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Aspirations and Sustainability of Youth HIV Civil Society Organizations in the Philippines

초록/요약

The global HIV response aims to end AIDS by 2030. However, cases continue to rise in countries like the Philippines. Various stakeholders have acknowledged the work of community and key population-led organizations, including youth groups, in effectively delivering programs and services to key populations. From January to December 2022, young people account for 65% of people living with HIV in the Philippines. With global and local partners highlighting youth participation as an asset, this study explores the roles, aspirations, and sustainability strategies of youth civil society organizations (CSOs) in the HIV response. Based on the thematic analysis of qualitative interviews with eleven HIV youth CSOs from the Philippines, this study finds that youth-led advocacies carry out a variety of roles that are specific to the needs of their community and do not only deliver adolescent health services but also participate in advocacy and lobbying. They vie for sustainability and take on a diverse set of strategies in terms of internal capacity, external capacity, and community empowerment. Strategies are diverse but have been categorized into accreditation, continuous partnerships, revenue diversification, program expansion, and social contracting. These CSOs also recognize internal and external factors that serve as enablers or barriers to their sustainability. Partners, especially the government, can take proactive steps to continually support the programs of youth HIV CSOs through social contracting, mapping, and continuous dialogues. Keywords: HIV, youth, civil society, Philippines, sustainability

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목차

1. INTRODUCTION 1
1.1 Definition of Terms 3
1.2 Research Questions 5
2. REVIEW OF RELATED LITERATURE 6
2.1 HIV and AIDS 6
2.2 HIV in the Philippines 6
2.3 Young key population as a vulnerable sector 7
2.4 Young key population as a solution 7
2.5 Civil Society and HIV 9
2.6 CSOs in the Philippines 10
2.7 Philippine National AIDS Council 10
2.8 Aspirations, strategies, and sustainability 12
3. METHODOLOGY 16
3.1 Participants of the Study 16
3.2 Data Gathering 16
3.3 Data Analysis 21
4. RESULTS OF THE STUDY 22
4.1 Roles of Youth HIV CSOs 22
4.1.1 Education and awareness 25
4.1.2 Service delivery 25
4.1.3 Advocacy and lobbying 26
4.1.4 Monitoring 26
4.1.5 Humanitarian relief 27
4.1.6 Service referral 27
4.1.7 Empowerment 27
4.1.8 Provision of shelter 28
4.2 Organizational Aspirations 28
4.2.1 Aspirations for internal capacity 28
4.2.2 Aspirations for external reach 29
4.2.3 Aspirations for community 30
4.3 Strategies towards Sustainability 31
4.3.1 Organizational accreditation 31
4.3.2 Partnership-building 31
4.3.3 Revenue diversification 32
4.3.4 Program expansion 33
4.3.4.1 Thematic - Expansion to political participation 33
4.3.4.2 Thematic - Expansion in health programs 34
4.3.4.3 Thematic - Expansion in key populations 34
4.3.4.4 Geographic - Expansion in other parts of PH 34
4.3.5 Social Contracting 35
4.4 Enablers towards Sustainability 36
4.4.1 Internal Enablers 36
4.4.1.1 Capacity development of members and volunteers 36
4.4.2 External Enablers 37
4.4.2.1 Government support 37
4.4.2.2 Partnerships and networking 39
4.4.2.3 Operational funding 39
4.5 Barriers towards Sustainability 40
4.5.1 Weak community mobilization 40
4.5.2 Unstable or limited funding 43
4.5.3 Multiple intersecting stigma 45
4.5.4 Political relations 45
4.6 Stakeholders 46
5. DISCUSSION 48
5.1 Discussion and Analysis 48
5.2 Conclusion 52
5.3 Recommendations 52
5.4 Limitations 54
6. ANNEXES 55
6.1 Participant profiles 55
6.2 Informed consent 57
7. REFERENCES 58

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