Harmonized support toscaling up the national AIDS

response

Ini Huijts7th June 2006

ODI meeting, London

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Overview

1. Harmonisation and Aid Effectiveness

2. Harmonisation on AIDS

3. Progress on harmonisation on AIDS

4. Scaling up

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MDG-based national development plans as framework for cooperation

Strong national ownership, grounded in strengthened capacity Increasing use of budget support (in line with PRS) Use of national systems (procurement, audit, reporting etc.)

Greater predictability of aid flows Mutual accountability

Performance-based/results-oriented

A new aid consensus? Paris Declaration on Aid Effectiveness (March

2005)

Development cooperation – ‘post Paris’

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The aid effectiveness pyramid

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Guiding Principles and Approaches

• Ownership

• Stakeholder participation

• National priorities

• Multisectorial

• Reduction of transaction costs

• Accountability

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What are the “Three Ones Principles?”

• One agreed AIDS action framework that provides the basis for coordinating the work of all partners;

• One national AIDS authority, with a broad-based multisectoral mandate;

• One agreed country-level monitoring and evaluation system.

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Global Task Team Recommendations in 4 areas –

Putting Principles Into Practice

1. Empowering inclusive national leadership and ownership

2. Alignment and harmonization

3. Reform for a more effective multilateral response

4. Accountability and oversight

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Framework for country support

• GTT developed global commitments to support implementing Three Ones principles at country level

• Together GTT & Three Ones are a process for ensuring a comprehensive national response – with the outcome following locally set milestones towards scaling up for Universal Access

• Clear link to Aid Effectiveness agenda

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Intensified country-level engagement of civil society

Challenges• level of participation• centralizing authority?• GIPA• Vulnerable groups• CS capacity• government’s

capacity

Opportunities• foster collaboration• focus on marginalised and

vulnerable populations• civil society expertise• connect M&E• assessment of Three

Ones achievements

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• GIST-process has resulted in problem solving and emergency assistance in nine countries and one region

• Division of Labour agreed globally• Joint Programming & joint UN Team on AIDS

including adaptation of Division of Labour to country reality and support to national strategy needs(Occurring within the larger context of both UN reform and

international efforts to improve aid effectiveness)

Progress - 1

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Progress - 2

• Assistance to countries in integrating AIDS in their PRSPssupport provided through regional capacity-building and planning workshops followed by country-level technical assistance.

• Co-ordinated support to procurement & supply• Global Fund and World Bank developing

strategies for greater alignment, joint missions and joint reviews

• Country Harmonisation and Alignment Tool

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Challenges - 1

– GTT focuses on multilaterals. Bilaterals and INGOs also need to align to national priorities.

– Disconnect between the response to AIDS and the broader international response to development more often typified by budgetary support and PRSP modalities

• Commitments and good practices espoused by the OECD, and agreed to at Paris and Rome, must be applied more robustly in the response to AIDS.

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Challenges - 2

• Reforming UN structures and processes to

strengthen, harmonise and align

• Support for national strategy development, costing

and target setting

• Impact at country level of commitments to

harmonisation in the AIDS field

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Scaling up

• Global to country level action from the – Predictable and sustainable financing ; – Health system strengthening including human resources; – Affordable commodities ; – Addressing stigma, discrimination, gender and human rights.

• Effective implementation of Three Ones Principles:– Functional national coordination structures with effective participation of all

stakeholders – National AIDS frameworks and operational annual plans including realistic

targets, and – National M&E system with one consensus list of indicators and inclusive of all

relevant data sources• Real harmonisation and alignment around outcomes of Three Ones

process at country level• Accountability

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UN Technical Support

•TSF •DoL

Joint UN Team & programme

Funding(OECD/DAC)

Donors` harmonised

support

ONENational strategy

and annual Plan

Scaling up

services towards

Universal Access –

public, private, NFP.

ONE M&E FrameworkSimplified architecture

ONEInclusiveNational

AIDSAuthority

GIST

Pooled Budget – Inc. national resources

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External funds – on plan, off budget