PARTICULARLY ACCESS TO QUALITY REPRODUCTIVE HEALTH

SERVICES) AND LIMITED POWER TO AFFECT THESE RISKS.

WOMEN ALSO CARRY THE MAIN BURDEN OF CARE OF FAMILY

MEMBERS WITH HIV/AIDS. IN SITUATIONS OF CONFLICT AND

POST-CONFLICT, WOMEN ARE NOT ONLY MORE EXPOSED AND

VULNERABLE TO HIV/AIDS, THEY ALSO HAVE LESS COPING

CAPACITY, NOT LEAST BECAUSE THEY ARE NOT USUALLY

INVOLVED IN PLANNING THE ALLOCATION OF RESOURCES FOR

RECONSTRUCTION, INCLUDING THOSE FOR HIV/AIDS

PREVENTION AND MANAGEMENT.  AT PRESENT, NO ESTABLISHED

SET OF BEST PRACTICES TO GUIDE POLICY AND PROGRAMMING

FOR ADDRESSING HIV/AIDS IN POST-CONFLICT COUNTRIES

EXISTS. THERE ARE HOWEVER, MANY INITIATIVES. ALL

ACROSS AFRICA, PEOPLE FROM ALL WALKS OF LIFE, AND

ESPECIALLY WOMEN, ARE ENGAGED IN FORMAL AND INFORMAL

INITIATIVES THAT NOT ONLY STRENGTHEN THE COPING

CAPACITIES OF FAMILIES, COMMUNITIES, AND COUNTRIES IN

THE FACE OF THESE CRISES, BUT ALSO CONTRIBUTE TO

CREATE ENVIRONMENTS THAT ENHANCE HUMAN SECURITY IN ALL

ITS DIMENSIONS. WOMEN HAVE WORKED ON BOTH DIPLOMATIC

AND DEVELOPMENT EFFORTS, AT THE NATIONAL/INTERNATIONAL

LEVEL, AND AT THE GRASSROOTS LEVEL.

 

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SUMMARY OF WORKSHOP SESSIONS

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7. DURING THE OPENING SESSION OF THE WORKSHOP,

STATISTICS (SEE PARAGRAPHS FIVE AND SIX ABOVE) WERE

PRESENTED AND LINKAGES EXPLORED WITH QUESTIONS THAT

HAVE BEEN RAISED ON HIV AND CONFLICT.  SUCH QUESTIONS

INCLUDE WHETHER KNOWINGLY HIV POSITIVE SOLDIERS

DELIBERATELY RAPE WOMEN IN CONFLICT SITUATIONS.  THE

LINK AMONG THE THREE AREAS WAS SET IN THE CONTEXT OF

PUBLIC INTERNATIONAL HUMAN RIGHTS LAW AND PRACTICAL

EXAMPLES FROM THE FIELD.

 

8. SESSION ONE OVERVIEW: WORKSHOP PARTICIPANTS HAD

PREPARED SUMMARY PAPERS PRIOR TO THE WORKSHOP.  KEY

THEMES WERE THE FOLLOWING: (1) NEED FOR A SOLUTION

BEYOND A NARROW TECHNICAL APPROACH, (2) AGREEMENT THAT

HIV HAS BEEN IDENTIFIED AS AN EXPLICIT WEAPON OF WAR,

 (3) THE EXTRAORDINARY URGENCY OF THE VULNERABILITY OF

WOMEN, CHILDREN, REFUGEES, AND IDPS, (4) CONNECTION

WITH LOCAL CULTURE THAT CAN BE EITHER HARNESSED OR

DETRIMENTAL TO PROGRESS, (5) NEED FOR FOCUSING ON

PSYCHOSOCIAL AND SOCIO-ECONOMIC DETERMINANTS, AND (6)

RECOGNIZING THAT WOMEN AND MEN HAVE DIFFERENT ACCESS

AND POWER OVER RESOURCES.  CHALLENGES ARE INTANGIBLES

SUCH AS FEAR, IGNORANCE, LACK OF POWER TO MAKE

INDIVIDUAL SEXUAL HEALTH DECISIONS, AND

COMMUNITY-LEVEL COMMITMENT.

 

9. MILLICENT MALAZA-DEBOSE OF SAVE AFRICA ESTABLISHED

THAT GENDER ROLES AND EXPECTATIONS TAKE DIFFERENT

FORMS IN CONFLICT SITUATIONS.  TRADITIONALLY, WOMEN

HAVE BEEN SEEN AS CARETAKERS AND MEN AS PROVIDERS AND

PROTECTORS; IN CONFLICT THESE ROLES ARE HEIGHTENED.

THE GROUP QUESTIONED HOW SECURITY, GOVERNANCE, AND

DEEP-ROOTED POVERTY CAN BE ADDRESSED TO MITIGATE THE

POTENTIAL FOR WEAKENED GENDER ROLES AND INCREASED HIV

TRANSMISSION.  GROUP CONCURRED THAT THERE IS A NEED

FOR BEHAVIORAL CHANGE, INCLUDING MEN AS PARTNERS IN

THE HEALTH PROCESS.  GLOBALIZATION WAS RAISED AS BOTH

A POSITIVE AND NEGATIVE IN PROVIDING INFORMATION TO

STEM HIV TRANSMISSION.  THERE WAS AN AGREEMENT THAT

THE MILITARY NEEDS TO BE PART OF A BROADER HIV

STRATEGY, RATHER THAN AS A TARGET GROUP.

