DEVELOPMENT PARTNERS GROUP

(DPG)SPECIAL BRIEFING

SESSION ON HIV&AIDS

5 OCTOBER 2006

By DPG AIDS 1

Why a special meeting on AIDS?

AIDS remains a leading health, social and economic problem affecting growth, quality of life and social well-being.

AIDS will need for the coming decades continued attention and support by the government of Tanzania and the development partners

International attention on AIDS is high – at the moment -, but we need longer lasting sustainable strategies

With out addressing AIDS adequately future development of Tanzania's population is seriously constrained

By DPG AIDS 2

Objectives of the special briefing session

By DPG AIDS 3

To share progress made so far and priorities for 2006/2007

To share issues around HIV & AIDS funding and longer term commitment

Highlight issues for further discussions and strategizing

Receive comments/advise of way forward

Some facts:

> 1.5 MillionLiving with AIDS

Younger women

- Higher

risk

Macroeconomic effects of AIDS The net effect of the epidemic on per capita

GDP growth is negative & possibly substantial. Calculations have suggested that the rate of

economic growth has fallen by 2-4% in sub-Saharan Africa as a result of AIDS

HIV/AIDS may reduce Tanzania’s GDP by 2010 by 15-25% compared to a no-AIDS scenario

Per capita income might be reduced by up to 10%

HIV/AIDS affects labour supply, skills and productivity in all sectors of the economy leading to profound negative impacts on the overall economy

JOINT NMSF REVIEW (March 2006)

2nd review since establishment of the National Multisectoral Framework on AIDS and the MoU signed by all DPs

Preceded by a mid-term evaluation of the NMSF

Technical and main review attended by an important number of stakeholders including representatives of civil society

Aim to review progress and chart way forward in the fight against AIDS

By DPG AIDS 6

JOINT REVIEW Achievements

Increased awareness Top level government commitment Rising funding from16 (2002/03)381(2005/06)

Bio.TShs. MoU between Gov.and Dps, TNCM National Advocacy and Comm. Strategy Establishment of RFAs,CMACs to enhance

districts comprehensive planning Effective mobilization of the Private sector Process to mainstream AIDS into MDAs Implementation of the Care and Treatment

Plan

JOINT REVIEW- IssuesI.Resource and funding

By DPG AIDS 8

Multilateral and Bilateral Donors

Funding Foundations

Private Sector

Civil Society

Central Government

MDAs

Government

Local Government

Sources of Finance

0

50

100

150

200

250

300

350

400

450

2001/02 2002/03 2003/04 2004/05 2005/06 2006/07

Government

DevelopmentPartners

TOTAL

JOINT REVIEW- issues Capacity Dev. and tech.Assistance

Low capacity especially in implementation at district level

Public Sector response still low Human Resource crisis in the health

sector is critical Achieving set targets has been a

problem Capacity of TACAIDS to provide TA

limited Pooled Technical Assistance Fund (TAF)

aborted By DPG AIDS 9

JOINT REVIEW - issues Coordination and Leadership

Three ones in place •TACAIDS, one coordination structure •NMSF, one strategic framework•M&E, one M&E system (under

development) High commitment by government leaders

But: Lack of sense of urgency and commitment in

middle management of MDAs Cooperation between TACAIDS and key MDAs

(health, education) could be further improvedBy DPG AIDS 10

JOINT REVIEW - issues Accountability, M&E and quality assurance

Commitment & accountabilityQuality assuranceResource tracking capacity lowM&E System not yet functioning

By DPG AIDS 11

JOINT REVIEW- issues Sustainability and ownership

90% of all HIV& AIDS funds are from DPs Human resources crisis and capacity

issues challenge sustainability of strategies and activities

High commitment of GoT lead not yet translated into ownership within government machinery

high sense of readiness at community level not tapped due low ownership and capacity by leaders at different levels

By DPG AIDS 12

GBS Review: Quality of AIDS review & dialogue

SatisfactoryRegular bi-annual stakeholder meeting, plus bi-monthly joint meetings TACAIDS - DPGAIDS

wide range of stakeholders, high degree of ownership and leadership by GoT (TACAIDS)

GBS Review: areas of good performance

increased public awareness high-level commitment CMACs in all LGAs, RFAs in place 1050 CSOs receive funding effective mobilization of private sector HIV is mainstreamed in the National

Budget Successful (external) fundraising National Care and treatment program

has enrolled 103,036 patients and 49,315 have started ARV treatment

GBS Review: ISSUES / CHALLENGES

predictable funding beyond 2008 not secured

Human resources crisis in the health sector

Coordination of some major support remains difficult (GFATM, PEPFAR)

Commitment of MDAs, sense of urgency Low capacity of LGAs Conservative “Gatekeepers” hamper

(unconventional) approaches in reaching various target population with IEC messages

DPG AIDS priorities in line with milestones set for 2006/07

By DPG AIDS 16

Long term resource mobilization Support formulation of the next

NMSF (2007 – 2012) by June 2007 Acceleration of Prevention Strengthened Technical Support

Issues for further discussion Funding Predictability and Sustainability: How do we ensure DPs long term financial

commitment?How to improve efficiency of funding?How can Global Initiatives / Funds better be

integrated into the JAS respectively Exchecer System?

Technical Assistance Coordination: How to improve a needs / demand driven

technical assitance strategy with TACAIDS, NACP and other key MDAs

How to better harmonize DPs TA in the area of AIDS?

By DPG AIDS 17

Conclusion

By DPG AIDS 18