Country programs Nadeem Mohammad ACTafrica

1. Fiduciary Management in Multi-Country HIV/AIDS Program (MAP) Lessons Learned and Future Directions January 27, 2004- Washington DC Country programs Nadeem Mohammad ACTafrica

2. Background • First draft was prepared by the Country Fiduciary Teams during the Fiduciary workshop in George, South Africa (July 2003); • A country fiduciary team includes = NAC Director, financial and procurement heads (3) + Bank financial and procurement specialists (2) + NGO/CBO fiduciary representative (1-2) + Other donors (1); • 24 draft plans for 24 MAP countries are now available. Ghana is in the advance stage of plan implementation.

3. Support from the Bank • Two part-time Procurement focal points, one for Anglophone (Kofi Awanyo) and one for Francophone countries (Luc Lapointe); • One full-time Financial focal point (John Nyaga) from AFTFM and ACTafrica; • One Institutional Development Fund (IDF) grant of US$500,000 to support fiduciary capacity building; AFR training budget; ACTafrica. – Overall, inadequate; • A new proposal for US$500,000 is being prepared for BNPP (Bank-Netherlands Partnership Program) to support in-country fiduciary plans implementation.

4. Features of the country plans • Has details about Fiduciary Teams’ contact information; • Covers two areas: • Financial management, disbursement and reporting, and • Procurement management • Plans identify: • Disbursement method used; • Procurement methods used; • Staff strength (full- and part-time, national and subnational); • Availability of technical support (NAC, NGO, FMA etc); • Key problems faced at the National and subnational levels; • Recommendations for each problem; and • Implementation schedule and cost estimates.

5. Financial management (challenges and levels)

6. Procurement management (challenges and levels)

7. Implementation plan • Includes various activities: • Reviews for efficiency • Review/reproduction of manuals/guidelines • Training activities • Staffing • Management Information System • Publicity and consultations • Monitoring and supervision • Performance assessment • Control activities • Implementation month and Cost estimates

8. In 24 MAP countries: • 8 countries have contracted out Financial management; • 6 countries have contracted out Procurement management; • FM and PM contracts are to one Financial Management Agent (FMA); • From FMAs, there are about: • 44 accounting staff • 6 procurement staff • 470 financial mgmt and 200 procurement staff from the public sector and the NAC (part-time at sub-national levels – problem!); • 24 country Fiduciary Teams estimate about US$4.3million required to create an acceptable level of fiduciary management capacity; • Funding? (a) IDF and BNPP grants to create essential capacity – a Core Fiduciary Team from national to community levels in each country. (b) MAP’s capacity development funds. (c) Other donors (e.g., DFID in Ghana). UNAIDS – an active partner!

9. Immediate next steps • Implement George, South Africa workshop recommendations in all countries (Ghana in advance stage); • Use IDF and BNPP (when approved) grants to finance In-Country Core Fiduciary Teams at the national, district and community levels to provide Fiduciary Advisory Services; • Sensitize MAP TTLs and other relevant Bank staff in financial, disbursement and procurement reviews, flexibilities and policies for HIV/AIDS response (WBI, GDLN, regional workshops).