SRHR/HIV is a priority for Dutch development cooperation. The policy focuses on international agreements promoting SRHR/HIV for youth and marginalized groups. Implementation includes influencing policies, enabling organizations to provide integrated SRHR/HIV services, and facilitating knowledge sharing. Key partners are UN agencies, governments in 8 countries, and civil society. The Netherlands adds value by advocating for human rights, building connections, and with its financial support. The Ambassador for SRHR/HIV oversees an annual budget of around EUR 430 million.
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Dutch international SRHR / HIV policy MoFA
1. Sexual and Reproductive Health and Rights
and HIV: policy, implementation and practice
Perspective of the Netherlands Ministry of Foreign
Affairs
2. Presentation
1. Policy: ¡°New agenda for aid, trade and investment¡±
SRHR including HIV/AIDS a policy priority
3. International context and targets, post -2015 agenda
5. Policy implementation and partners
6. NL Added Value
7. Ambassador for SRHR and HIV/AIDS
8. Budget
3. New Agenda for
Aid, Trade and
Investment
?Eradicate extreme poverty
?Promote sustainable and
inclusive growth
?Facilitate success for Dutch
companies
9/20/14
4. Priorities Development
Cooperation
1. Water
2. Food security
3. Security and fragility
4. Women¡¯s rights and sexual
and reproductive health
and rights, including
HIV/AIDS
5. SRHR including HIV -
focus on:
¡ñ Youth and sexuality
¡ñ Better access to contraception,
male and female condoms,
vaccines and other commodities
for reproductive health and HIV
prevention
¡ñ Improvement sexual and
reproductive health care
services, including safe abortion
and HIV
¡ñ Human Rights, including SRHR
and rights of marginalized groups
6. International Agreements
1. Cairo Declaration 1994 (ICPD)
2. Millennium Development Goals
(MDGs) - 2015
3. New York 2001/2011: Political
Declaration ¡°Intensifying our
Efforts to Eliminate HIV/AIDS¡±
Post 2015 ¨C Agenda
-. Stop the AIDS epidemic by 2030
-. SRHR in Post 2015 agenda¡¡..
(depends on negotiations
2014-2015)
7. Policy implementation
1. Influence policies: ¡®Post 2015
agenda¡¯, EU, UN-agencies, Global
Fund to fight AIDS, Tuberculosis
and Malaria, Bilateral
programmes
2. Enable others to provide or
demand integrated SRHR/HIV
services
3. Provide platforms to facilitate
linking and learning
9/20/14
8. Actors and Partners
? Intergovernmental: UNFPA, UNAIDS,
WHO, UNICEF, UNWOMEN, WB
? Bilateral SRHR programmes in 8
partner countries (BUR, BGD,
GHA, BEN, ETH, JEM, MOZ, MAL)
? Public¨CPrivate partnerships for
research and product
development
? Alliances of NGOs/ Civil Society
Organizations
? Global Fund to fight AIDS,
Tuberculosis and Malaria
9. SRHR Funds
? Keuzes en Kansen (Choices
and Chances)
? Key Populations Fund
? Stepping Up, Stepping Out
? SRHR Fund
? Kindhuwelijkenfonds (Child
Marriages Fund)
? Amplify Change (SRHR Civil
Society Advocacy Fund)
? ICPD+ 20 Advocacy Cluster
? Safe Abortion Action Fund
Commodities
? UAFC (Female Condoms)
? Concept Foundation
? Global Program for
Reproductive Health
Commodity Security
(GPRHCS) UNFPA
10. Added value of the
Netherlands
? Addressing sensitive
issues and advocate for
human rights
? Building bridges ¨C broker
? Unique and solid funder
11. Priority SRHR-HIV/AIDS:
1. Ambassador for SRHR and
HIV/AIDS
Lambert Grijns (DSO)
2. Budget EUR 430 mln 2013
12. Summary
SRHR/HIV a priority of Dutch development cooperation
Policy is based on international agreements (ICPD 1994, MDGs) and a
focus on young people and enhancing the supply and demand side of SRHR/HIV services.
In addition promoting the rights of marginalised people whose SRHR are often denied.
Implementation: Influencing policies, enabling organisations to implement integrated
SRHR/HIV programmes and providing a platform for others to learn and connect.
