Browsing by Author "Oberth, Gemma"
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- ItemOpen AccessDonor Agendas, Community Priorities and the Democracy of International HIV/AIDS Funding(2016-03) Oberth, Gemma; Mumba, Olive; Bhayani, Lubna; Daku, MarkEach year, donors channel $7.6 billion into HIV programming in affected countries. With this funding often comes significant control over interventions at country level, though there is considerable skepticism about the value of donor-driven strategies. Locally conceived approaches are believed to be more effective, but it is not always clear that donors are responding accurately or appropriately to the priorities of communities. Concept notes submitted to the Global Fund to Fight AIDS, Tuberculosis and Malaria by eight African countries were systematically measured to determine their responsiveness to community priorities. National Civil Society Priorities Charters were used as a measure of community-identified needs. Malawi’s concept note was by far the most responsive to civil society priorities and Zambia’s was the least. The concept notes were the most responsive to civil society priorities on key populations’ issues, and the least responsible on priorities related to voluntary medical male circumcision. Statistically significant relationships were found between the responsiveness of Global Fund concept notes and Afrobarometer indicators on democracy, participation and civic engagement. There was also a significant relationship found between the voice and accountability rankings from the World Governance Indicators. This makes a compelling case to show that a context of democracy is linked to civil society’s ability to influence HIV/AIDS funding decisions at national level. Understanding the factors which hinder or enable community-led program development is critical for a more effective HIV response.
- ItemOpen AccessLesbian, gay, bisexual, transgender and intersex human rights in Southern Africa: A contemporary literature review(HIVOS, 2017-06-01) Meer, Talia; Lunau, Marie; Oberth, Gemma; Daskilewicz, Kristen; Muller, AlexIndividuals engaging in same-sex acts, individuals identifying as lesbian, gay, bisexual, transgender, and/ or intersex (LGBTI), and individuals who do not conform to heteronormative ideals of gender and sexuality experience structural, institutional and individual discrimination and exclusion across the world. This is no different in Southern African countries. While LGBTI individuals are heterogeneous and face very specific challenges based on their sexual orientation, gender identity, race, class, ethnicity and other factors, they share experiences of structural, institutional and individual discrimination and marginalisation based on their sexual orientation and gender identity (SOGI). In most Southern African countries, same-sex activity remains criminalised, which further marginalises LGBTI individuals, and acts as an additional barrier to accessing public services and realising full civil and political rights. This contemporary literature review focuses on the state of LGBTI human rights in 10 Southern African countries: Angola, Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Zambia and Zimbabwe. The purpose of this review is to contribute towards a strong evidence base and scientific foundation for informed programming in the region.
- ItemOpen AccessWho governs public health? : the spheres of influence in southern AFrican HIV/AIDS policy making.(2013) Oberth, Gemma; Mattes, RobertIncludes abstract. Includes bibliographical references.
- ItemOpen AccessWho Governs Public Health? Donor Retreat and the Shifting Spheres of Influence in Southern African HIV/AIDS Policy Making(David Publishing, 2012) Oberth, GemmaFor the last decade, discussions about who governs policy on prevention and treatment of HIV/AIDS have revolved around the controversial relationship between Western donors and the power they have over their recipient governments. While these debates were once politically germane, recent trends show a decline of donor funding, as well as an increase of financial ownership of the epidemic within Southern Africa. Commensurate with this shifting financial influence, some well‐governed, wealthy African states are beginning to deviate from global M&E (monitoring and evaluation) indicators. These policy movements, away from global M&E indicators, also correlate with increases in HIV prevalence, which signals the need for further investigation into policy efficacy.