Civil Society Partners Research Articles

Police and civil society partnership: Peculiarities of implementation in modern conditions

The purpose of the article is to find out the peculiarities of the implementation of partnership relations between the police and civil society in modern conditions, based on the analysis of current Ukrainian and foreign legislation, as well as scientific literature. Partnership as a type of social interaction is characterized by the authors of the article. The essence of the term “partnership” in modern foreign science is analyzed. The main features of the partnership model of interaction of subjects are characterized, with an emphasis on the partnership between the police and civil society institutions. The main components of the mechanism of partnership interaction between the institutions of the State and civil society institutions in the field of law enforcement are considered. The experience of different countries related to the partnership of law enforcement agencies and civil society institutions is described, with the aim of promoting the formation of effective forms of partnership between the police and civil society institutions in modern Ukraine. The importance of building in Ukraine an effective partnership model of cooperation between the police and civil society institutions in modern Ukraine is emphasized. The importance of public participation in the implementation of state functions in the field of security in modern conditions is proved. The importance of trust for effective partnership is emphasized.

Protection of constitutional values in the conditions of the Russian-Ukrainian war

The study is devoted to the analysis of the peculiarities of the protection of constitutional values in Ukraine in the conditions of the Russian-Ukrainian war. Its purpose is to develop proposals for improving the mechanisms for ensuring these values. A comprehensive approach was used, including methods of analysis and synthesis, a comparative legal method, as well as an analysis of judicial practice. The relevance of the study is due to unprecedented challenges for constitutional values in the conditions of hybrid war, which requires new approaches to their protection. Scientific novelty consists in the comprehensive analysis of modern challenges and the development of specific recommendations for improving legislation and law enforcement practice. The study showed that the protection of constitutional values in the conditions of war is a complex process that requires a combination of national and international efforts. A special role belongs to the judicial system, which must ensure a balance between national security and the rights and freedoms of citizens. International support is also critical to strengthening legal stability and protecting democratic values. The results of the study can be used to improve legislation and law enforcement practice in Ukraine, as well as to increase the effectiveness of international support in the field of human rights protection. The practical significance of the work consists in providing specific recommendations for reforming the judicial system and strengthening international cooperation. The protection of constitutional values in the conditions of the Russian-Ukrainian war requires a comprehensive approach, which includes reforming legislation, strengthening the judicial system, and strengthening international cooperation. The importance of constitutional values not only does not decrease, but also becomes even more relevant in the conditions of the modern world, which requires joint efforts of all branches of government, civil society and international partners.

Smart mix politics: business actors in the formulation of global supply chain regulation

The European Union and other advanced economies are turning to mandatory due diligence regulation to address environmental and human rights risks in their global supply chains. This shift is accompanied by calls for ‘smart regulation’ that combines public legislation with private governance instruments and new supporting measures in the producer countries of the Global South. We study the smart regulation agenda in the case of the European Union Deforestation Regulation. We reveal how its progressive rhetoric masks a conservative undertone as business actors and their civil society partners aim to safeguard their vested interests in the age of public supply chain regulation. However, by tracing their lobbying efforts throughout the policy formulation process, we show how this does not imply en bloc support for voluntary, softer forms of regulation. Moreover, these actors exhibit varying motivations and preferences for involving Southern actors in such a mix. Consequently, rather than forming a cohesive policy coalition, their preferences span from conservative to progressive, resulting in new alliances and divisions in this time of regulatory change. By untangling the complexities of ‘smart mix politics’, this article advances critical research into the evolving role, positioning, and influence of business actors in global supply chain governance.

International collaboration and connections through design thinking: A case study of the Global Classroom for Democracy Innovation (GCDI)

