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Harmonized support to scaling up the national AIDS response

Harmonized support to scaling up the national AIDS response. Ini Huijts 7 th June 2006 ODI meeting, London. Overview. Harmonisation and Aid Effectiveness Harmonisation on AIDS Progress on harmonisation on AIDS Scaling up. Development cooperation – ‘post Paris’. A new aid consensus?

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Harmonized support to scaling up the national AIDS response

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  1. Harmonized support toscaling up the national AIDS response Ini Huijts7th June 2006ODI meeting, London

  2. Overview • Harmonisation and Aid Effectiveness • Harmonisation on AIDS • Progress on harmonisation on AIDS • Scaling up

  3. Development cooperation – ‘post Paris’ A new aid consensus? Paris Declaration on Aid Effectiveness (March 2005) • MDG-based national development plansas framework for cooperation • Strong national ownership, grounded in strengthened capacity • Increasing use of budget support (in line with PRS) • Use of national systems (procurement, audit, reporting etc.) • Greater predictability of aid flows • Mutual accountability • Performance-based/results-oriented

  4. The aid effectiveness pyramid

  5. Guiding Principles and Approaches • Ownership • Stakeholder participation • National priorities • Multisectorial • Reduction of transaction costs • Accountability

  6. What are the “Three Ones Principles?” • One agreed AIDS action framework that provides the basis for coordinating the work of all partners; • One national AIDS authority, with a broad-based multisectoral mandate; • One agreed country-level monitoring and evaluation system. Fourth One – common funding modalities

  7. Global Task TeamRecommendations in 4 areas – Putting Principles Into Practice • Empowering inclusive national leadership and ownership • Alignment and harmonization • Reform for a more effective multilateral response • Accountability and oversight

  8. Framework for country support • GTT developed global commitments to support implementing ThreeOnes principles at country level • Together GTT & Three Ones are a process for ensuring a comprehensive national response – with the outcome following locally set milestones towards scaling up for Universal Access • Clear link to Aid Effectiveness agenda

  9. Intensified country-level engagement of civil society Challenges • level of participation • centralizing authority? • GIPA • Vulnerable groups • CS capacity • government’s capacity Opportunities • foster collaboration • focus on marginalised and vulnerable populations • civil society expertise • connect M&E • assessment of Three Ones achievements

  10. Progress - 1 • GIST-process has resulted in problem solving and emergency assistance in nine countries and one region • Division of Labour agreed globally • Joint Programming & joint UN Team on AIDSincluding adaptation of Division of Labour to country reality and support to national strategy needs (Occurring within the larger context of both UN reform and international efforts to improve aid effectiveness)

  11. Progress - 2 • Assistance to countries in integrating AIDS in their PRSPs support provided through regional capacity-building and planning workshops followed by country-level technical assistance. • Co-ordinated support to procurement & supply • Global Fund and World Bank developing strategies for greater alignment, joint missions and joint reviews • Country Harmonisation and Alignment Tool

  12. Challenges - 1 • GTT focuses on multilaterals. Bilaterals and INGOs also need to align to national priorities. • Disconnect between the response to AIDS and the broader international response to development more often typified by budgetary support and PRSP modalities • Commitments and good practices espoused by the OECD, and agreed to at Paris and Rome, must be applied more robustly in the response to AIDS.

  13. Challenges - 2 • Reforming UN structures and processes to strengthen, harmonise and align • Support for national strategy development, costing and target setting • Impact at country level of commitments to harmonisation in the AIDS field

  14. Scaling up • Global to country level action from the • Predictable and sustainable financing ; • Health system strengthening including human resources; • Affordable commodities ; • Addressing stigma, discrimination, gender and human rights. • Effective implementation of Three Ones Principles: • Functional national coordination structureswith effective participation of all stakeholders • National AIDS frameworks and operational annual plans including realistic targets, and • National M&E systemwith one consensus list of indicators and inclusive of all relevant data sources • Real harmonisation and alignment around outcomes of Three Ones process at country level • Accountability

  15. ONE M&E Framework Simplified architecture ONE National strategy and annual Plan ONE Inclusive National AIDS Authority • UN • Technical Support • TSF • DoL •  • Joint UN Team • & programme Scaling up services towards Universal Access – public, private, NFP. Funding (OECD/DAC)  Donors` harmonised support Pooled Budget – Inc. national resources ---------------------------- External funds – on plan, off budget GIST

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