 

10. SESSION TWO - LIVING WITH HIV/AIDS: ASUNTA WAGURA,

AN HIV POSITIVE KENYAN WHO IS THE EXECUTIVE DIRECTOR

OF KENYA NETWORK OF WOMEN WITH AIDS, GROUNDED THE

WORKSHOP BY PRESENTING HER PERSONAL LIFE HISTORY WITH

AIDS.  HER GRIPPING PRESENTATION REMINDED PARTICIPANTS

THAT HIV POSITIVE PEOPLE CANNOT BE CONSIDERED AS

VICTIMS; VICTIMS ARE CONSIDERED WEAK AND POWERLESS;

HIV POSITIVE PEOPLE HAVE CAPABILITIES DESPITE THEIR

STATUS.  CLAUDINE MUYALA TAYAYE BIBI OF THE UNIVERSITY

OF KINSHASA AND THE NGO PLATFORM PAAF FOLLOWED

WAGURA'S PRESENTATION, ARGUING THAT WITHOUT PEACE IN

THE DRC, THERE WILL BE NO SECURITY IN CENTRAL AND

SOUTHERN AFRICA AND THE AFRICAN RENAISSANCE WILL

REMAIN A DREAM, FORESTALLING FUTURE PROGRESS ON HIV.

NZAMA CHIKWANKA OF THE SOCIETY FOR WOMEN AND AIDS IN

ZAMBIA ARGUED THAT AFRICAN CULTURE ENCOURAGES SILENCE;

YET EFFECTIVE HIV EDUCATION CALLS FOR A HEALTHY

DISCUSSION OF AN INDIVIDUAL'S RESPONSIBILITY FOR

MAKING HEALTHY SEXUAL DECISIONS.

 

11. SESSION THREE - WOMEN'S STRUGGLES AGAINST HIV/AIDS

AND VIOLENCE: SMALL GROUP DISCUSSIONS CRITIQUED THE

DUAL EXPECTATIONS OF WOMEN AS CAREGIVERS (PILLARS OF

CULTURE AND CUSTODIANS OF COMMUNITY) AND AS

BREAD-WINNERS.  PARTICIPANTS ARGUED THAT WOMEN CANNOT

AUTOMATICALLY BE CONSIDERED AS PROGRESSIVE

INDIVIDUALS; WOMEN, LIKE MEN, ARE REPRESENTATIVE OF

BROADER SOCIETAL ISSUES.  HOWEVER, PARTICIPANTS

CONCURRED THAT HIV, VIOLENT CONFLICT, AND POVERTY

DISPROPORTIONATELY AFFECT WOMEN.  NGO PARTICIPANTS

SHARED PRACTICAL CHALLENGES OF DESIGNING EFFECTIVE

EDUCATIONAL CAMPAIGNS WHILE BEING RIDICULED FOR

PROMOTING HIV.  PARTICIPANTS STATED THAT CRISIS CHANGES

THE NATURE OF PERSONAL RELATIONSHIPS AND WOMEN TAKE ON

NEW ROLES.  WOMEN CANNOT ESCAPE THE CYCLE OF MALE

DOMINATION AS THE LOSS OF ONE MAN USUALLY MEANS THE

REPLACEMENT WITH ANOTHER.  NGOS STRESSED THAT THEY

HAVE A CHALLENGE OF BRINGING WOMEN'S GROUPS TOGETHER

TO ACHIEVE A COMMON PLATFORM, ESPECIALLY WHEN SOME OF

THEIR AGENDAS ARE DRIVEN BY DONOR INTERESTS.

 

12. SESSION FOUR - HIV/AIDS, VULNERABLE POPULATIONS,

AND THE MILITARY: NSAMA CHIKWANKA OF THE SOCIETY FOR

WOMEN AND AIDS IN ZAMBIA DISCUSSED THE ROLE OF POST

TRAUMATIC STRESS DISORDER AND THE PARTICULAR REACTIONS

OF HYPERACTIVITY AND DEPRESSION THAT ARE LINKED TO

VIOLENCE AND RISKY SEXUAL BEHAVIOR.  DOROTHY GATERA

WIBABARA OF THE PRESBYTERIAN CHURCH OF RWANDA ARGUED

THAT FAITH-BASED HIV/AIDS INITIATIVES NEED TO WORK

WITH AN ON-THE-GROUND FAMILY SUPPORT NETWORK TO

ENCOURAGE CAPACITY BUILDING IN FAMILIES AND

COMMUNITIES SO THAT INDIVIDUALS CAN MAKE HEALTHY

CHOICES ON SEXUAL BEHAVIOR.  TRAUMA COUNSELING IS SEEN

AS AN EFFECTIVE INTERVENTION POINT.  ANNE-MARY

SHIGWEDHA OF THE NAMIBIAN MINISTRY OF DEFENSE REMINDED

THE GROUP OF SECURITY COUNCIL RESOLUTION 1308 THAT

STATED THAT HIV IS A HUMAN SECURITY ISSUE.  UGANDAN

PARTICIPANT CAROLINE ODONGO TURYATEMBA NOTED THAT

UGANDAN VETERANS HAVE NOT UNIFORMLY ENJOYED ACROSS THE

BOARD SUCCESS IN ECONOMIC REINTEGRATION. PARTICIPANTS

ITERATED THE NEED FOR EFFECTIVE INTEGRATION OF HIV

PROGRAMMING IN CONFLICT SETTINGS OF DEMOBILIZATION

(DDRR) ACTIVITIES AND HIV/AIDS EDUCATION FOR

EX-COMBATANTS

 

13. SESSION FIVE - THE SECURITY SECTOR AND GOVERNANCE:

THIS SESSION FOCUSED ON THE ISSUE THAT DEVELOPMENT IS

IMPOSSIBLE WITHOUT SECURITY AND JUSTICE.  SECURITY AND

GOVERNANCE ARE SEEN AS THE UNDERPINNINGS OF ECONOMIC

GROWTH.

 

14. SESSION SIX - HEALTH CARE IN POST CONFLICT

ENVIRONMENTS: DARAUS BUKENYA OF THE TANZANIA-BASED

AFRICAN MEDICAL AND RESEARCH FOUNDATION (AMREF) STATED

THAT PRESERVATION OF HEALTH SYSTEMS INCLUDES BUILDING

SELF-RELIANCE AND REHABILITATING HEALTH

INFRASTRUCTURE, YET BEING AWARE OF THE POTENTIAL TO

RECREATE DETRIMENTAL GENDER AND HEALTH ROLES.