This paper is based on the collaborative development of the Global Classroom for Democracy Innovation (GCDI), and its month-long virtual pilot workshop, the 'Climate Change Design Jam’. The GCDI is an integrated learning partnership between three international universities located in Canada, South Africa, and Sweden, and civil society partners the Vancouver Design Nerds (VDN). Each partner brought unique skills to the GCDI, as new processes and methods for virtual, global student engagement and dialogue were co-designed. The GCDI hosted the Climate Change Design Jam over four consecutive weeks in March 2022. By employing a design thinking methodology, it facilitated online student project development around the interconnected and broad topics of climate change and democracy. Students and student facilitators were guided through the process of design thinking to develop grounded projects that address climate change issues locally and internationally. This paper argues that fundamental principles of fostering genuine connections (both 'online' and 'offline') between students can act as a useful foundation from which project development can be based. Further, this paper illustrates that when faced with 'wicked problems’ such as climate change and challenges to democracy worldwide design thinking methods and collaborative approaches can act as a catalyst for action (Manzini, 2015). Exploring political theory, democracy, and civic agency through dialogue and co-design provides students with innovative approaches to research, critical thinking, and activism. This pilot series provides insight into student engagement across international contexts, and thus the development of cross-cultural and collective intelligence which can be formative for similar projects in the future (Behari-Leak, 2020).

Understanding Challenges Women Face in Flood-Affected Areas to Access Sexual and Reproductive Health Services: A Rapid Assessment from a Disaster-Torn Pakistan.

According to the Global Climate Risk Index, Pakistan is ranked as the fifth-most vulnerable country to climate change. Most recently, during June-August 2022, heavy torrential rains coupled with riverine, urban, and flash flooding led to an unprecedented disaster in Pakistan. Around thirty-three million people were affected by the floods. More than 2 million houses were damaged, leaving approximately 8 million displaced and approximately 600,000 people in relief camps. Among those, 8.2 million women and 16 million children are the worst affected, with many requiring urgent medical and reproductive healthcare. To plan an efficient healthcare program and a climate-resilient health system, it is crucial to understand the issues that the affected people face during floods. Methodology. This rapid assessment included the population in the most severely affected districts across the four provinces of Pakistan. A mixed methods approach using qualitative and quantitative techniques was utilized. A total of 52 qualitative, in-depth interviews were conducted with community-level healthcare providers, national and provincial government departments, and development partners involved in relief activities. Using a structured questionnaire, the quantitative cross-sectional survey was conducted with a final sample of 422 women, married and unmarried (15-49 years old), residing in the relief camps in the flood-affected areas. The outcome variable of the survey was the access to sexual and reproductive health services faced by the women in the flood-affected districts. Data collection took place four months postfloods during Nov-Dec 2022, while the data analysis was conducted between Dec 2022 and Jan 2023. The quantitative data was analyzed using SPSS (Statistical Package for the Social Sciences) version 20, and qualitative data was analyzed using NVivo 12. Ethical consent was sought from all the participants. Ethical approval was also sought from the ethics committee of the Health Services Academy, Government of Pakistan. The findings indicated that, overall, all the provinces were unprepared for a calamity of such a large magnitude. Access to services and health data reporting from the flood-affected areas was challenging mainly due to a shortage of trained health workforce because of the displacement of a large volume of the health workforce. Overall, equipment, medicines, supplies, and food were scarce. Women residing in the camps were markedly affected, and 84% (375) were not satisfied with the flood relief services provided to them. The floods impacted their monthly income as 30% (132) of respondents started depending on charity postfloods. Almost 77% (344) reported limited access to sexual and reproductive health services and had yet to receive sanitary, hygiene, and delivery kits, while 69% (107 out of 154) of girls stopped schooling postfloods. Almost 77% (112) of the married women reported having a child less than one year of age. Yet, only 30% (44 out of 144 currently married women) were using any form of family planning method-damage to the health facilities affected access to overall maternal care services. The findings concluded that there was no planning for sexual and reproductive health services in the flood-affected areas. Several barriers were identified. The government and development partners needed to prepare to cater to women's needs during the floods. The findings highlight the need for collaborative efforts between the government, civil society, and development partners to address the challenges faced in disaster management and strengthen disaster management capacity.

Research Co-production Within Humanitarian Health: Reflections on Our Practice

Research co-production is recognized as important for humanitarian health actors, as part of the growing drive towards localizing and decolonizing aid. Despite recognition that co-production is challenging to implement, reflexive accounts of co-production efforts remain limited. In this paper, we critically examine the role of co-production within a multi-partner research collaboration in Lebanon involving multiple academic, civil society and government-affiliated partners based in the UK and in Lebanon. Through interactive reflection sessions and interviews with research team partners, we document how co-production principles were embedded into our project, explore contextual factors influencing the collaboration, identify successes and challenges to co-production and identify future opportunities for research co-production. We find mixed understandings of co-production between team members and siloed efforts to co-produce within our partnership. We identify key challenges to co-production including contextual factors related to Lebanon and COVID-19, institutional power dynamics, budgets, difficulties in engaging service users and availability of stakeholders to co-produce, while mapping examples of successful co-production in our project. Our study emphasizes the importance of ensuring shared understandings of the scope of co-production at the outset of projects and suggest the collaborative analysis processes provide a key opportunity for researchers to embed co-production principles.

