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Civil Society & Scaling Up Critical enablers . 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 - PowerPoint PPT Presentation
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Civil Society & Scaling Up Critical enablers
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
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
QuantificationIn 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)
InteractionGirls 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)
3. The Other Integration: SRHR and HIV
Too much policy focus too little problematizing
Exceptional focus, integrated response
NCD link
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
5. Unpacking National Ownership
Unintended consequences
Disappearing resourcing for civil society responses
Similar for structural responses: the ART dilemma
Re-medicalization of the response
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
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
8. Production of scientific quality evidence
World Bank: Investing in communities achieves results (2012)
Policy requires publication
CSO – academia – policy links
9. Social entrepreneurship
A need to move from ‘charity’ to investment
Sustainability of community interventions
Unusual suspects
10. An Investment Framework
Venture capitalists and social capitalists
Start-up support
bridging finance
structural adjustment loans
surety
insurance
Community Systems for Critical Enablement