Aid Architecture current status and key issues

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• Aid Architecture current status and key issues
• Dr. Martine Donoghue, Deputy Director, HLSP
  Institute

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The aid effectiveness challenge(source
Millennium Project 2005)
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MNCH (some) initiatives and actors
Global Task Team
Bilaterals
UN Agencies
Multilaterals
High Level Forum
Inter Agency Task Team on Young People and
HIV/AIDS
PEPFAR
Inter Agency Task Team on PMTCT
Clinton Foundation
Partnership for Maternal, Newborn and Child Health
GFATM
Stop TB Partnership
Child Survival Partnership
Reproductive Health Task Force
Saving Newborn Lives (SCF)
Unite for Children Unite Against AIDS
Gates Foundation
Immunisation Training Partnership
International Network to Promote Household Water
Treatment and Safe Storage
Elizabeth Glaser Paediatric AIDS Foundation
Healthy Newborn Partnership
Global Alliance for Improved Nutrition
Global Polio Eradication Initiative
IMCI
Roadmap for Maternal and Newborn Health
GAVI
Hanoi Call to Action (East-Asia Pacific Region)
MPS
Strategic Framework for reaching the MDG on Child
Survival in Africa (AU)
The Syrte Declaration on Child Survival (Assembly
of the African Union)
Campaign to Eliminate Maternal and Neo-natal
Tetanus
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Why?

• Donors give money for different reasons
• Massive explosion in donors and multi lateral
  bodies
• Major involvement of philanthropists e.g. Gates
• It is often easier to come up with new ideas than
  implement the old
• Politicians have 3 year time frames
• New ideas tend to come from Geneva/Paris/London/Wa
  shington etc rather than from LDCs

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Global Partnerships 150

• Global coordination mechanisms
• Often disease or programme specific
• Improvement of access to products
• Product development
• Raise finance
• Public advocacy

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Major shift of funding to specific diseases
particularly HIV infection

• HIV advocacy has been particularly effective in
  raising money
• In sub Saharan Africa Aids Funding is more than
  the rest of the health sector

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Aid Architecture - general

• Health Sector Funding in Uganda

Source Claes Ortendahl personal communication

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Aid Architecture - general
Rwanda Case Study (WB/HLF)

• Costed health strategy and plan
• Good PRSP and Budget Support
• Currently spends 10 per capita. Needs additional
  20 per capita to achieve plan
• 15 of external assistance goes through Govt.
• 40 external DPs
• HIV/AIDS 47million / IMCI 1 million

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Paris Declaration on Aid effectiveness March 2005

• All DAC members
• Ownership, alignment ,harmonisation
• Follow country processes and systems
• 25 of all aid through programme based approaches
  by 2010

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The International Health Partnership

• Providing better coordination among donors
• Focusing on improving health systems as a whole
  and not just on individual diseases or issues
  and
• Developing and supporting countries own health
  plans.

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Aid Architecture

• However
• What happens in a country in terms of development
  partner support, depends totally on the
  individuals who are working for the development
  partners in the country at that particular time.