Consanguineous Marriages and the Perception of Wife-Beating Justification in Pakistan: An Application of Fairlie Decomposition Analysis.

Pakistan has a significant occurrence of both consanguineous marriages and intimate partner violence (IPV), which may be interlinked. The practice of consanguineous marriages could potentially influence women to rationalize and accept instances of IPV. Such attitudes perpetuate a culture of violence against women, creating difficulties for victims to reject or escape from it. Pakistan has high prevalence rate of consanguineous marriages and IPV. However, no research has been done to explain the difference in acceptance of IPV between women in consanguineous and non-consanguineous marriages. This study used Pakistan Demographic and Health Survey data and applied association tests, logistic regression, and the Fairlie decomposition analysis. The Fairlie decomposition helps us identify the relative contribution of different socioeconomic factors in the inequalities in IPV between the two types of marriages. Five dimensions of wife-beating justification are used as outcome variables. Age, education, and empowerment of women, husband education, woman witness parental violence, region, place of residence, and household wealth status are used as independent variables. The logistic regression results indicated that women in consanguineous marriages of younger age and who witnessed parental violence are more likely to justify wife-beating than those who belong to wealthy households and enjoy more empowerment. Compared to the Punjab province, women residing in Sindh and Baluchistan are less likely and in the Khyber Pakhtunkhwa province are more likely to justify wife-beating. The Fairlie decomposition analysis shows that household wealth status, woman education, and empowerment are the main contributors in explaining the gap between the wife-beating justification of the two groups. The IPV gap can be reduced up to 77% if the distribution of women in different wealth quantiles of the consanguineous marriage group is identical to the non-consanguineous marriage group. Furthermore, woman education level is the second highest contributor. Consanguineous marriages are a prevalent cultural practice in Pakistan and are associated with several negative health and social outcomes. Addressing this issue requires a sustained and comprehensive effort by the government, civil society, and international partners, with a particular focus on women from poor households with less education.

When waiting means trouble: an enquiry into the approach toward prevention against jihadism in Senegal

In the last decade, West Africa has experienced increased activities by Jihadist groups, especially after the fall of the Muammar Qaddafi regime in Libya in 2012. The activities of these groups have gradually spread in the region, with countries such as Mali and Burkina Faso experiencing continued attacks. Taking the current socio-economic, religious and political context of Senegal into consideration, this study interrogates the factors that have so far prevented attacks by Jihadist groups in Senegal, the role that women and youth could play in mitigating jihadism in Senegal, and how the existing social capital in the country, could be further mobilized to foster trust building and social cohesion, thereby enhancing the prevention of violent extremism in the country? Furthermore, the study explores the need for a regional approach in dealing with the existing and emerging threats posed by Jihadist activities in the region. Methodologically, this study uses interviews and Focus Group Discussions to collect primary data from government officials, academics, civil society and international development partners. Secondary data from a wide range of sources are used to analyze the case of Senegal.

Affinity or effectiveness? Donors’ preferences for bypass aid

Western donors have progressively increased the amount of foreign aid allocated through bypass channels, particularly for recipients with weak domestic institutions. Rather than giving money directly to recipient governments, aid is given to non-governmental organizations working on the ground in those countries. Explanations for this shift range from increased donor attention to effectiveness, a desire to deliver assistance directly to those in need, and enhanced legitimacy by working with local civil society partners. Donors, however, face a trade-off when deciding whether or not to allocate aid through bypass channels. Because bypass aid is not given directly to the recipient government, the donor has less leverage to prop up friendly regimes or buy policy concessions. We argue that as donors balance competing motivations, geo-strategic incentives can, at times, trump concerns regarding best practices of poverty alleviation. Using data on bypass aid from 2004 to 2019, we find that donor’s commitment to good governance is ameliorated in strategically important recipient states. Strategic partners who improve their domestic governance are rewarded with less bypass aid (more government-to-government aid) at higher rates than less strategic recipients. These results highlight potential limitations of the good governance movement in foreign aid.

