ENGAGING CIVIL SOCIETY FOR RESOURCE MOBILIZATION Sue Perez STP ACSM Meeting 5 November 2007

TARGET SOURCES OF FUNDING  World Bank  Global Fund to Fight AIDS, Tuberculosis and Malaria  US President’s Emergency Plan for AIDS Relief (PEPFAR)

WORLD BANK  Bank has supported successful, large scale up efforts – India and China; should be adapted for Africa.  Dedicated programs for HIV/AIDS and malaria – needs same level of attention for TB.  2006 RESULTS International report found that in 2005, just US$3.5 million (<1%) was spent on TB in Africa compared to US$585 million for health in the region overall.

USING WB REPORT FOR ADVOCACY  MEDIA  REF hosted media conf call w/journalists featuring Stephen Lewis, Joia Mukherjee and Richard Bumgarner. Media pieces generated in The New York Times, The Boston Globe and articles published in over 90 outlets worldwide.  PARTNERSHIP W/AFRICAN CIVIL SOCIETY  REF worked with African civil society partners, esp the Africa Civil Society Coalition on HIV & AIDS to draft/gather signatures for a letter to Bank President Paul Wolfowitz calling for increased investment in TB in Africa  Letter was adapted urging African Ministers of Finance to finance TB emergency and demand greater investment by Bank; letter distributed at spring 2007 UN Economic Commission for Africa mtg  US CONGRESSIONAL OUTREACH  Grassroots outreach to US MOCs to educate/inform on inadequate investment by the Bank  Recent meeting in early Oct with US MOCs and Zoellick to raise concerns about Bank’s underinvestment  UK AND CANADIAN MP ACTIONS  Grassroots mobilization from RESULTS UK & RESULTS Canada to send letters  UK/Canadian MPs during trips to Kenya met with in-country Bank representative

WHAT’S NEEDED FROM CS?  Continue pressure on Zoellick  Outreach to Executive Directors to the Board of the World Bank to increase voice and demand Take action now at the ACTION booth  Postcard campaign to Zoellick and 2 African EDs urging greater role and investment by the Bank on TB in Africa

GLOBAL FUND  Largest external financer for TB – providing 2/3  Coordinated global CS advocacy resulted in adoption by the GFATM Board of resource size of US$6-8B by 2010 (GF resource share to reach the MDGs)

WHAT’S NEEDED FROM CS?  Advocacy to ensure bold/sustained commitment by donors  Greater TB representation on CCMs  Developing process for greater accessibility by smaller NGOs to GFATM resources  Monitoring to ensure monies flowing

US PEPFAR  Largest HIV/AIDS initiative to date – US$15 billion over five years –  Discussions underway in the US on reauthorization of PEPFAR for the next five years – (US$30-50 billion)  TB-HIV funding by PEFAR is about US$120 million in 2007; US$150 million in 2008

WHAT’S NEEDED FROM CS?  Advocacy for support of US$50 billion for PEPFAR II (in line w/UNAIDS estimates although lowest scenario)  Advocacy to increase demand and ensure TB-HIV is a top priority for PEPFAR  Advocacy urging collaboration with scientists and researchers on what are findings from operational research to bring to implementers (overall need for greater dissemination of lessons learned in implementing TB-HIV coordinated activities)

WHAT ELSE?  Ensure CS involvement in global policy decisionmaking processes  Advocate for meaningful plans and strategies  Advocacy around financing in-country plans/strategies