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Leadership and Accountability Nathan Ford Rachel Cohen Bernard Gardiner Lydia Guterman Rich McKay

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Turning the Tide Archbishop Emeritus B. Nzimbi, during INERELA+ meetings in Kenya We want to apologize for not doing what we should have done and for doing what we should not have done. We need to wake up to meet the needs and challenges of the pandemic

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HIV is a virus Not a moral Issue When morality gets in the way of policy, the result too often morbidity and mortality

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5 The Stigma Index From nice words to things that work

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Developing an Accountability Framework for Civil Society Representatives working on global health issues I We are aware II We react III We act IV Continuous action, systematizing what we do V The practice is part of our life style 1. Communication We understand that communication is an important issue when working as a team We recognize the importance of finding good communication tools and improving communication skills We have started to put in practice some of the tools and try to see how to improve our own skills to communicate We have found the way to make use of improved communication skills and tools in most of our contacts, both within the delegation and outside Communication skills and tools are continuously being assessed and improved as part of our daily work and life 2. Collaboration We consider collaboration as an integral part of our work as delegates We acknowledge that working together is not easy and we accept the need to find ways to improve contributions from members We try to develop spaces where delegates can contribute to the best of our capacities We appreciate and acknowledge diversity in skills and contributions. Collaboration has been introduced as part of our daily work. We have introduced a collaborative attitude in our life, when relating to everybody at all levels. 3. Team building We understand that we are a team working towards a common goal We can identify what makes us work as a team and we fully agree in the need to set that in practice Although it is difficult at times, we try to behave as a team. We appreciate each others strengths, and give and look for help when dealing with challenges Most of the times, we relate to each other as a team working together, collectively responding to our mission, appreciating our progress and coming together to solve our problems Caring for the team and building healthier relationships among members is already natural to us 4. Decision making consensus We understand the implications of the decision making process within the delegation We are ready to stick to the agreed decision making process and respect it at any time We have started to stick to the process specially when there appears the shadow of conflictive situations We have included respect for our decision making process in most of our debates and dedicate time and effort to strengthen it The process of arriving to consensual decisions has become an integral part of our day-to-day relationship 5. ValuesWe realize the importance of setting collectively agreed values We recognize that being faithful to those values makes our work worthy and increases our credibility as representatives We try to check some of our behaviours in the light of the values we have committed to The values we have committed to impregnate most of our acts as a delegation We continuously assess the relevance of the values we have committed to and they guide the ethics of every act in our delegation

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>12,000 signatories Sandra Roelofs (first lady of Georgie) Anand Grover, SR Right to health Manfried Nowak, SR Torture 7,000 delegates have not signed up Vienna declaration is a living document 2012

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In Namibia and elsewhere, WLHA are forcibly and coercively sterilized at public hospitals often as a condition of delivery or abortion services. June 2010: Forcibly sterilized women and their families protest in Windhoek, Namibia.

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Decriminalization prevents HIV transmission In New Zealand, police were targeting sex workers, using their condoms as evidence to arrest them for illegal activity. Through a human rights-based approach, legislation was passed to decriminalize sex work. This removed a significant barrier to HIV prevention.

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The Future of Universal Access? 15 by 15

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International Council of AIDS Service Organizations (ICASO) Dont fool us twice!

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Scenario 1 - MSM risks are the predominant exposure mode for HIV infection in the population

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EPIDEMIC SCENARIOS: Unavailable Data Algeria Azerbaijan Djibouti Iran Iraq Jordan Kazakhstan 94 other Countries Kyrgyzstan Lebanon Libya Syria Tunisia West Bank and Gaza

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The is not one science for the developed world and another for the developing world

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Free Trade Agreements Anti-generic counterfeiting legislation US Special 301 Drug seizures in- transit

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Maximizing efficiency gains in the AIDS response TRIPS flexibilities (compulsory licensing, patent oppositions) Innovative mechanisms: the Patent Pool for AIDS medicines Local production in countries with generic manufacturing capacity

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HIV positive people are now surviving with an incurable disease but dying from an incurable disease Treatment for hepatitis C >$20,000 ppy

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Efficient mechanisms (e.g. World Bank, Global Fund, bilateral) Efficient implementers Efficient technical assistance Innovative financing mechanisms

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-255075100125150175200 Cost of war in Iraq in 2008 Amounts spent on Valentine's day Bonus paid to London Financial staff at Christmas 2006 Bilateral Aid for AIDS in 2008 US$ billion How much is too much?