Civil Society and Gender Mainstreaming: Case Study of the Working Group on Women and Preventing/Countering Violent Extremism (WGWC) Program

The transformation of women's role in terrorism networks from victims to supporters, perpetrators and even recruiters as well as ideologues is now a social phenomenon in Indonesia. Civil society organizations (CSOs) responded to this phenomenon by forming the Working Group on Women and Preventing/Countering Violent Extremism (WGWC). There are several reasons behind this movement, such as; the strong patriarchal culture and regime in society and policy makers, the lack of women's involvement in efforts to eradicate violent extremism and terrorism, and the sporadic work of CSOs. This research uses a qualitative methodology with a case study approach. Data and information were obtained from interviews and documentation. The research found several points. First, WGWC be a forum for activists, academics, and civil society organizations in Indonesia on gender mainstreaming and countering violent extremism in Indonesia issues. WGWC applies a collegial collective system by sharing the framework of civil society partners. WGWC works voluntarily, independently and autonomously. Second, WGWC acts as a critical and strategic partner of the government in gender mainstreaming by intervening in policies and programs of the National Action Plan for Preventing and Countering Violent Extremism that Leads to Violence (RAN PE) and Regional Action Plans (RAD PE).

Populism as a Threat to the Post-War Recovery of Ukraine

The article attempts to analyze the emergence and formation of populism in Ukraine. The role of political party leaders in the political transformation of Ukraine is studied, which allows us to understand social transformations caused by populism: populist parties are particularly prone to internal authoritarianism, often relying on a charismatic leader in the style of a strongman. It is noted that the political culture of the elite matters and shapes political institutions, and these political institutions influence both the process of societal consolidation and the type of political regime in general. It is emphasized that numerous elite groups are necessary for the functioning of democracy. The influence of the mass media on the results of the formation of public opinion and national voting is considered. The ability of populists to transition to personalistic authoritarian rule is emphasized, and this process is significantly accelerated during a long-term crisis, especially war. It is noted that one of the signs of growing authoritarianism is a decrease in the rights and influence of the regions and the regional political elite. The article concludes that after the victory, the ruling class and the political elite of Ukraine face two risks: the first is that it is quite possible to expect a further decrease in the level of trust of Ukrainians not only in the Verkhovna Rada, but also in the top political leadership of the country. And the second - there are likely to be splits within the ruling elite, which is usually one of the main factors in the collapse of a personalist or authoritarian regime. It is stated that after the war, opposition sentiments in Ukraine will increase significantly, and the opposition environment will be favorable for its representatives to try to compete for power. It is quite likely that after the end of the war, other elites and other leaders will enter the arena. Taking this into account, the authorities need to adjust to a difficult compromise with civil society, domestic business and foreign partners.

Legal Perspectives of the Rights of Internally Displaced Persons in Nigeria

The phenomenon of internal displacement has become a significant issue in Nigeria due to various factors such as conflict, violence, natural disasters, and socio-economic challenges. The rights of IDPs are crucial for ensuring their protection, dignity, and access to basic necessities during their displacement. This study focuses on exploring the rights of Internally Displaced Persons (IDPs) in Nigeria. The research aims to shed light on the legal frameworks, policies, and practical measures in place to protect and promote the rights of IDPs in Nigeria. The findings of the research reveal both achievements and challenges in ensuring the rights of IDPs in Nigeria. While the Nigerian government has taken steps to address the issue through the adoption of relevant legislation and the establishment of institutional frameworks, significant gaps persist in the implementation and enforcement of these measures. IDPs continue to face various human rights violations, including inadequate access to basic necessities such as shelter, healthcare, education, and livelihood opportunities. Furthermore, the research highlights the role of non-state actors, including civil society organizations and humanitarian agencies, in supporting and advocating for the rights of IDPs. These actors play a crucial role in filling the gaps left by the government and providing assistance and protection to IDPs in Nigeria. The study concludes with a set of recommendations aimed at enhancing the protection and fulfillment of the rights of IDPs in Nigeria. These recommendations encompass legal reforms, strengthening institutional mechanisms, increasing resource allocation, and promoting collaboration between the government, civil society, and international partners. By shedding light on the rights of IDPs in Nigeria, this research contributes to the existing body of knowledge on internal displacement and human rights. It provides valuable insights for policymakers, humanitarian actors, and researchers working towards improving the conditions and rights of IDPs, ultimately aiming for the realization of durable solutions for this vulnerable population.