BEATRICE MURUNGA OF MAP INTERNATIONAL SPOKE ABOUT

PSYCHOSOCIAL SERVICES FOR SURVIVORS OF VIOLENCE. SHE

NOTED THAT SEXUAL VIOLENCE RESULTING IN POSITIVE HIV

STATUS CREATES LOW SELF-ESTEEM AND SELF HATRED IN

WOMEN.  THIS PSYCHOLOGICAL TRAUMA IS TIED TO LOSS OF

ECONOMIC STATUS AND SELF-ESTEEM.  CULTURALLY, RAPE

CONTINUES TO HAVE A NEGATIVE STIGMA ATTACHED TO IT.

FOR THIS REASON, IN AFRICAN CULTURE, THERE IS A GREAT

DEAL OF SILENCE AROUND RAPE, ESPECIALLY AMONG WOMEN;

PARTICIPANTS WANT TO BREAK THIS SILENCE TO MORE

EFFECTIVELY ADDRESS THE INTERSECTION AMONG HIV/AIDS,

CONFLICT, AND GENDER.  PROGRAMS IN TANZANIA THAT HAVE

USED A TRAINING OF TRAINERS MODEL IN WHICH SURVIVORS

WHO THEN RETURN TO THEIR COMMUNITIES AND WORK WITH

CLIENTS.

 

15. SESSION SEVEN - PREVENTING HIV/AIDS IN POST

CONFLICT AFRICAN SOCIETIES: PRACTICAL APPROACHES TO

DEALING WITH HIV PREVENTION WERE DISCUSSED.  AN EAST

AFRICA GROUP SUGGESTED THAT THE MAIN ENTRY POINT

SHOULD BE DEMOBILIZED SOLDIERS AND THE HIV EDUCATION

ENTRY POINT SHOULD BE COORDINATED AT THE NATIONAL

LEVEL AND INCLUDED IN THAT LEVEL OF POLICY.  THE

CENTRAL AFRICA GROUP FOCUSED ON DEVELOPING RADIO

PROGRAMS THAT ARE TARGETED FOR ADULT AND ILLITERATE

WOMEN SO THAT THEY ARE BETTER INFORMED.  THIS GROUP

ALSO FOCUSED ON DEVELOPING WOMEN'S ECONOMIC

CAPACITIES.  THE SOUTHERN AFRICA GROUP DISCUSSED THE

TOOL OF DRAMA FOR DISSEMINATING HIV/AIDS EDUCATION IN

A SAFE WAY THAT USES LOCAL LANGUAGE AND CULTURE.  IT

WAS CLEAR FROM THIS SESSION THAT EACH AFRICAN

SUB-REGION REQUIRES A LOCALLY GENERATED AND RELEVANT

APPROACH THAT MEETS THE MOST CRITICAL NEEDS

IDENTIFIED.  THESE INTERVENTIONS MUST WORK WITH THE

LOCAL POPULATION.

 

16. ONE SIDE GROUP DISCUSSED NETWORKING AND POSSIBLE

FOLLOW ON ACTIONS FOR THIS WORKSHOP.  IT WAS ENVISAGED

THAT THE GROUP RECONVENES IN TWO YEARS TO SEE HOW THEY

HAVE IMPLEMENTED THE HIV/CONFLICT/GENDER APPROACH INTO

NATIONAL-LEVEL POLICY.  SECONDLY, THE GROUP SUGGESTED

THAT THEY CONVENE QUARTERLY DISCUSSIONS TO SHARE

LESSONS LEARNED.  THIRD, SPECIFIC THEMES WERE RAISED

  INCLUDING RAPE, DONOR COMMUNICATION WITH

COMMUNITY-BASED ORGANIZATIONS, PSYCHOSOCIAL ISSUES,

THE ROLE OF MEN IN PREVENTING HIV/AIDS, LITERACY AND

HIV/AIDS, AND THE CONNECTION BETWEEN DONORS AND

HIV/AIDS POLICY.

 

17. SESSION EIGHT - COPING WITH HIV/AIDS IN POST

CONFLICT AFRICA: THIS SESSION FOCUSED ON INCREASING

ACCESS TO RESOURCES (ECONOMIC, EDUCATIONAL,

AGRICULTURAL, HEALTH, FINANCIAL) IN EAST AFRICA,

PSYCHOSOCIAL SERVICES AND HEALTH CLINICS IN CENTRAL

AFRICA, AND ORPHANS IN WEST AFRICA.  IN EAST AFRICA,

THE EMPHASIS IS AT THE GRASS ROOTS LEVEL, ADULT

EDUCATION PROGRAMS, AND INCLUDING WOMEN'S GROUPS IN

ALL STAGES OF PLANNING AND IMPLEMENTATION DESIGN.  TWO

APPROACHES SUGGESTED WERE FOCUSING ON WOMEN'S

INHERITANCE AND ENSURING WOMEN'S EQUAL RIGHTS IN A

COUNTRY.  THERE WAS A CLEAR FOCUS ON IDENTIFYING

TALENTED WOMEN IN THE SUB-REGION AND DRAWING ON THEIR

SKILLS TO DESIGN EFFECTIVE PROGRAMS.  THE CENTRAL

AFRICA GROUP FOCUSED NOT ONLY ON PSYCHOSOCIAL AND

HEALTH CLINICS, BUT LEGAL CLINICS WHERE WOMEN ARE ABLE

TO HAVE ACCESS TO LEGAL REMEDIES.  THE SOUTHERN AFRICA

GROUP FOCUSED ON COMMUNITY-BASED RESPONSES TO ORPHANS

GIVEN DIFFERENT COMMUNITIES' LEVELS OF RECEPTIVITY TO

ORPHANS.

