aid effectiveness, health systems strengthening and hiv/aids
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www.actionforglobalhealth.eu
Aid effectiveness, health systems strengthening and HIV/AIDS
Marielle Hart
Action for Global Health
www.actionforglobalhealth.eu
Members of the NetworkAction For Global Health - Introduction
www.actionforglobalhealth.eu
www.actionforglobalhealth.eu
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!
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