Partnership Structure and Partner Outcomes: A Comparative Study of Large Community Sustainability Cross-Sector Partnerships in Montreal, Barcelona and Gwangju

The aim of this research was to understand the structural features of large cross-sector social partnerships (CSSPs) and their resulting partner outcomes. This study analyzed and compared the partnership structures of three large CSSPs, each from a different continent: Barcelona + Sustainable in Barcelona, Spain; Gwangju Council for Sustainable Development in Gwangju, South Korea; and Sustainable Montreal in Montreal, Canada. Based on a survey of the partners in each of the three partnerships, the partner outcomes were also determined and compared. Building on these findings and using abductive analysis, the relationships between the partnerships’ structural features and partner outcomes are considered. An updated set of seven structural features for studying large cross-sector partnerships is offered. The empirical findings show some differences between the partnership designs and between the partner outcomes of the three partnerships. The experiences of the civil society, private sector and public sector partners in each of the cases were relatively similar, showing that in large partnerships, the sector was less relevant than in small partnerships.

DIVISION OF FUNCTIONS WITHIN ROMANIA’S CENTRE OF GOVERNMENT: A LONG HISTORY OF REFORMS

After the fall of communist regime in Romania, the structure of Romania’s Government Working Apparatus (the Government Office) was subject to several reforms trying to establish an adequate role for each of the entities. Although the composition of the Government Working Apparatus may vary, its central piece is the General Secretariat of the Government (GSG), which, in governments with a strong prime minister, has tried to share power with the Prime Minister’s Chancellery. The aim of this paper is to explore the evolution of the reforms of the Government’s Working Apparatus (Government Office) in Romania after 2001 and how the functions between the General Secretariat of Government and the Prime Minister’s Chancellery are divided after the recent reforms within the Centre of Government in order to assure a better coordination. The methodology of this paper consists in a content analysis of the legal framework, public administration reform strategies, technical reports of some projects conducted by the General Secretariat of Romania’s Government and World Bank’s studies and reports. This paper reports aspects on a longitudinal study between 2001-2021, which set out to examine and evaluate the roles of different organisational structure within Romania’s Government Office. The empirical data of this paper were also collected through a series of discussions with top public policy makers in charge with reform of central public administration. The General Secretariat of the Government (GSG) has always possessed a central role in the structure of the Government Office, its part being to assure the technical and strategic operations regarding Government acts and to solve the organisational, judicial, economic, and technical problems of Government and prime-minister’s activity, also the representation of the Government in the justice. GSG is the element of connection and stability of governance that assures the framework for decision making process. Recently, in February 2020, the Orban Government has approved two government decisions by which both the Prime Minister’s Chancellery and the General Secretariat of the Government have been reorganised. Both measures were part of the priorities of the Government Program, namely improving the efficiency of public administration, aiming at reforming the Centre of Government. Thus, the functions of the two structures were better defined and delimited, in the sense that the General Secretariat of the Government was to provide the technical / administrative secretariat of the Government, while the Chancellery would have the role of strategic coordination. In this sense, within the Chancellery operated the Centre for Analysis and Strategy and the Independent Scientific Council, while subordinated to the General Secretariat of the Government were the institutions which were to provide data and information to the Chancellery for analysis and studies that would underpin public policy programs. The essential role of the Chancellery thus became to coordinate the ministries in the process of elaboration and monitoring of the institutional strategic plans, to approve the governmental strategies, precisely to ensure the correlation of these strategies, as well as to correlate the elaboration, implementation and monitoring of public policies. Unfortunately, this reform was implemented only for a short period of time and nowadays, in January 2021, when a new prime-minister has come, the role of the Chancellery was diminished once again. Its role was focused on communication and relation with media and on the coordination, at the level of the Government Office, of the reform process regarding public administration and relation with civil society and social partners.