Actors and partners: UN-agencies, international partnerships, governments in 8 partner
countries, civil society and private sector;
Added Value: NL as broker, strong supporter on human rights and not afraid to raise
sensitive issues;
Ambassador for SRHR and HIV/AIDS, yearly budget around EUR 430 mln.
Editor's Notes
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Big focus in our policy is on youth: the potential for change is biggest amongst young people and the effect of that change is the greatest. At the same time, the obstacles they face are also significant (in many societies they are not even supposed to have sex before they are married and therefore they have none or limited access to trustworthy information and youth-friendly services).
Other key issues are to ensure effective cooperation between the private and public sector (private includes not-for-profit and profit) and optimal integration of SRHR and HIV/AIDS (verticalisation of health system is costly ¨C i.e. no longer affordable - and not always effective: patients/clients have multiple needs but often only one contact point).
Overview of information related to ICPD, including on ICPD beyond 2014 and SRHR & the post 2015 process: https://www.unfpa.org/public/icpd
ICPD Programme of Action: http://www.unfpa.org/public/publications/pid/1973
Declaration of Commitment HIV 2001: http://www.unaids.org/en/media/unaids/contentassets/dataimport/publications/irc-pub03/aidsdeclaration_en.pdf
Political Declaration HIV 2006: http://data.unaids.org/pub/Report/2006/20060615_HLM_PoliticalDeclaration_ARES60262_en.pdf
Political Declaration HIV 2011: http://www.unaids.org/en/media/unaids/contentassets/documents/document/2011/06/20110610_UN_A-RES-65-277_en.pdf
There are several agreements that guide our work and the efforts and organizations we fund. They are:
Of course, they are formulated in a very broad manner. As the Dutch government, we choose to focus on specific themes and area¡¯s within these agreements. This allows us to do what we do well and have significant experience with ourselves ¨C to name a few examples: comprehensive sexuality education, care for vulnerable populations and a strong focus on the rights aspect within SRHR.
Currently, we are working hard to help formulate the framework which will be the follow-up of the MDG¡¯s, this is the post-2015 agenda. The aim here is to halt the AIDS epidemic by 2030, for SRHR however, the outcome of the negotiations is much less clear. There are several topics considered to be controversial, which relate especially to the rights aspect of SRHR. Many more conservative countries are hesitant about including it, their and our efforts will define international targets on SRHR for years to come.
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UNFPA: we provide core support as well as funding for the Global Program for the Enhancement of Reproductive Health Commodity Security (see: http://www.unfpa.org/public/home/rhc).
The private sector is seen by some as ¡®a new remedy¡¯. Of course, there is a lot of potential, but particularly if a complementary approach is used (for example, when the private sector plays a role which is complementary to that of the public sector). Policy is to encourage companies to ¡®do the right thing¡¯ by making them see that this makes good business sense. Corporate Social Responsibility (CSR) is nice, but when business slows down or things do not go well, CSR is not always a priority. One example of a real change in the way companies do business is the Access to Medicine Index.
We are working with the private sector and civil society to find areas where we can create win-win situations (e.g. Unilever/handwashing/UNICEF).
The GFATM is a good example of multi-actor initiative where everybody brings in their perspective and looks for synergy. It¡¯s not either/or, it¡¯s all of us together.
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The Netherlands attracts a great deal of international praise for its constructively critical approach.
On the one hand we have a international reputation as a champion of human rights and a country that is not afraid to raise difficult issues. In international forums, it for example repeatedly draws attention to vulnerable groups, harm reduction, SRHR for young people and others, safe abortion, the feminisation of the aids epiemic(s) and the position of women ¨C all with a rights-based approach.
On the other hand, the Netherlands has the courage, capacity and expertise to take on the role of mediator or broker when contentious issues are concerned. Our reputation as a reliable, non-threatening partner allows us to get parties with divergent views to the negotiating table.
The Netherlands is also a knowledge broker when it comes to integrated, innovative evidence-based approaches. Experiences at home (such as close cooperation healthcare sector, education and criminal justice system ¨C as well as between programmers, researchers and policy makers) and abroad (development organisations, missions) and the latest research data are combined and applied as well as shared. As part of this, the Netherlands is continouisly searching for alliances and innovative forms of collaboration.
Last but not least, the Netherlands is a major and stable donor in the fight against HIV/ aids and in support of SRHR. As such, it has a legitimte basis to press other countries to meet their international obligations.
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