 

18. SESSION NINE - HEALTH AS A BRIDGE FOR PEACE: MARY

BALIKUNGERI OF THE RWANDA WOMEN COMMUNITY GROUP ARGUED

THAT STORY TELLING AND SHARING OF STORIES IN A

TRUSTING ENVIRONMENT ASSIST WOMEN IN DEALING WITH

ISSUES OF DOMESTIC VIOLENCE.  BALIKUNGERI DESCRIBED

THE POLYCLINIC THAT SHE RUNS WHICH INCLUDES

PSYCHOSOCIAL SUPPORT, LEGAL SUPPORT AND WITNESS

PROTECTION, MICRO FINANCE, AND POLITICAL EMPOWERMENT.

THE CLINIC IS AN EXAMPLE OF AN MULTI-SECTORAL APPROACH

TO ADDRESSING HIV/AIDS.  CAROLINE ODONGO TURYATEMBA OF

REACH UGANDA DISCUSSED HOW HER PROGRAM EMERGED FROM

LOCALLY GROWN FOCUS ON FEMALE GENITAL MUTILATION

(FGM).  AS THE CLINIC STARTED TO TACKLE FGM WITHOUT

THREATENING LOCAL CULTURE, THE KEY LESSON LEARNED WAS

DEVELOPING A PROGRAM IN CONJUNCTION WITH THE COMMUNITY

THROUGH SENSITIZATION AND DEVELOPING RAPPORT WITH EACH

PATIENT SO THAT S/HE IS COMMITTED TO CHANGE.

SUSTAINABILITY HAS BEEN A FUNCTION OF FAMILY AND

COMMUNITY LEVEL INPUT.  A SECOND LESSON FOR THE

SUCCESS OF THE CLINIC WAS COORDINATION WITH THE

MILITARY.  THE MILITARY WAS SEEN AS AN ORGANIZATION

THAT COULD PROVIDE SERVICES AND ALSO PROTECT A

BENEFICIARY GROUP.

19.  SESSION TEN - EMPOWERING WOMEN: PROVIDING SEX

WORKERS WITH INCOME GENERATING SKILLS AND LEGAL

KNOWLEDGE HAS BEEN SUCCESSFUL IN ONE COMMUNITY IN

ETHIOPIA AND HAD A SPILLOVER EFFECT THAT HAS WORKED IN

OTHER COMMUNITIES.  THE ETHIOPIAN FEDERAL GOVERNMENT

BACKED THIS PROGRAM, WHICH ENSURED ITS SUCCESS.  GIVEN

THE SENSITIVE NATURE OF WOMEN'S PROGRAMS, PARTICIPANTS

QUESTIONED WHETHER HOST GOVERNMENTS WOULD SUSTAIN

ACTIVITIES IN THE LONG TERM.  BULIKUNGERI STATED THAT

THE USG-FUNDED WOMEN AS PARTNERS FOR PEACE IN AFRICA

HAS BEEN A SUCCESSFUL NETWORKING MODEL FOR AFRICAN

WOMEN.  WHILE THESE EFFORTS HAVE BEEN SUCCESSFUL

INTERNATIONALLY, PARTICIPANTS QUESTIONED THE

SUSTAINABILITY OF LOCAL LEVEL INVOLVEMENT AND SUPPORT.

 

20. SESSION ELEVEN - LESSONS LEARNED AND ISSUES FOR

CONSIDERATION BY PRACTITIONERS: PARTICIPANTS NOTED

THAT LOCAL NEEDS AND COMMUNITY EMPOWERMENT ARE

CRITICAL TO ADDRESSING ISSUES.  EXAMPLES INCLUDE USE

OF LOCAL LANGUAGE AND THE MEN-AS-PARTNERS HEALTH

APPROACH.  PRACTITIONERS ARE CHALLENGED BY LACK OF

STAFF COMMITMENT TO KEEPING THE MESSAGES ON HIV/AIDS

SERIOUS, AND NOT REDUCED TO JOKES OR

INAPPROPRIATE/INSENSITIVE COMMENTS.  PARTICIPANTS

DISCUSSED THE EMERGENCE OF HIV/AIDS IN THE UNITED

STATES LARGELY IN THE GAY MALE COMMUNITY AND DREW A

PARALLEL THAT HOMOPHOBIA IS PREVALENT IN SUB-SAHARAN

AFRICA.  IN DISCUSSING GENDER ROLES BETWEEN MEN AND

WOMEN, PARTICIPANTS NOTED THAT THE PARADIGM SHOULD BE

BROADENED TO NON-TRADITIONAL ROLES. AGE IS A CRITICAL

FACTOR IN GENDER ROLES AND PRACTITIONER SUCCESS;

ACTIVITIES NEED TO BE SENSITIVE TO YOUTH.  BESIDES

GENDER ROLES, ANOTHER ISSUE IDENTIFIED WAS THE LACK OF

COMMITMENT ON THE PART OF THE STATE TO ADDRESS THE

ROOT CAUSES OF GENDER INEQUALITY AND CONFLICT WHICH

CAN LEAD TO HIGHER HIV/AIDS TRANSMISSION (E.G.

INHERITANCE AND LAND RIGHTS).  COUNTRIES'

CONSTITUTIONS DO NOT REFLECT THE GROUND LEVEL REALITY

IN COMMUNITIES AND IN THE PERIPHERY.  INTERNATIONAL

COVENANTS, E.G. THE CONVENTION TO ELIMINATE ALL FORMS

OF DISCRIMINATION AGAINST WOMEN (CEDAW) OR THE

CONVENTION ON THE RIGHTS OF THE CHILD (CRC), OR OTHER

HUMAN RIGHTS CONVENTIONS, ARE EITHER NOT SIGNED AND

RATIFIED BY HOST GOVERNMENTS, POORLY IMPLEMENTED, OR

THE EDUCATION DOES NOT TAKE PLACE IN THE FIELD SO

COMMUNITIES ARE EMPOWERED TO MAKE DECISIONS.

