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Aid effectiveness, health systems strengthening and HIV/AIDS

Marielle Hart

Action for Global Health

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Members of the NetworkAction For Global Health - Introduction

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Implementing the Paris Declaration – challenges for the health sector

Aligning with

partners’ agenda

Using partners’ systems

Alignment(Donors - Partner)

2

Mu

tual a

ccou

nta

bility

Ownership(Partner countries)

Partners set the agenda

1

Harmonisation(Donors - Donors)

Establishing common

arrangements

Simplifying procedures

Sharing information3

Managing for Results 4

5

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e

MOH MOEC

MOFPMO

PRIVATE SECTORCIVIL SOCIETYLOCAL GVT

NACP

CTUCCAIDS

INT NGO

PEPFAR

Norad

CIDA

RNE

GTZ

Sida WBUNICEF

UNAIDSWHO

CF

GFATM

USAID

NCTP

NCTP

HSSP

HSSP

GFCCP

GFCCP

DAC

CCM

T-MAP

3/5

SWAP

SWAP

UNTG

PRSP

PRSP

Donor collaboration is a challengeDonor collaboration is a challenge

Source: Mbewe, WHO

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Source; Don De Savigny & COHRED

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Response of donors

• New aid coordination mechanisms – IHP+

• Increased focus on health systems strengthening and integration

• Increased financing through budget support

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Challenges

• Unhelpful horizontal VERSUS vertical debate

• HIV not just a health issue

• Budget support might not achieve adequate and equitable health outcomes

• Where is civil society?

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What are the answers?

• Investment in both health systems strengthening and HIV specific response

• Apply lessons learned of the AIDS response• Provide a mix of vertical and horizontal funding

mechanisms• Budget support should include key HIV–specific

triggers and indicators• Mechanisms for effective engagement of civil

society should be in place

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Thank you!