Working together: A study of civil society partnerships between WASH (water, sanitation, and hygiene) and GESI (gender equality and social inclusion) organisations in Timor-Leste

This article reports on an empirical study conducted in Timor-Leste that explored the drivers, benefits, and challenges of partnerships and collaborations between water, sanitation, and hygiene (WASH) and gender equality and social inclusion (GESI) organisations as integral parts of the WASH system. The research design was primarily qualitative and included a data-collection workshop with 30 representatives from 16 civil society organisations (CSOs) in Dili, longitudinal research involving two rounds of semi-structured interviews over 2.5 years with five organisations, and semi-structured interviews with an additional 18 CSOs. We applied a framework of post-development theory, including critical localism and working contingently. Key drivers to form partnerships were found to be the identification of community WASH service gaps and the alignment of advocacy agendas. Key benefits reported were increased inclusion and empowerment outcomes and strengthened organisational knowledge and capacity. Challenges emerge when organisations' key staff change, strategies misalign, and financial and administrative capabilities differ. The study contributes practical insights into how civil society organisations (CSOs) partner to strengthen mutual WASH and GESI strategies and programmes and their outcomes. We recommend strengthening the partnerships between WASH and GESI organisations in ways that are cognisant of power dynamics, local priorities, and capacity needs and promote longevity and continuity through ownership of decisions at the local level. Our findings suggest that meaningful, reciprocal, and respectful engagement with WASH and GESI organisations enables WASH programmes to be in a better position to address the harmful norms that drive inequitable behaviours, thus strengthening localism, and the WASH governance system overall.

One virus, many lives: a qualitative study of lived experiences and quality of life of adults from diverse backgrounds living in the UK during the COVID-19 pandemic

ObjectivesThe coronavirus disease 2019 (COVID-2019) pandemic has had far-reaching consequences for people’s lives. In the UK, more than 23 million have been infected and nearly 185 000 have lost their...

Measuring the Burden of Infodemics: Summary of the Methods and Results of the Fifth WHO Infodemic Management Conference.

An infodemic is excess information, including false or misleading information, that spreads in digital and physical environments during a public health emergency. The COVID-19 pandemic has been accompanied by an unprecedented global infodemic that has led to confusion about the benefits of medical and public health interventions, with substantial impact on risk-taking and health-seeking behaviors, eroding trust in health authorities and compromising the effectiveness of public health responses and policies. Standardized measures are needed to quantify the harmful impacts of the infodemic in a systematic and methodologically robust manner, as well as harmonizing highly divergent approaches currently explored for this purpose. This can serve as a foundation for a systematic, evidence-based approach to monitoring, identifying, and mitigating future infodemic harms in emergency preparedness and prevention. In this paper, we summarize the Fifth World Health Organization (WHO) Infodemic Management Conference structure, proceedings, outcomes, and proposed actions seeking to identify the interdisciplinary approaches and frameworks needed to enable the measurement of the burden of infodemics. An iterative human-centered design (HCD) approach and concept mapping were used to facilitate focused discussions and allow for the generation of actionable outcomes and recommendations. The discussions included 86 participants representing diverse scientific disciplines and health authorities from 28 countries across all WHO regions, along with observers from civil society and global public health-implementing partners. A thematic map capturing the concepts matching the key contributing factors to the public health burden of infodemics was used throughout the conference to frame and contextualize discussions. Five key areas for immediate action were identified. The 5 key areas for the development of metrics to assess the burden of infodemics and associated interventions included (1) developing standardized definitions and ensuring the adoption thereof; (2) improving the map of concepts influencing the burden of infodemics; (3) conducting a review of evidence, tools, and data sources; (4) setting up a technical working group; and (5) addressing immediate priorities for postpandemic recovery and resilience building. The summary report consolidated group input toward a common vocabulary with standardized terms, concepts, study designs, measures, and tools to estimate the burden of infodemics and the effectiveness of infodemic management interventions. Standardizing measurement is the basis for documenting the burden of infodemics on health systems and population health during emergencies. Investment is needed into the development of practical, affordable, evidence-based, and systematic methods that are legally and ethically balanced for monitoring infodemics; generating diagnostics, infodemic insights, and recommendations; and developing interventions, action-oriented guidance, policies, support options, mechanisms, and tools for infodemic managers and emergency program managers.

Scale-Up of HIV Antiretroviral Therapy and Estimation of Averted Infections and HIV-Related Deaths - Uganda, 2004-2022.