 

21.  SESSION TWELVE - LESSONS LEARNED AND ISSUES FOR

CONSIDERATION BY POLICYMAKERS: THIS SESSION RAISED

DIFFERENCES AMONG DONORS, DONOR INTERESTS, AND

APPROACHES.  SOME PARTICIPANTS SUGGESTED THAT EUROPEAN

DONORS ARE MORE CONSULTATIVE THAN AMERICAN DONORS ARE.

 ISSUES WERE RAISED REGARDING HOW BEST TO IMPLEMENT

DECENTRALIZATION ACTIVITIES TO MITIGATE CORRUPTION AND

OTHER PROBLEMS IN LOCAL GOVERNMENTS.  PARTICIPANTS

CALLED FOR AN EFFECTIVE PARTNERSHIP WITH DONORS AND

FOR TRANSPARENT NATIONAL-LEVEL UMBRELLA ORGANIZATIONS

THAT COORDINATE EFFECTIVELY.  SOME PRACTITIONERS

RAISED MANAGEMENT CHALLENGES SUCH AS THEIR

DIFFICULTIES WITH HAVING DIFFERENT FINANCIAL SYSTEMS

FOR DIFFERENT DONORS AND FULFILLING A MYRIAD OF

REPORTING REQUIREMENTS FOR EACH DONOR.  THERE WAS

UNANIMOUS AGREEMENT THAT DONORS NEED TO REDUCE

REPORTING REQUIREMENTS SO THAT GRANTEES CAN DEVOTE

MORE TIME AND RESOURCES TO IMPLEMENTATION.  DONORS

COULD ALSO CONSIDER PROVIDING MORE INSTITUTIONAL

SUPPORT SO THAT NGOS ARE BETTER EQUIPPED TO ADDRESS

ISSUES IN THE LONG TERM, AND HAVE THE FINANCIAL,

ADMINISTRATIVE, AND MANAGEMENT CAPACITY TO DEAL WITH

DIFFERENT DONORS' AGENDAS, REQUIREMENTS, AND

ACTIVITIES.  LINKING THE THREE AREAS OF HIV/AIDS,

CONFLICT, AND GENDER, PARTICIPANTS AGREED THAT WOMEN'S

EMPOWERMENT, FOCUS ON CROSS-CUTTING APPROACHES,

CONSULTATION, OUTREACH, AND PARTNERSHIP ARE ALL

CRITICAL, WHILE TAKING ACCOUNT OF LOCAL CONDITIONS,

                      

CULTURE, AND LANGUAGE.

 

22. PARTICIPANTS CONCLUDED WITH A CONSENSUS ON A

#DURBAN DECLARATION#THAT STATED THEIR VIEWS, AND

COMMITTED THE GROUP TO CONTINUE THEIR NETWORKING AND

NATIONAL LEVEL ADVOCACY.

 

------------------

DURBAN DECLARATION

------------------

 

23. DURBAN DECLARATION BEGIN TEXT: WHEREAS SUB-SAHARAN

AFRICA IS HOME TO 630 MILLION PEOPLE OF DIVERSE RACIAL

AND ETHNIC GROUPS WITH A LONG AND PROUD HISTORY AND

CULTURE AND HAS ONE OF THE RICHEST NATURAL RESOURCE

BASES IN THE WORLD, WITH POTENTIAL TO BE ONE OF THE

MOST PROSPEROUS REGIONS, NEVERTHELESS:

 

A. THE TWIN SCOURGES OF VIOLENT CONFLICT AND HIV/AIDS

HAVE MUTUALLY REINFORCED EACH OTHER THOUGH A

MULTIPLICITY OF MECHANISMS INCLUDING LARGE-SCALE

 

POPULATION DISLOCATION, THE DESTRUCTION OF THE PUBLIC

HEALTH INFRASTRUCTURE AND THE WEAKENING OF GOVERNANCE

AND ECONOMY. THESE TWIN SCOURGES ARE DESTROYING

FAMILIES, COMMUNITIES, NATIONS AND THE AFRICAN

CONTINENT AS A WHOLE.

 

B. MORE THAN 50 PERCENT OF THE WORLD'S ACTIVE VIOLENT

INTERNAL AND REGIONAL CONFLICTS ARE IN AFRICA.  THESE

CONFLICTS HAVE DIRECTLY OR INDIRECTLY AFFECTED OVER

75 PERCENT OF THE REGION'S COUNTRIES AND POPULATIONS,

CONSCRIPTED OVER 300,000 CHILD SOLDIERS, DISPLACED

OVER 30 MILLION PEOPLE FROM THEIR HOMES, CAUSED THE

DEATHS OF OVER ONE MILLION PEOPLE, DESTROYED SOCIAL

AND ECONOMIC INFRASTRUCTURE, DAMAGED THE ENVIRONMENT,

WEAKENED INSTITUTIONS OF GOVERNANCE AND GENERALLY

RETARDED EQUITABLE, SUSTAINED AND SUSTAINABLE

DEVELOPMENT.

 

C. MORE THAN 75 PERCENT OF THE WORLD'S HIV/AIDS CASES ARE

FOUND IN AFRICA. MORE THAN 11 MILLION AFRICANS HAVE

SUCCUMBED TO AIDS OVER THE PAST DECADE AND THE SOCIAL

AND ECONOMIC CONSEQUENCES ARE PROFOUND.

 

D. GENDER ROLES PLAY A CRUCIAL ROLE IN BOTH THE

EVOLUTION OF THE PROBLEM AND IN THE WAY FORWARD TO

SOLUTIONS. THE PHYSICAL AND PSYCHOLOGICAL CONSEQUENCES

OF CONFLICT AND HIV DISPROPORTIONATELY AFFECT WOMEN.

 

E. POVERTY IS A KEY CONTRIBUTING FACTOR TO THE SPREAD

OF HIV/AIDS.

