NEPAD HEALTH STRATEGY

1. NEPAD HEALTH STRATEGY & AFRICAN HEALTH POLICY UNSW SPHCM Presentation January 2006 Eric Buch Health Policy and Management, UP Health Adviser, NEPAD eric.buch@up.ac.za

2. DEVELOPMENT’S NEPAD Adopted by the African Union (AU) as its strategy for development of Africa and by the UN, G8, EU, WSSD backing • Countries, RECs key implementers • NEPAD Secretariat a facilitator • Closer integration with AU

3. PRIMARY OBJECTIVES: NEPAD • Accelerate eradication of poverty in Africa and inequality with the developed world • Place African countries on a path of sustainable growth and development • Halt marginalisation of Africa in the globalisation process • Accelerate empowerment of women

4. UNIQUE FROM NEPAD? • Africa determined and driven • Internationally positioned • Presidents personal involvement • Presidents adopt policies, commit countries • Peer review process • Potential to mobilise resources  facilitate, mobilise, enable, leverage, commitment • Support from UN agencies esp WHO • Effective development partnerships • Implementation lead agents • Shift towards projects

5. HEALTH STRATEGY After consultation and African peer review Adopted by Africa’s Health Ministers and the AU

6. BASIS OF THE STRATEGY A huge burden of preventable & treatable disease for which the response is growing, but which needs massive scaling up. Africa is not on track to meet goals and targets

7. REASONS FOR THE BURDEN • Continued poverty & marginalisation • Health systems unable to support • Disease control programmes not to scale • Lack of safety in pregnancy & childbirth • People not sufficiently empowered • Insufficient resources

8. STRATEGIC DIRECTIONS Intersectoral factors through NEPAD Comprehensive integrated approach • Enhancing stewardship, multi-sectoral • Build secure health systems & services • Scaling up disease control programmes • Strengthen programmes re childbirth • Empower individual action for health • Mobilise sufficient sustainable resources Equity is a golden thread Country and region specific

9. INITIAL PROGRAM OF ACTION To set the foundation for the medium term and address urgent and relatively neglected matters A set of 35 projects

10. INITIAL PROGRAM OF ACTION low transaction costs, good economies of scale, branded • Foundation building programme according to country identified priorities from the IPOA • CFA supports US$7b over 5 years i.e ~US$ 30m/country/annum • 85% to countries against their plans, 15% to continental support • WHO Afro and others ready to be implementation partners

11. INITIAL PROGRAM OF ACTION • Observatory, HS and HRH • International agreement on recruitment • Technical capacity of Ministries of Health • Local demonstration districts in all countries • Fund to support innovations and new developments • Rural clinic infrastructure – communication • Trypanosomiasis • Public broadcasters for health

12. OTHER AFRICAN HEALTH POLICIES • AU Heads of State Summit January 05 • AU Health Ministers, WHO Regional Committee • World Bank PRSPs, Africa Health Strategy • WHO Afro Five year plan • National plans • Abuja Declarations • Global Health Initiatives

13. DONOR FUNDING • Recognising Africa lacks fiscal space • Promises have not been kept • Growing commitment, responsiveness but well short of US$20bn required • CFA seeks doubling, US$10 billion extra • Various proposals for sourcing funding • G8 avoids amounts, measurabality • Priorities not clear if not fully funded • African Partnership Forum– Joint “Plan” • Africa not to reduce own spend

14. ARCHITECTURE OF FUNDING • Emerging moves from short-term parallel projects to support for core budget funding and Paris on Harmonisation • How much absorption vs architecture? • Are there risks with core cf sectoral? • What about fragile, problematic states? • Potential for pooling and African say • Where do GHI’s fit in?