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Reaching All Children
Harnessing social protection to enable vulnerable children
access HIV testing, treatment and care

Can you show one or more evidence-based interventions that demonstrate how social protection supports HIVs testing, treatment and care for children in low and middle-income countries?

CHALLENGE IS OPEN. Concept notes accepted until
5 February 2019 at 23:59 GMT. 
 

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$5,000 USD
(up to 10 winners)
to develop evidence
winners will also feature in international publications and be supported to present at global fora.

In partnership with
The Coalition for Children Affected by AIDS

The Coalition for Children Affected by AIDS is a unique group of global donors, UN agencies, NGOs and independent experts working together to help children survive and thrive. This includes children and adolescents (aged 0-18 years) infected with HIV and AIDS; those at risk of infection; and children affected by the social and economic impacts of others close to them living with HIV.

Learn more about the Coalition and follow their Twitter handle.

THE ISSUE

Millions of children are out of the reach of HIV testing, treatment and care services. They are either too poor, too stigmatised or too far away to access or to benefit from the HIV response. The HIV sector has acknowledged that achieving the ‘last mile’ of the Fast-Track targets will require new approaches that remove the social and economic barriers between vulnerable children and HIV services.[1] For this, the HIV sector and broader social and economic sectors must work together so that all children - including those experiencing vulnerability and exclusion - can access and benefit from biomedical support.  

Social protection is vital in this regard. However, while it is understood that social protection schemes can reduce the risk of contracting HIV (UNAIDS, 2018), there is limited evidence on how social protection can protect and support vulnerable children and adolescents in testing, treatment and care.

The lack of documented evidence is holding back investment in solutions that work.  In some ways, work on the ground is far ahead of that at the global level.  Anecdotal evidence suggests that communities have long been providing children and their families with a range of social and economic services alongside HIV interventions. However, without the funds available community-based organisations have not been able to document or share these innovations.

Meanwhile, there are several scientific research data sets on children and communities affected by HIV and AIDS that have not, thus far, been analysed with this lens.  Without these innovations documented, global policy, programming and funding decision-makers remain unaware of them and unable to deliver them at scale. 

This prize seeks to address this evidence gap.  It will provide the scientific findings and case studies to help drive greater attention towards integrated programming.  The results will be promoted in a range of strategic global and regional policy, funding and programming fora, with the intent of generating change for children.

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The PRIZE

+ Winners will be awarded up to $5,000 USD to produce EITHER a scientific article OR a case study.
+ Scientific articles will be submitted for publication in a 2019 special issue of Vulnerable Children and Youth Studies.
+ Case studies will be published on the Coalition for Children Affected by AIDS website and range of advocacy materials.

Winners with the most compelling evidence will be invited to present their work at a meeting of the UN Inter-Agency Task Team on Social Protection, Care and Support and other in-person and digital advocacy events organised by the Coalition for Children affected by AIDS, 

Challenge statement: Can you show one or more evidence-based interventions that demonstrate how social protection supports HIV testing, treatment and care for children in low and middle-income countries?

Special consideration will be given to applicants who show evidence-based interventions that demonstrate how social protection leads to HIV testing, treatment and care for the most marginalised or excluded children in low and middle-income countries.

Definitions:
show: produce a compelling, data-driven presentation. The format of the presentation can take the form of EITHER a scientific article for an academic journal OR as a case study (narrative or video).
children: aged 18 years or younger. 

