About COMPASS 2.0

Throughout the course of the AIDS response, vibrant advocacy and activism have driven solutions to the pandemic by focusing on accountability, making sure that power, funds and policies work for people living with and at risk for HIV. As the HIV response has matured, data/evidence-informed decision-making has become a primary driver for the programmatic response. Access to and analysis of the data behind these decisions has been limited for civil society activists and advocates; at the same time, in East and Southern African countries, as in other regions, civil society organizations have been enlisted as partners by the very funders and programs they must hold accountable, increasing the risks they face when they speak out as activists.  

For the past years, the Coalition to build Momentum, Power, Activism, Strategy and Solidarity (COMPASS) Africa has confronted these realities head on with bold, well-resourced, coalition-based, data-informed advocacy and activism. COMPASS combines country-based coalitions of civil society groups in Malawi, Tanzania and Zimbabwe with seasoned advocacy partners in the global North.  Connected through a unique structure of strategic planning, real-time support and coordinated advocacy and activism, COMPASS partners have worked together to gather, analyze and use evidence and data to drive strategic advocacy campaigns and change policy and programs in the coalition focus countries and beyond. 

Over the last year, coalition partners continued their bold, impact-driven advocacy and shifted the coalition to African leadership.

Outcomes

  1. Improved development, adoption, implementation and evaluation of laws and policies
  2. Increased allocation and/or improved use of HIV-specific human, financial and technical resources.
  3. Improved country, regional and global pandemic preparedness responses to mitigate the impact on HIV progress. 
  4. Sustained and evolved coalition that sets the standard for transnational coalition-based, Africa-led activism.

Results & Impact

  • Government of Tanzania increased the HIV/AIDS-related vertical budget allocation from 0.2% in 2022/23 to 4.5% in 2023/2024, including the domestically financed AIDS Trust Fund (ATF).
  • In 2023/2024 there was an 88% increase in ATF allocation directly from the national budget.
  • President of Tanzania signed Health Insurance Bill (Nov 2023), making insurance mandatory.
  • Government of Tanzania committed to subsidize health insurance for approximately 26% of the population.
  • KVPF and GABINET supported the establishment of Tanzania’s Crisis Prevention and Response mechanism to address violence and barriers affecting KVPs, improving access to HIV services without stigma. The initiative is funded by PEPFAR ($1.2M) and the Global Fund ($500,000) and will be implemented across 20 regions.
  • TaNPUD’s advocacy led to major expansion of harm reduction services in Tanzania, including prisons. The Global Fund approved over $5M to scale up services, supporting 10 CSOs for Needle and Syringe Programs (NSP) and 9 CSOs for Medical Assisted Therapy (MAT). The government committed to expanding MAT services, with facilities already underway in Mbeya, Chalinze, and Muheza.
  • NACOPHA enabled the integration of Community Led Monitoring (CLM) into Tanzania’s Health Sector HIV Strategic Plan and Multisectoral Strategic Framework (2021-2026). It also established a national coordination structure and central data repository for CLM.
  • 2FG advocated for improved access to HIV and SRH services for homeless youth and street children, leading the Global Fund to prioritize CYLWS in GC7. PEPFAR also committed to including this group in the DREAMS and OVC programs, expanding outreach to AGYW living and working on the streets.
  • My Age advocated for the inclusion of young people with disabilities in HIV/SRH/TB/COVID guidelines, leading to the integration of disability indicators into key national systems. These include Zimbabwe’s Family Planning Council M&E system, DHIS2 (Ministry of Health), and the National AIDS Council indicator framework, improving data and informing more inclusive policies and services for AGYW and persons with disabilities.
  • Tanzania’s Ministry of Health expanded the health workforce through the NHWVG, central to BMF’s campaign deploying workers across six regions and issuing 8,070 HRH permits, reducing the workforce gap by 2%. 1,318 volunteers were absorbed into full-time roles, while local governments are now budgeting for HRH deployment and tracking progress through the Human Resource for Health Information System (HRHIS) dashboard.
  • Ministry of Health and Childcare, in partnership with ZNNP+, strengthened Advanced HIV Disease (AHD) management in 654 health facilities, training health workers and community cadres for screening. PEPFAR and the Global Fund also committed resources to expand AHD services in supported districts.
  • BHASO advocated for expanded access to Differentiated Service Delivery (DSD) models, contributing to an increase in patient coverage from 41% (2022) to 47% (472,104 patients) in 2023, as reported by the Ministry of Health and Childcare in Zimbabwe.

Our Partners