 

F. WHILE THERE IS RECOGNITION OF THESE PROBLEMS, AND

RESOURCES HAVE BEEN DEVOTED TO THEIR SOLUTIONS,

CURRENT APPROACHES ARE INADEQUATE IN BOTH MAGNITUDE

AND SCOPE. HIV, CONFLICT AND GENDER ROLES CROSSCUT ALL

DEVELOPMENT CONCERNS AND SHOULD BE MAINSTREAMED INTO

ALL SECTORS.

 

G. CURRENT FINANCIAL RESOURCES ARE ALSO INADEQUATE TO

ADDRESS THE SCOPE AND MAGNITUDE OF THESE COMPLEX

SOCIAL PROBLEMS.

 

24. NOTING THAT THROUGHOUT THE CONTINENT, EVERY SINGLE

DAY, WOMEN AND MEN ARE ACTIVELY PREVENTING AND COPING

WITH HIV/AIDS, CONFLICT, AND GENDER-BASED VIOLENCE AND

THAT THERE ARE PARTICULARLY REMARKABLE LESSONS TO BE

LEARNED FROM AFRICAN WOMEN WHO THROUGH A SERIES OF

GRASS-ROOTS EFFORTS HAVE EVOLVED UNIQUE APPROACHES

TOWARDS THESE CHALLENGES;

 

25. FURTHER NOTING THAT, THERE ARE GROWING NETWORKS,

INITIATIVES, AND PARTNERSHIPS TO ADDRESS THESE

INTERTWINED CHALLENGES IN AFRICA AND THAT THESE

EFFORTS, ALREADY GENERATING MOMENTUM TOWARDS CREATIVE

SOLUTIONS, NEED TO BE RECOGNIZED AND SUPPORTED;

 

26. NOW THEREFORE, WE THE UNDERSIGNED AFRICAN MEMBERS

OF THE INTERNATIONAL DEVELOPMENT AND HEALTH COMMUNITY

WHO ASSEMBLED IN DURBAN SOUTH AFRICA AND DELIBERATED

FOR THREE FULL DAYS, AT THE INVITATION OF THE AFRICAN

CENTRE FOR THE CONSTRUCTIVE RESOLUTION OF DISPUTES

(ACCORD) AND THE TULANE UNIVERSITY PAYSON CENTER FOR

INTERNATIONAL DEVELOPMENT AND TECHNOLOGY TRANSFER AND

SPONSORED BY THE UNITED STATES AGENCY FOR

INTERNATIONAL DEVELOPMENT (USAID) IN ASSOCIATION WITH

THE LINKING COMPLEX EMERGENCY RESPONSE AND TRANSITION

INITIATIVE (CERTI), THE INTERNATIONAL CENTRE FOR

MIGRATION AND HEALTH (ICMH-GENEVA) AND THE WORLD BANK

(PRETORIA),

 

27. TAKING SPECIAL ACCOUNT OF THE COMMUNITY, NATIONAL

AND REGIONAL EXPERIENCE AND LESSONS LEARNED OF AFRICAN

STRATEGISTS AND IMPLEMENTERS OF PROGRAMS AND PROJECTS,

ESPECIALLY AT THE SUB-NATIONAL AND COMMUNITY LEVEL, TO

COPE WITH AND COMBAT HIV/AIDS IN CONFLICT AFFECTED

COUNTRIES;

 

28. ACKNOWLEDGING THAT CONFLICT, HIV/AIDS AND GENDER

INEQUALITIES ARE INEXTRICABLY RELATED AND THEREFORE

SOLUTIONS TO THESE PROBLEMS MUST TAKE IN TO ACCOUNT

THIS COMPLEX INTERRELATIONSHIP WHICH REQUIRES

INTERDISCIPLINARY AND INTERSECTORAL APPROACHES.

 

29. REQUEST THAT NATIONAL GOVERNMENTS, NATIONAL NGOS,

AND THE INTERNATIONAL COMMUNITY, INCLUDING ALL

BILATERAL AND MULTILATERAL DONORS AND INTERNATIONAL

NGOS, MUST REVISIT THEIR POLICIES, STRATEGIES AND

PROGRAMS TO FIGHT THE TWIN SCOURGES OF VIOLENT

CONFLICT AND HIV-AIDS AND ACHIEVE SUSTAINABLE PEACE

BASED ON:

 

A. MAINSTREAMING INTERVENTIONS TO ADDRESS HIV/AIDS,

CONFLICT PREVENTION, MITIGATION AND

RESOLUTION/RECONCILIATION AND WOMEN'S EMPOWERMENT INTO

ALL SECTORAL PROGRAMS;

 

B. EMPOWERING WOMEN AS KEY ACTORS AND COMMUNITY

MOBILIZERS TO BOTH ADDRESS BOTH HIV/AIDS AND CONFLICT

 

RESOLUTION/PEACE BUILDING. EMPOWERMENT REQUIRES ACTION

AT THE POLICY (INCLUDING LEGAL FRAMEWORK), STRATEGY

AND PROGRAM LEVELS AT LOCAL, SUB-NATIONAL, NATIONAL AND

INTERNATIONAL LEGAL LEVELS;

 

C. DEVISING A CONCEPTUAL FRAMEWORK THAT:

  • IS HOLISTIC, INTEGRATED, AND GENDERED;

  • TAKES INTO ACCOUNT THE NEEDS OF BOTH WOMEN AND MEN;

  • TAKES INTO ACCOUNT IMPORTANT DETERMINANTS AT THE INDIVIDUAL, COMMUNITY, NATIONAL AND INTERNATIONAL/GLOBAL LEVELS;

  • INCORPORATES THE IMPORTANCE OF POVERTY AS A DETERMINANT OF HIGH-RISK BEHAVIORS RELATED TO HIV AND CONFLICT.

