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Sunday, 18 December 2011

Financial Sustainability for Human Rights Organizations.

NGOs across Africa face mounting challenges in their effort to remain viable and sustainable. Recent global financial challenges only make this reality ever grimmer. As a result, many will either be forced to close down or downscale their programs.
The cancellation of Global Fund Round 11[1] applications casts a dark cloud on HIV funding for many countries in Africa and other parts of the world. There is need then to support organizations and governments in the region establish structures. These will see at least some portions of cost structure supported by locally generated and sustainable sources of financing.

Human rights organizations must be looking at the growing influence of China in Africa, and strengthening African states with baited breath. Yet current democratic gains have been made on the back of robust civil society.  This then would be a most inopportune time for the civil society to weaken. Scale-back or even closure of Human Rights program would spell doom to the faltering growth of the democratic space.  Adoption of financial sustainability model with a local financing component can mitigate against this risk. 

Even at the best of times, NGOs were still in need of additional funding and adoption of sustainability models. In this write-up, we propose structures that will enable NGOs in Kenya and Africa adopt sustainability plans for their survival. During this historical moment of reckoning, we propose strategies that are both an out-of-the-box thinking and ‘ahead of the curve’ research models for financial sustainability.

While you can download the "first draft" document below - I have since updated it with additional strategies and real life case studies. I am happy to share with any NGO interested in putting in place a Financial Sustainability Plan.


[1] The Global Fund to Fight AIDS, Tuberculosis and Malaria, was established in 2002 and is headquartered in Geneva. The next round of funding applications will be accepted in the 2014 - 2016 cycle.
Download the Sustainability lite Document here.

BREAKING THE WALL OF CRIMINALIZATION.


This consultancy entailed the Development of a comprehensive Business-case for Decriminalization homosexuality in Kenya. This is done from the perspective of HIV prevention, treatment and care. It draws from the numerous researches, policy papers from different local and international organizations including World Health Organization guidelines

The Document are now available online. Business Case and Guidelines. The Consultant together with activists is now engaging the government on the basis of this Business Case for desired legal reform.

DEVELOPMENT OF A BEST-PRACTICE HEALTH CLINIC MODEL


Sexual minorities experience extreme homophobia in the Kenyan Health care delivery system. This has negative consequence on their health seeking behaviour which are characterised by delays in seeking medication, self-medication and only visiting the medics when it’s either too late or the pain unbearable. 

GIZ then ordered a consultancy to explore the best-practice delivery model, one that not only delivered on actualizing health service delivery for this community. It also needed to be both sustainable hence not just reliant on donor funding or special government grant and scalable nationally.

During this consultancy we developed 7 health service delivery models that could be applied in Kenya. We then invited a team of experts drawn from government, LGBT community and clinicians to interrogate these models on the basis of their viability, sustainability and scalability. After the exercise we settled on a combination of Syndromic Reference Model and Institution Wide Training models. These two are now integrated into Syndromic Reference & Training Model that is due for rollout from the beginning of 2012. 

From a consultant's point of view, I would recommend its application to a wide variety of populations experiencing difficulties in accessing health care, either because of social or systemic discriminatory attitudes.  Syndromic reference seeks to create or increase capacity on unique health needs of the target population while participatory training challenges discriminatory attitudes.