About COMPASS 2.0 (2021-2023)

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.

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

  • Malawi: CEDEP/MANET+ and JONEHA supported development and launch of the Health Financing Strategy (2023) and are driving implementation (2023–2025) to increase domestic resources for health.
  • Malawi: Despite a drop in percentage allocation (10% → 9%), actual health funding increased due to overall budget growth.
  • Malawi: JONEHA advanced regulatory enforcement (PMRA Act) and advocated for medical stores recapitalization despite economic shocks and Cyclone Freddy.
  • Tanzania: HIV/AIDS vertical budget increased from 0.2% to 4.5%, including an 88% rise in AIDS Trust Fund allocation.
  • Tanzania: Mandatory Health Insurance Bill signed (Nov 2023), with government subsidizing ~26% of the population.
  • Zimbabwe: Increased CSO funding via targeted taxes and expanded social contracting.
  • Zimbabwe: Budget literacy campaigns and policy dialogues strengthened citizen participation and political accountability in health financing.
  • Malawi: LITE piloted SOGIE-inclusive curriculum for healthcare workers and police, advancing inclusive service delivery.
  • Tanzania: Crisis Prevention and Response mechanism established (PEPFAR & GF funded) to address violence and barriers affecting KVPs across 20 regions.
  • Tanzania: Harm reduction expansion secured ($5M+), scaling NSP and MAT services including in prisons.
  • Zimbabwe: KP engagement in Global Fund processes strengthened MSM services, reduced barriers, and improved tailored service packages.
  • Tanzania: CLM integrated into national HIV strategies with coordination systems and a central data repository established.
  • Tanzania: Street-connected youth prioritized in HIV response (GF & PEPFAR), expanding access to DREAMS and OVC programs.
  • Tanzania: Youth engagement institutionalized through HIV Youth Council and inclusion in governance structures.
  • Tanzania: Community scorecards improved cervical cancer outreach, diagnosis, and referrals.
  • Zimbabwe: Parliamentary recommendation adopted to lower age of consent for access to SRH/HIV services.
  • Zimbabwe: Disability-inclusive indicators integrated into national systems, improving equity for AGYW and persons with disabilities.
  • Tanzania: 8,070 HRH permits issued, workforce gap reduced, volunteers absorbed, and national HRH tracking system established.
  • Zimbabwe: 654 facilities strengthened for AHD management; PEPFAR and GF committed additional resources.
  • Malawi: Community ART Groups (CAGs) included in national DSD operational manual pending approval.
  • Zimbabwe: DSD coverage increased from 41% to 47% (472,104 patients).
  • Zimbabwe: Youth engagement strengthened in PEPFAR and Global Fund processes, increasing representation and priority-setting influence.
  • Zimbabwe: Community health workers strengthened TB referral and reporting systems for presumptive cases.

Our Partners