Aid effectiveness, health systems strengthening and HIV/AIDS Marielle Hart Action for Global Health

Members of the Network Action For Global Health - Introduction

Implementing the Paris Declaration – challenges for the health sector Aligning with partners’ agenda Using partners’ systems Alignment (Donors - Partner) 2 Mutual accountability Ownership (Partner countries) Partners set the agenda 1 Harmonisation (Donors - Donors) Establishing common arrangements Simplifying procedures Sharing information 3 Managing for Results 4 5

e MOH MOEC MOF PMO PRIVATE SECTORCIVIL SOCIETYLOCAL GVT NACP CTU CCAIDS INT NGO PEPFAR Norad CIDA RNE GTZ Sida WB UNICEF UNAIDS WHO CF GFATM USAID NCT P HSS P GFC CP DAC CCM T-MAP 3/5 SWA P UNTG PRS P Donor collaboration is a challenge Source: Mbewe, WHO

Source; Don De Savigny & COHRED

Response of donors New aid coordination mechanisms – IHP+ Increased focus on health systems strengthening and integration Increased financing through budget support

Challenges Unhelpful horizontal VERSUS vertical debate HIV not just a health issue Budget support might not achieve adequate and equitable health outcomes Where is civil society?

What are the answers? Investment in both health systems strengthening and HIV specific response Apply lessons learned of the AIDS response Provide a mix of vertical and horizontal funding mechanisms Budget support should include key HIV–specific triggers and indicators Mechanisms for effective engagement of civil society should be in place

Thank you!