  • TAKES INTO ACCOUNT THE IMPORTANCE OF SECURITY, GOVERNANCE AND SOCIOECONOMIC DEVELOPMENT;

  • CONTEXTUALIZES THE PANDEMIC WITHIN DETERMINANTS INCLUDING POVERTY, GENDER SOCIALIZATION AND ACCESS TO RESOURCES.

 

D. RECOGNIZING THAT CONFLICT AND HIV/AIDS WILL REQUIRE

BEHAVIORAL CHANGE AT THE INDIVIDUAL, INSTITUTIONAL,

COMMUNITY, NATIONAL AND INTERNATIONAL LEVELS;

 

E. NECESSITATING THAT APPROACHES MUST ADDRESS THE

PROBLEMS OF STIGMA AND SHAME, WHICH ARE UNDERLINED BY

FEAR ON THE PARTS OF BOTH, INFECTED AND AFFECTED.

THERE IS ALSO A NEED TO PROMOTE SELF-ESTEEM AND

HEALTHY RELATIONSHIPS AND HOPE, INCLUDING HOPE FOR A

CURE;

 

F. INCLUDING AS A PRIORITY PSYCHOSOCIAL CARE FOR THOSE

AFFECTED BY CONFLICT AND HIV/AIDS, WITH SPECIAL

ATTENTION GIVEN TO TRAUMA MANAGEMENT AND REINTEGRATION

INTO COMMUNITIES FOR EX-COMBATANTS, ESPECIALLY FORMER

CHILD SOLDIERS;

 

G. GIVING SPECIAL CONSIDERATION TO VULNERABLE GROUPS

SUCH AS WOMEN, CHILDREN, YOUNG ADULTS, PEOPLE WITH

DISABILITIES, ORPHANS, REFUGEES AND INTERNALLY

DISPLACED PERSONS, CHILD SOLDIERS AND EX-COMBATANTS;

 

H. REQUIRING BROAD AND STRATEGIC PARTNERSHIPS,

INCLUDING THE MILITARY SECTOR, WOMEN'S GROUPS, CIVIL

SOCIETY GROUPS, SPIRITUAL INSTITUTIONS AND THE PRIVATE

SECTOR;

 

I. EMBRACING THE IMPORTANCE OF REGIONAL AND

LOCALLY-TAILORED SOLUTIONS THAT ARE BASED ON THE

COMMON PRINCIPALS OF WOMEN'S EMPOWERMENT,

INTERSECTORAL APPROACHES, ANALYSIS OF THE NEEDS OF

VULNERABLE GROUPS, GENDER ANALYSIS, AND PEACE;

 

J. PROMOTING NATIONAL, REGIONAL, AND INTERNATIONAL

NETWORKING, DIALOGUE AND COOPERATION;

 

K. MAINSTREAMING CONFLICT, GENDER AND HIV/AIDS

STRATEGIES AND PROGRAMS IN THE BROADER POST-CONFLICT

DEVELOPMENT AND DEMOCRACY AND GOVERNANCE FRAMEWORK;

 

L. ENHANCING PRESENT PROGRAMMES IN AREAS OF CARE AND

SUPPORT FOR PEOPLE LIVING WITH HIV/AIDS, PARTICULARLY

IN MAKING MEDICAL TREATMENT AFFORDABLE AND ACCESSIBLE

AND PROVIDING SERVICES THAT ALLEVIATE THEIR SUFFERING

AND PROTECT THEIR HUMAN RIGHTS.

 

30. WE THEREFORE RECOMMEND THAT:

 A. AS CONFLICT, HIV/AIDS AND GENDER ARE NOW

INEXTRICABLY LINKED IN SUB-SAHARAN AFRICA, ALL

CONFLICT PROGRAMS MUST ADEQUATELY ADDRESS THE ISSUES

OF HIV/AIDS, POVERTY AND GENDER.

 

B. THE PROCEEDINGS OF THIS FORUM BE WIDELY

DISSEMINATED TO THE PRACTITIONERS AND POLICY

COMMUNITY, INCLUDING DONORS, INTERNATIONAL

ORGANIZATIONS, NON-GOVERNMENTAL ORGANIZATIONS (NGOS),

INCLUDING RELIGIOUS ORGANIZATIONS, AND GOVERNMENTAL

SECTORS, INCLUDING THE MILITARY;

 

C. PRACTICAL TOOLS BE DEVELOPED TO SUPPORT THE

PROGRAMMING APPROACHES ARTICULATED ABOVE FOR

ADDRESSING THE PROBLEMS OF HIV/AIDS AND

CONFLICT/CRISIS THROUGH GENDER-BASED STRATEGIES;

 

D. DONORS INCREASE RESOURCE LEVELS IN SUPPORT OF

PROGRAMS TO ADDRESS THESE CRITICAL PROBLEMS THROUGH A

PROCESS OF REGULAR CONSULTATION THAT FACILITATES

STRATEGIC PARTNERSHIPS, COMMUNITY OWNERSHIP AND MUTUAL

ACCOUNTABILITY;

 

E. THERE BE INCREASED DONOR COORDINATION AND

PROGRAMMING AND STREAMLINED REQUIREMENTS;

 

F. ALL OF THE ACTORS INVOLVED IN ADDRESSING THESE

PROBLEMS UTILIZE INTERSECTORAL APPROACHES THAT ADDRESS

THE COMPLEX INTER-RELATIONSHIP BETWEEN CONFLICT,

HIV/AIDS, POVERTY AND GENDER ROLES;

 

G. MECHANISMS BE PUT IN PLACE TO BUILD A LEARNING

NETWORK OF PROFESSIONALS AND WORKERS IN ORDER TO

IMPROVE THE QUALITY AND EFFICACY OF PROGRAMS AS WELL

AS TO INCREASE ADVOCACY FOR THESE ISSUES;

 

H. EMPOWERING WOMEN AND ADDRESSING THE ROOT CAUSES OF

THEIR VULNERABILITY IS KEY TO PREVENTING AND COPING

WITH HIV/AIDS.

