Making the Money Work: The

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• Making the Money Work The
• Three Ones in Action
• Michel Sidibe

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Taking stock-fragmentation, dispersion,
proliferation
AUTHORITY IS DISPERSED
NATL PLANNINGPRIORITIES WEAKENED
ME FRAGMENTED
ME FRAGMENTED
IMPLEMENTATION SLOWED
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INT NGO
WHO
CIDA
3/5
UNAIDS
GTZ
RNE
UNICEF
Norad
WB
Sida
MOF
USAID
T-MAP
UNTG
PMO
50 MUSD
CF
DAC
GFCCP
PRSP
PEPFAR
60 MUSD
HSSP
GFATM
MOEC
MOH
SWAP
290 MUSD
CCM
NCTP
CTU
CCAIDS
200 MUSD
NACP
PRIVATE SECTOR
CIVIL SOCIETY
LOCALGVT
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What are the costs?

• Bypassing central govt units by providing aid
  through projects
• Credibility of the national response is
  compromised
• Agenda becomes donor-driven and often
  inconsistent with the one national
  framework.
• Distortions in human capacity, policy dialogue,
  focus, partnership
• Stakeholder confidence levels fall
• Undermine quality of governance and capacity of
  the public sector
• Increased recurrent expenditure
• No sustained impact in poor sector policy
  environment

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the way forward
In an effort to address the lack of
harmonization, need for effective and efficient
use of resources, and rapid action and results
based management at country level, the Three Ones
principles were developed and approved by
developing countries and key donors in April
2004. The African Union adopted Three Ones at
its Summit in January 2005.
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What are the Three Ones?

• One agreed AIDS action framework that provides
  the basis for coordinating the work of all
  partners NOT mere strategic plans
• One national AIDS authority, with a broad-based
  multisectoral mandate NOT about only government
  control
• One agreed country-level monitoring and
  evaluation system NOT merely reporting, but
  accountability

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Guiding Principles and Approaches

• Government in the drivers seatNational
  ownership
• Strong focusnational priorities, capacity
  building, stakeholder participation
• Flexible approach from country to country, not
  one-size-fits-all.
• Enhanced impact of partnership with all sectors
• Reduction of transaction costs
• Defined roles, responsibilities and levels of
  accountability

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The Three Ones Implementation Continuum
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Implementation of the Three Ones

• Major bilateral and multi-lateral financial
  donors should
• agree on Global Coordinating Mechanism (GCM)
• appoint a Three Ones focal point among their
  senior managers to work with a team in the UNAIDS
  Secretariat
• establish within 90 days an action program for
  global coordination, including specific areas for
  harmonization, based on the comparative
  advantages and policies and procedures of the
  various donors.
• As a first step, World Bank and UNAIDS will
  assemble for the GCM a status report of Three
  Ones progress initially in a select number of
  countries. This status report will form the
  basis for an action program to be submitted to
  the financial donors.
• The external donors may want to agree on a lead
  donor for financial coordination at the country
  level.

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UNAIDS action plan highlights

• Three Ones e-forum to facilitate information
  sharing among partners at country, regional and
  global levels.
• Facilitate horizontal learning among all
  stakeholders.
• Country-level mapping
• UCC annual reports (rapid assessment)
• Consultant-assisted, detailed mapping in 12 focus
  countries.
• National consultations with major stakeholders to
  promote Three Ones and build consensus on way
  forward
• Technical/institutional support on
• Monitoring and evaluation
• Partnership forums
• Joint participatory reviews
• Harmonization of coordination mechanisms
• Three Ones reporting
• Annual report
• Case studies and model approaches

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Three Ones in action a sampling of progress
In Kenya, a Harmonization Task Force has been
established under the leadership of the National
AIDS Control Council with the assistance of
UNAIDS. An agreement has also been reached to
develop a database of community-based
organizations to better coordinate donor support.
Also, the 2005-2010 national strategic plan will
use the Three Ones as its guiding
principles. The Uganda AIDS Commission announced
recently that the third and final element of its
national coordination triad a national ME
framework is ready for implementation. The next
important step, also with substantive UN support,
will be the endorsement of a National AIDS Policy
fully anchored in the principles of the Three
Ones.
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Three Ones in action a sampling of progress
In Indonesia, UNAIDS is leading a joint
assessment of the Three Ones with national and
external stakeholders. In the Philippines, the
Three Ones was presented in June at a plenary
meeting of the Philippine National AIDS Council.
There was a positive feedback and the councils
chair, the Secretary of Health, who has expressed
a desire to see the principles operationalized.
In Ethiopia, the World Bank and UNAIDS are
co-sponsoring a consultation to facilitate
action-oriented policy dialogue on the Three Ones
that will take place in Addis Ababa, in February
2005.
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THANK YOU