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 Million Living 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)  2 nd 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- Issues I.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

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 improved By DPG AIDS 10

JOINT REVIEW - issues Accountability, M&E and quality assurance  Commitment & accountability  Quality assurance  Resource tracking capacity low  M&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  Satisfactory  Regular 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