 

31. IN WITNESS, WHEREOF, WE THE UNDERSIGNED, BEING

DULY REPRESENTATIVE OF AFRICAN MEMBERS OF THE

INTERNATIONAL DEVELOPMENT AND HEALTH COMMUNITY HAVE

ASSENTED TO THE DECLARATION HERE IN, CONCLUDED IN

DURBAN, REPUBLIC OF SOUTH AFRICA ON THE 28TH DAY OF

MARCH 2001.

 

DURBAN DECLARATION END TEXT.

 

---------------------

WORKSHOP PARTICIPANTS

---------------------

 

32. PARTICIPANTS: (1) YENE ASSEGID OF EVERYONE

ADVANCED HEALTH COMMUNICATION TRAINING AND TECHNICAL

SUPPORT IN ETHIOPIA, (2) MARY BALIKUNGERI OF RWANDAN

WOMEN COMMUNITY DEVELOPMENT NETWORK, (3) CALUDINE

MUYALA TAYAYE BIBI OF THE UNIVERSITY OF KINSHASA AND

THE NGO PLATFORM PAAF IN THE DRC, (4) CAROL POWER OF

RAPCAN IN SOUTH AFRICA, (5) DARAUS BUKENYA OF THE

AFRICAN MEDICAL AND RESEARCH FOUNDATION IN TANZANIA,

(6) NSAMA CHIKWANKA OF THE SOCIETY FOR WOMEN AND AIDS

IN ZAMBIA, (7) ANNA VANESCH OF THE FUTURES GROUP IN

SOUTH AFRICA, (8) EMMANUEL GASAKURE OF THE FACULTY OF

MEDICINE OF THE NATIONAL UNIVERSITY OF RWANDA,

(9)BOGALETCH GEBRE OF THE KEMBETTA WOMEN'S SELF HELP

CENTER IN ETHIOPIA, (10) SUSAN KAJURA OF WORLD

LEARNING IN UGANDA, (11) BEN KATAMILA OF THE COMMUNITY

BASED AIDS PROGRAM AND THE AIDS CARE TRUST OF NAMIBIA,

(12) SERAPHINE MANIRAMBONA OF THE SUPPORT TO RURAL

WOMAN ADVANCEMENT PROJECT IN BURUNDI, (13) GUILHERMINA

LANGA MILICE OF THE MULEIDE STD/HIV/AIDS PROJECT IN

MOZAMBIQUE, (14) NESTOR MOUSSOKI OF THE INFORMATION,

EDUCATION, AND COMMUNICATION BRANCH OF THE NATIONAL

PROGRAM FOR THE CAMPAIGN AGAINST AIDS (PROGRAMME

NATIONAL DE LUTE CONTRA LE SIDA  PNLS) IN THE

REPUBLIC OF THE CONGO, (15) BEATRICE MURUNGA OF MAP

INTERNATIONAL FOR EAST AND SOUTHERN AFRICA IN KENYA,

 

(16) SOPHONIE NIYONDAVYI OF THE BURUNDI MINISTRY OF

NATIONAL HEALTH SERVICES, (17) JOSEPH NTAGANIRA OF THE

DEPARTMENT OF PUBLIC HEALTH OF THE NATIONAL UNIVERSITY

OF RWANDA, (18) PATIENCE NELISIWE NTULI OF THE SOUTH

AFRICA MEDICAL RESEARCH COUNCIL, (19) AIRAH SCHIKWAMBI

OF THE COMMUNITY BASED HEALTH CARE PROGRAM IN THE

NAMIBIA MINISTRY OF HEALTH AND SOCIAL SERVICES, (20)

ANNE-MARY SHIGWEDHHA OF THE PRIMARY HEALTH CARE

STD/HIV/AIDS PROGRAMME IN THE NAMIBIA MINISTRY OF

DEFENSE, (21) EMMANUEL B. SSEMPA OF THE HIV/AIDS

PREVENTION AND POVERTY ERADICATION PROGRAM IN UGANDA,

(22) JOHN TESHA OF THE INTERNATIONAL ORGANIZATION FOR

MIGRATION IN PRETORIA, (23) CAROLINE ODONGO TURYATEMBA

OF THE JOOINT CLINICAL RESEARCH CENTRE IN UGANDA, (24)

ASUNTA WAGURA OF THE KENYA NETWORK OF WOMEN WITH AIDS,

(25) DOROTHY GATERA WIBABARA OF THE AIDS PROJECT OF

THE PRESBYTERIAN CHURCH OF RWANDA, AND (26) GLADNESS

LINDIWE XABA OF THE RELIGIOUS AIDS PROGRAM IN SOUTH

AFRICA.

 

----------

CONCLUSION

----------

 

33. COMMENT: USAID/AFR/SD THANKS USAID/SOUTH AFRICA

FOR ENCOURAGING THIS WORKSHOP TO TAKE PLACE IN SOUTH

AFRICA.  THE OFFICE APPRECIATES THE COLLABORATIVE

WORKING RELATIONSHIP ESTABLISHED AMONG ITS GRANTEES,

TULANE UNIVERSITY AND ACCORD, FOR THEIR PERSEVERANCE

IN DESIGNING AND IMPLEMENTING THIS WORKSHOP. THE

OFFICE ALSO APPRECIATES USAID AFRICA FIELD MISSIONS

AND USAID WASHINGTON OPERATIONAL UNITS IN THEIR

ASSISTANCE IN THE THINKING AND PLANNING OF THIS

SYMPOSIUM. FULL WORKSHOP PROCEEDINGS WILL BE AVAILABLE

THROUGH THE FOLLOWING WEBSITE:

HTTP://WWW.USAID.GOV/REGIONS/AFR/CONFLICTWEB/WHATSNEW.

TML. END COMMENT.

 

 

 

                       UNCLASSIFIED