PREPARING FOR A GENDER ASSESSMENT
OF THE NATIONAL HIV and TB RESPONSE
WHY A GENDER ASSESMENT ?

National strategic planning and budgeting processes often lack
essential information on HIV and TB epidemic, context and response
from a gender perspective

The UNAIDS HIV Gender Assessment tool was developed recognizing
the need for more systematic data collection on gender equality and
HIV.

Recognising the need for a similar tool for TB responses, the Stop TB
Partnership and UNAIDS Secretariat established a partnership to
develop the Gender assessment tool for national HIV and TB responses
(hereinafter the HIV/TB Gender Assessment tool)
Overview
• HIV and TB poses a significant public health and development
burden.
•
TB remains the leading cause of death among people living with
HIV, with an estimated 360 000 [310 000–410 000] deaths in 2013
• An estimated 1.1 million (13%) of the 8.6 million with TB were HIV
positive.
• People living with HIV are around 30 times more likely to develop TB
than persons without HIV.
.
GENDER ASSESSMENT TOOL FOR NATIONAL
HIV and TB RESPONSES - overview
STAGE 1: Preparing
for the Gender
Assessment of the
national HIV and
TB response
STAGE 2: Knowing the STAGE 3: Knowing the
national HIV and TB
national HIV and TB
epidemic and context response and identifying
gaps
STAGE 4: Analyzing
the findings of the
assessment and
identifying
interventions for a
gender
transformative HIV
and TB response
THE STANDARDIZED GENDER ASSESMENT TOOL

Aims to standardize the different tools used across countries and regions and
the quality of data produced, to inform the national strategic planning process

Supports countries to do a systematic assessment from a gender perspective
to inform national planning and budgeting for gender-responsive TB and
gender-transformative HIV responses, including joint applications for the Global
Fund New Funding Model.

The HIV/TB Gender Assessment Tool was developed by UNAIDS Secretariat
and STOP TB and GFATM, in collaboration with WHO, and civil society and TB
experts.

The HIV/TB Tool builds on the UNAIDS Gender Assessment Tool that was
piloted in 5 countries and have now been completed in close to 30 countries.
THE STANDARDIZED GENDER ASSESMENT TOOL (II)
 The HIV/TB
Gender Assessment Tool will be further
informed by this workshop and the implementation in
Lesotho shortly

The Tool applies a modular approach, building on already
available information, to allow flexibility as per local
context
 And uses questions to identify remaining gaps in
information
Enhancing national processes through the use of
the Gender Assessment Tool
•
•
In undertaking gender assessments, it is key to
connect and build on national processes.
Key questions before decision making:
Will a new HIV and/or TB NSP be developed
soon?
Will the current HIV and/or TBNSP be reviewed
soon?
Is there an opportunity to submit a concept
note to the Global Fund?
Are there other key strategic national
opportunities?
STAGE 1: PREPARING FOR THE HIV/TB GENDER
ASSESMENT
 Secure high level commitment
 Set up a country assessment team establishing national ownership
and ensuring representation of those affected by TB and HIV
 Develop a gender assessment framework: how will you move
forward? What are the guiding principles? Are roles and
responsibilities clear?
 Develop a resource plan for the gender assessment
 Collect and compile relevant data and documents
 Organize a gender assessment workshop with relevant stakeholders
and…
 Read the HIV/TB Gender Assessment Tool: it is very important
that all workshop participants read and understand what the tool is
about. Technical and political understanding of the tool is essential
for the Team at country level. It will help facilitate the flow of the
workshop.
STAGE 2: KNOWING THE NATIONAL HIV and TB EPIDEMIC
AND ITS SURRONDING CONTEXT
Is data available and accessible on:
 HIV and TB prevalence, by sex, age and geographic
area
 Prevalence of co infection by sex, age and geographic
area
 Social, cultural and economic factors
 Legal and political factors
Has the data available been populated in the tool for the
gender assessment workshop? Are there any key gaps
and ways to supplement these?
Review and analysis of the data gathered in each step
STAGE 3: KNOWING THE NATIONAL HIV and TB
RESPONSE
 Gender equality in HIV, TB policies policies and programmes:
overall HIV response, meaningful participation, coordination of gender
equality within the HIV and TB response & in the conceptual framework
and design, awareness and knowledge, assessing expenditure
allocation.
 Comprehensive HIV and TB response:
- prevention, treatment, care and support, GBV
 Gender considerations per community:
- women and girls, men and boys, key populations, young people,
elderly /senior citizens
 Review and analysis after each step
STAGE 4: ANALYSING AND USING THE FINDINGS OF THE
HIV/TB GENDER ASSESMENT
• Using the analysis from previous stages to populate
an Analysis Matrix with data, context, current policy
and programming response
• Review the key issues
• Identify priority interventions and populate the matrix
with Key interventions
• Develop a brief and succinct narrative report
• Develop:
- an advocacy plan
- a communications strategy
- a budget
- a fundraising strategy
- a monitoring process
Overall process:
From gaps and challenges to key interventions
for a gender transformative national HIV response and a gender
responsive TB response
Data on the epidemic
Socio-cultural, economic,
judicial, political context
What is the reality of the
HIV and TB epidemics with
a gender perspective?
What are the issues linked
to gender driving the
epidemics?
Analysis of the gaps and
challenges in the current
national HIV and TB
response
What is currently being
done within the HIV and TB
response to include gender
transformative actions to
decrease the epidemic and
modify the context?
What are the main gaps and
challenges concerning
gender?
Suggested
prioritized key
interventions
What are the key
gender-based
interventions which
will have the highest
impact on the HIV and
TB epidemic?
Thank you