On January 28, 2003, the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), the largest commitment by any nation to address a single disease in history, was announced.* In April 2004, the first person in the world to receive PEPFAR-supported antiretroviral therapy (ART) was a man aged 34 years in Uganda. Effective ART reduces morbidity and mortality among persons with HIV infection (1) and prevents both mother-to-child transmission (MTCT) (2) and sexual transmission once viral load is suppressed to undetectable levels (<200 viral copies/mL) (3). By September 2022, more than 1.3 million persons with HIV infection in Uganda were receiving PEPFAR-supported ART, an increase of approximately 5,000% from September 2004. As indicators of the ART program's effectiveness, a proxy MTCT rate decreased 77%, from 6.4% in 2010 to 1.5% in 2022, and the viral load suppression rate (<1,000 viral copies/mL) increased 3%, from 91% in 2016 to 94% in September 2022. During 2004-2022, ART scale-up helped avert nearly 500,000 HIV infections, including more than 230,000 infections among HIV-exposed infants, and approximately 600,000 HIV-related deaths. Going forward, efforts will focus on identifying all persons with HIV infection and rapidly linking them to effective ART. PEPFAR remains committed to continued strong partnership with the Government of Uganda, civil society, and other development partners toward sustainable solutions aligned with the Joint United Nations Programme on HIV/AIDS (UNAIDS) fast-track strategy to ending the global AIDS epidemic by 2030† and safeguarding impact achieved in the long term.

Undetectable=Untransmittable=Universal Access (U=U=U): transforming a foundational, community-led HIV/AIDS health informational advocacy campaign into a global HIV/AIDS health equity strategy and policy priority.

Undetectable=Untransmittable (U=U) first emerged in 2016 as a health information campaign to promote rigorous scientific evidence that people living with HIV (PLHIV) on effective treatment who have reached an undetectable or suppressed viral load cannot pass on the virus sexually. Within 7years, U=U underwent transformation from a global community-led, grassroots movement into a global HIV/AIDS health equity strategy and policy priority. For this narrative review, a targeted literature search on 'history'+'Undetectable=Untransmittable' and/or 'U=U' on Google and Google Scholar, in addition to a search of online documents on the Prevention Access Campaign (PAC) website, was conducted. The article utilises an interdisciplinary policy studies approach that recognises the roles of multi-stakeholder, especially that of the community and civil society, to effect policy change. The narrative review first provides a synopsis of the scientific origination of U=U. The second section highlights the progress and leadership on U=U led by the PAC and civil society partners and efforts of the PLHIV and ally communities in advocating for the broad recognition and dissemination of the evidence, which has proven to be a game-changer within the HIV/AIDS response. The third section spotlights the recent developments of U=U within the local, national, and multilateral spheres. The article ends with recommendations for community and HIV/AIDS multi-stakeholders on how they can further integrate, implement, and strategically utilise U=U as an essential and complementary HIV/AIDS pillar to the current Global AIDS Strategy 2021-2026 to end inequalities to end AIDS by 2030.

Commercial sexual exploitation of children in Zimbabwe: A threat to human and social development

AbstractCommercial sexual exploitation of children (CSEC) in child sex work is reportedly rising in Zimbabwe. While children of both sexes are affected, more females than males are forced to engage in sexual acts in exchange for money, food, access to shelter, education or some other gains from adults who control these means of survival and commodities. Drivers of CSEC include socioeconomic factors, negative peer pressure, childhood abuse, the influence of uncensored social media, and, more recently, the economic impact of COVID‐19. Involvement in underage sex work exposes children to severe adversities, such as psychosocial and mental health disorders, physical and biological injuries, venereal diseases and HIV. CSEC is a growing concern for resource‐limited countries, disenfranchises children and robs particularly the girl child of a better future. The worsening socioeconomic landscape in Zimbabwe and the COVID‐19 pandemic have exacerbated the problem. Solving the problem of CSEC requires a multipronged approach that involves stakeholders from several sectors, including public health, education, social services, security and the legal fraternity. There is a need to empower communities, empower civil society and development partners, enhance legal frameworks, provide messaging, education and vocational training, as well as rehabilitative services for affected children and their families. CSEC is a violation of the child's rights and a public health concern that needs to be addressed as a matter of urgency to preserve the next generation's human capital necessary for the sustainable development of Zimbabwe.