Sources of Support and Sources of Support and

What They Mean to the FieldWhat They Mean to the Field

Dr. Duff GillespieDr. Duff Gillespie

June 15June 15thth, 2002, 2002

Africa SOTA, NairobiAfrica SOTA, Nairobi

Global Alliance For Global Alliance For Improved Nutrition (GAIN)Improved Nutrition (GAIN)

GAIN is an alliance of public and private sector organizations supporting activities to reduce micronutrient deficiencies through food fortification and other sustainable nutrition strategies.

GAIN Fund: $70 million committed over next 5 years

GAIN partners: USAID, Gates, CIDA, UNICEF, World Bank, WHO, and representatives from the commercial sector (from both developing and developed countries), NGOs and academic institutions.

GAIN Support to Countries

Strengthening & Implementation Grants• Up to $3 million over 3 years

Situational Analysis Grants• Up to $250,000

• RFA with details on grant application process (posted on July 1, www.gainhealth.org)

Requirements:Requirements: National Need Coverage and Protection Proposed food vehicles Program Sustainability Technical, Fiscal and Operational Soundness

GAIN:Key issues related to funding

Requires plan of action within context of sustainable, comprehensive national plan to address micronutrient deficiencies

Establishment of multi- sectoral National Fortification Alliance

Demonstrated commitment and cost-sharing from counterparts by public and private sector

Who Can Submit Proposals?Who Can Submit Proposals? In most cases, proposals will be submitted by a

National Fortification Alliance, comprised of government, industry and civil society

Funding from GAIN

GAIN funds will be awarded to an Executing Agency, identified by a multi-sectoral National Fortification Alliance. Funds will then be disbursed to alliance partners

The Executing Agency may be an international or domestic NGO, a government agency, the domestic office of a UN agency, or other organization designated by the National Fortification Alliance and satisfying the management and fiduciary requirements of the Trustee

Role of USAID Missions to GAIN

May participate as a member of a National Fortification Alliance

May provide technical assistance toward the development of a country national fortification program

Gates Foundation

Areas of Focus: Areas of Focus: Global Health

• Development of health technologies / tools• HIV/AIDS prevention and care• Infectious disease: TB, malaria, polio• Immunization• Reproductive health and family planning• Maternal health• Child health• Nutrition• Public health leadership

Education (U.S.) Libraries (mostly U.S.) U.S. Pacific Northwest

Gates Foundation

Funding:Funding: Assets total approximately $24 billion Half of investments go towards Global Health

programs Global Health spending approximately $600

million per year Grants for addressing disease burden in

priority thematic areas

Gates Foundation

Who Can Receive Grants?Who Can Receive Grants? Tax-exempt, charitable organizations

Grants & Proposal Process:Grants & Proposal Process: Quarterly review process All grants over $1 million reviewed personally by

Founders. Unsolicited proposals discouraged “Leveraging” from other donors encouraged Grants mostly issue-based, rather than country-

based Preference for innovation & capitalization Minimal management of grants awarded

Areas of USAID–Gates Collaboration

Major alliances:Major alliances: GAVIGAVI GAINGAIN Global FundGlobal Fund IMMPACTIMMPACT MTCT+MTCT+

Other areas:Other areas: microbicide development, contraceptive security, malaria vaccine development, AIDS vaccine development

GATES Global Health Program Strategy

Gates: Focus of HIV/AIDS Interventions

AIDS vaccine development (IAVI) Microbicide development Condom promotion / social marketing Behavior change / health education Mother-to-child transmission prevention Global Fund VCT Care & support Assistance for orphans

Gates Foundation

Revised Strategy:Revised Strategy: R&D for Health Technologies and ToolsR&D for Health Technologies and Tools Catalytic FinancingCatalytic Financing Leadership and AdvocacyLeadership and Advocacy High Impact Demonstration ProgramsHigh Impact Demonstration Programs

Country Opportunities:Country Opportunities: High Impact Demonstration Programs--High Impact Demonstration Programs-- a few focus a few focus

countries to be selected for comprehensive countries to be selected for comprehensive programs in the areas of HIV/AIDS and programs in the areas of HIV/AIDS and reproductive & child health reproductive & child health

Potential for funding through Gates Foundation Potential for funding through Gates Foundation granteesgrantees

Selected funding for country-based humanitarian Selected funding for country-based humanitarian aid effortsaid efforts

OTHER FOUNDATIONSOTHER FOUNDATIONS

Packard Foundation

Hewlett Foundation Buffet Foundation

Millennium Challenge Account

Major New Vision announced by Major New Vision announced by President Bush- March 14President Bush- March 14thth, 2002, 2002

1. Development based on the common interests of developed and developing nations in peace, security and prosperity

2. Defines new partnership between the U.S. and governments in developing countries that have made and are demonstrating a commitment to domestic reforms necessary for sustained growth

3. Separate development assistant account

4. Andrew Natsios chairing ‘Committee on Programs’

4. Begins in FY04 - 1.7 Billion Increase

FY05 - 3.3 Billion Increase

FY06 - 5.0 Billion Increase

Millennium Challenge Account

To gain access to the account developing, To gain access to the account developing, Countries must show that they are:Countries must show that they are:

1. Governing justly e.g., upholding the rule of law, rooting out corruption, protecting human rights and political freedoms

2. Investing in their people, esp. children e.g., investment in education and health care

3. Promoting economic freedom e.g., open markets, sound fiscal and monetary policies, appropriate regulatory environments, and strong support for private enterprise

Role of USAID- Not yet formalizedRole of USAID- Not yet formalized USG-wide effort (Treasury lead)USG-wide effort (Treasury lead) Specific focus- Health & EducationSpecific focus- Health & Education Criteria on how to access is currently Criteria on how to access is currently

being developedbeing developed

Millennium Challenge Account

What is the GDA?What is the GDA? Business model to implement USAID’s

development assistance mandate A catalyst to mobilize ideas, efforts and

resources Tool to maximize positive results for

developing countries and their people

Global Development Alliance

Responds to the changing global environment

Increases USAID’s reach and effectiveness in meeting development objectives

Leverages additional ideas, technologies and resources for development activities

Improves the quality of partnerships

Global Development Alliance

Global Development AllianceGlobal Development Alliance

Child Survival funds can not be used to support GDA activities

There is currently not a system in place to apply for funds to support GDA activities