1 / 19

Response of Governments/International Institutions/Civil Society on Scaling Up HIV/AIDS Financing

Response of Governments/International Institutions/Civil Society on Scaling Up HIV/AIDS Financing. Global Conference Brasilia, Brazil – November 2006 Aisha Baldeh National AIDS Secretariat The Gambia. Outline of Presentation. Part I - Global call for HIV/AIDS funding HIV/AIDS Financing

tammy
Download Presentation

Response of Governments/International Institutions/Civil Society on Scaling Up HIV/AIDS Financing

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Response of Governments/International Institutions/Civil Society on Scaling Up HIV/AIDS Financing Global Conference Brasilia, Brazil – November 2006 Aisha Baldeh National AIDS Secretariat The Gambia

  2. Outline of Presentation • Part I - Global call for HIV/AIDS funding HIV/AIDS Financing • Sources of Funding • Status of Funding • Part 2 – Scaling up HIV/AIDS Financing • What is Resources are needed • Scaling up Financing (resources: 2006-2008) • Meeting Abuja Targets • HIV Allocation as share of total Health Expenditure • Case study (Mozambique) • Part 3 – Can commitments be turned into reality • Why are commitments lagging behind • How can we close the funding gap

  3. Global call for HIV/AIDS funding 2005 UN Millennium Project (2005): $33 billionachieve the MDGs in Africa Gleneagles communiqué: aid flows to Africa by $25 billion by 2010 2001 Abuja Declaration World Bank and IMF $14 to $18 billion per year during 2006–8 Global Fund to Fight AIDS, Tuberculosis and Malaria UN Declaration of Commitment (2001) on HIV/AIDS: mobilise $7-10 million

  4. 1996 USD 300 million 2004 USD 6.1 billion 2005 USD 8 billion Sources of Financing Donor Government -bilateral, multilateral, intl corporations, intl NGOs) Recipient Governments (Central government, sub-natl govt, social security) Civil Society (Households, out-of-pocket expenditure (OOPE), NGOs, CBOs, FBOs, insurance) Recipient Countries

  5. Status of Funding

  6. Sources of the estimated and projected funding for the AIDS response from 2005 to 2007* 12 US$ billion 10 Private Sector 8 Multilateral 6 Bilateral 4 Domestic 2 0 2005 2006 2007 * Assuming there are no new commitments  Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries. 10.10

  7. Sources of HIV spending in three countries, 2004 Russian Federation Burkina Faso India Public 9% World Bank loan 27% All donors 14% World Bank credit 32% Public 36% Global Fund 2% Bilateral 35% Global Fund 9% Multilateral (excluding GF) 3% Public 86% Multilateral (excluding GF) 15% Bilateral 32% HIV and AIDS spending per capita US$ 1.87 US$ 0.59 US$ 0.28 Source: UNAIDS, based on National AIDS Spending Assessments. 10.11

  8. Pledge to… African Governments • ….commit ourselves to take all necessary measures to ensure that the needed resources are made available from all sources and that they are efficiently and effectively utilized. • .....set a target of allocating at least 15% of our annual budget to the improvement of the health sector including HIV/AIDS. • …..make available the necessary resources for the improvement of the comprehensive multi-sectoral response, and that an appropriate and adequate portion of this amount is put at the disposal of the National Commissions/Councils for the fight against HIV/AIDS, Tuberculosis and Other Related Infectious Diseases. Source Section 26: African Summit on HIV/AIDS, Tuberculosis and Other Related Infectious Diseases, Abuja, Nigeria 24-27 April 2001

  9. Scaling Up HIV/AIDS Financing

  10. What Resources are Needed? Source: UNAIDS. Resource Needs for an Expanded Response to AIDS in Low and Middle Income Countries.Presented to the Programme Coordinating Board. Seventeenth Meeting, Geneva, 27-29 June 2005.

  11. Scaling Up HIV/AIDS financing: Issues…… Adequacy: How much was pledged? And how much was committed? Priority: How does the budget for HIV/AIDS compare to resources spent in other areas e.g. malaria etc? Progress: Are financial commitments of different stakeholders (donor, governments & civil society improving? Allocative efficiency: Are we using the funds for the right mix of interventions or programmes?

  12. Scaling Up HIV/AIDS Financing: Issues… Operational efficiency: • Are funds being spent? And are they being spent on the purposes for which they were allocated? • Is there wastage or corruption? • Are the funding channels used the most efficient and effective for delivering funds to the implementing agencies? Equity: Are resources being allocated fairly?

  13. Abuja Target Are African states meeting the Abuja target? 18% Mozambique 16% 14% 12% South Africa 10% 8% Namibia 6% Kenya 4% 2% 0% 2000/1 2001/2 2002/3 2003/4 2004/5 2005/6

  14. HIV/AIDS allocations as share of total Health Expenditure 18% South Africa 16% Mozambique 14% Kenya 12% 10% 8% 6% 4% 2% 0% 2000/1 2001/2 2002/3 2003/4 2004/5 2005/6 Sources: Mozambique National Statistics Institute Database, 2003. South African Budget Review, 2003/04 and Estimates of National Expenditure, 2003. Kenyan Estimates of Recurrent and Development Revenue, 2003, and National Aids Resource Envelope, 2003.

  15. Mozambique Mozambique: The Challenge of HIV/AIDS Treatment and Care. Economic Commission for Africa. http://www.uneca.org

  16. Can commitments be turned into reality?

  17. Why are commitments lagging behind? • Less Sustainable and Predictable funding plan (apart from the GFATM Model) • Bureaucracy – Often aid comes with strings attached e.g. low Inflation target set by IMF. • ‘Macroeconomic and Structural implications of increased grants aids needs to be analysed by case by case bases’ (IMF and World Bank July 26, 2004) • Absorptive Capacity – there is consensus among donors that the ability of low-income countries must improve their absorptive capacity • Resource Needs are based on assumptions on future behaviour of donors, governments and other agents (UNAIDS 2005 AIDS Resource Estimate). • Shifting Priorities/Alliances – good governance, pressure from donors to privatise, war on terror, natural disasters.

  18. How can we close the funding gap?

More Related