social protection:  UNAIDS defines social protection as schemes that reduce gender and income inequalities and social exclusion, all of which increase the risk of contracting HIV. They also make it easier for people to access HIV and other health services, and can cushion the social and economic impact of HIV on households and individuals. Social protection diminishes the risk of HIV infection, increases adherence to HIV and tuberculosis treatment and fosters resilience… Social protection is more than cash and social transfers such as food and vouchers. It encompasses economic support, social health insurance, employment assistance and social care to reduce poverty, inequality, exclusions and barriers to accessing social and medical services [2].”  This Positive Action Challenge includes all categories of instruments as classified by the Joint Statement on Social Protection [3]:
++ Social transfers: regular, predictable transfers (cash or in kind, including fee waivers) from governments and community entities to individuals or households that can reduce child poverty and vulnerability, help ensure children’s access to basic social services, and reduce the risk of child exploitation and abuse;
++ Social insurance: that supports access to health care for children, as well as services to support communities and other risk-pooling mechanisms, preferably with contribution payment exemptions for the poor, that reach all households and individuals, including children.
++ Social services: family and community services to support families and promote youth and adult employment; alternative care for children outside family environments; additional support to include vulnerable or excluded children in education; and social welfare services including family support, child protection services and assistance in accessing other services and entitlements;
++ Policies, legislation and regulations: that protect families’ access to resources, promote employment and support them in their childcare role, including ensuring access for poor people to basic social services, maternity and paternity leave, inheritance rights and antidiscrimination legislation.

 

References

[1] UNAIDS (2018) Families at the Centre: How a family-centred care can help reach people being left behind by the HIV response. UNAIDS: Switzerland
[2] http://www.unaids.org/en/topic/social-protection
[3] 2009 Joint Statement on Advancing Child Sensitive Social Protection co-authored by DFID, HelpAge International, Hope & Homes for Children, Institute of Development Studies, International Labour Organization, Overseas Development Institute, Save the Children UK, United Nations Children’s Fund (UNICEF), United Nations Development Programme (UNDP) and the World Bank https://www.unicef.org/socialpolicy/files/CSSP_joint_statement_9.13.10.pdf

JUDGING CRITERIA

In evaluating entries and determining winners of the challenge prizes, the Judges will apply the following core criteria. In addition to these criteria, entries must specifically show that they reduce stigma and discrimination faced by key populations in healthcare settings. Please see the details tab for information on this challenge.

  • People Centred: Entries may focus on a process, technology or other method but the ultimate benefit must be measurable in terms of impact on people’s lives. Must ensure privacy, demonstrate an ability to not perpetuate stigma and discrimination associated with HIV and enhance active community participation in solution development.
  • Replicable: Entries can be replicated and adapted by others at low cost to ensure broader implementation and uptake as quickly as possible in similar settings.
  • Scalable: Entries must demonstrate how they can be scaled beyond pilot programmes to large scale responses that can be implemented at greater/national scale.
  • Affordable: Entries must demonstrate affordability (low-cost or no-cost to the end users) within resource limited settings or other similar settings as detailed in the individual challenges.
  • Sustainable: Entries must demonstrate how they are implementable in the longer term (beyond the lifecycle of prize funding) using the resources that already exist or which can be incremental to existing service delivery.
  • Achieving substantive change: Successful entries are expected to change the thoughts, processes and other barriers that prevent people living in resource limited settings from receiving the best care possible within the resources (financial and other) available, demonstrating a clear benefit to the people and systems targeted.

JUDGING PANEL

OWEN RYAN

Executive Director, International AIDS Society, Geneva; IAS non-voting Governing Council member; IAS non-voting Executive Committee officer.

CONSTANCE AGYEMAN

Senior Programme Manager, International Development and UK Prizes, Centre for Challenge Prizes, Nesta, London.

ALEXIS BONNELL

Divison Chief: Applied Innovation, U.S. Global Development Lab, USAID

APPLYING FOR THIS CHALLENGE

APPLY HERE

CHALLENGE RULES

SUBMISSION PROCESS

  1. REGISTER
    Click Apply Now to access the PAC Community portal where you can register or log in to start an application. Once registered you can connect with fellow solvers to share ideas, find collaborators and work on applications.
  2. CONCEPT
    Submit a Concept Note to provide a summary of your innovation. You can seek input/feedback from other community members or submit right away. Concepts are shortlisted to progress to the next stage by the PAC team based on the challenge criteria.
  3. DEVELOPMENT
    The best eligible Concept Notes are invited to submit a Full Application. This stage requires more detail about the development and implementation of your innovation. This is the final stage for applicants before the judging process begins.

For more detail, see How it Works.