1. Dr Carissa Etienne Assistant Director-General Health Systems and Services 1 The International Health Partnership and Related Initiatives (IHP+) XVII International AIDS conference, Mexico City Financing for Sustainable National Health Care 06 August 2008

2. Dr Carissa Etienne Assistant Director-General Health Systems and Services 2 Investment in health: insufficient

3. Dr Carissa Etienne Assistant Director-General Health Systems and Services 3 International funding: unpredictable

4. Dr Carissa Etienne Assistant Director-General Health Systems and Services 4 MOH MOEC MOF PMO PRIVATE SECTORCIVIL SOCIETYLOCALGVT NACP CTU CCAIDS INT NGO PEPFAR Norad CIDA RNE GTZ Sida WB UNICEF UNAIDS WHO CF GFATM USAID NCTP HSSP GFCCP DAC CCM T-MAP 3/5 SWAP UNTG PRSP Support to countries: inefficient

5. Dr Carissa Etienne Assistant Director-General Health Systems and Services 5 Country Health Plan and Budget Validation/Appraisal Process Agreement on Country Compact Negotiation of Country Compact HIV/AIDS TB MNCH Malaria HRH Development Partners and Country Government Policy Matrix Performance Benchmarks Results Framework Monitoring & Reporting Process Implementation of Country Compact Aid Modality Compact development process

6. Dr Carissa Etienne Assistant Director-General Health Systems and Services 6 Compact Timelines* *Estimated APR 08 JUL 08AUG 08SEP 08OCT 08NOV 08 MAR 09 Ethiopia compact drafted Nepal and Mozambique are being drafted Nepal and Zambia compacts signed Madagascar and Burundi compacts signed Mozambique compact signed Mali compact drafted Ethiopia compact signed Mali compact signed

7. Dr Carissa Etienne Assistant Director-General Health Systems and Services 7 IHP+ Inter-agency Work Compact Guidance Note – building on country experiences Civil Society Engagement – critical for transparency and accountability Validation & Appraisal of Plans – developing common, country-based options for all donors Monitoring and Evaluation – use common national M&E frameworks by all national and global partners Annual External Reviews – to monitor mutual accountability and commitments agreed in compacts

8. Dr Carissa Etienne Assistant Director-General Health Systems and Services 8 Challenges and Expectations Increase predictable financing and reduce transaction costs to countries Adhering to existing commitments, e.g. Universal Access for HIV/AIDS prevention, care and treatment, and targets for TB, malaria, and maternal, newborn, and child health Strengthen the functioning of country teams Promote a primary health care approach to health systems strengthening

9. Dr Carissa Etienne Assistant Director-General Health Systems and Services 9 Conclusions The International Health Partnership (IHP+) provides the opportunity: –To attract more predictable financing to health; –To improve the impact of collective efforts; –To expand the successes of HIV+ activism to the whole health sector; –To strengthen the response to HIV/AIDS and chronic care.

10. Dr Carissa Etienne Assistant Director-General Health Systems and Services 10 Thank You!