1. What Did a Billion+ Dollars Buy? The Multi-Country AIDS Program
Debrework Zewdie Director, Global HIV/AIDS Program
Kigali, Rwanda
June
Kigali, Rwanda
June 2007

2. Rational for the MAP
The cost of inaction: HIV in Africa

3. From health focused projects in a few countries….
Countries with Health-sector projects prior to the MAP

4. To Nationwide programs spanning the whole continent
Subregional projects (approved & pipeline)
Projects approved
Projects in the pipeline
Capacity building help

5. How are Funds Being Used
Systems strengthening
$534m committed
$319m spent
HIV prevention
$451m committed
$287m spent
HIV care & treatment
$210m committed
$120m spent
Impact mitigation
$72m committed
$45m spent
M&E
$53m
committed
$34m spent

6. What are MAP Funds Buying?
Public Sector (beyond health)
$172m committed
$104m spent
Local Response
$502 committed
$306 spent
13%
38%
17%
Health Sector $223 committed
$137 spent
32%
Institutional Strengthening
$423 committed
$258 spent

7. The MAP billion catalyzed the following results
Increased political commitment at highest government level
Institution building and strengthening NAC
Resource mobilization and catalyst for increased international funding
Promoting multi-sectoral response
Systems Strengthening
HIV prevention
HIV treatment and care
Impact mitigation
M&E

8. The MAP billion catalyzed the following results
Systems Strengthening
Increased access to PMTCT services for pregnant women in 23 countries
Supported HIV education in schools
Improved access to VCT services
HIV Prevention
HIV treatment and care
Impact mitigation
M&E

9. The MAP billion catalyzed the following results
Systems Strengthening
HIV Prevention
Increased capacity of facilities to provide ART
Improved health service delivery
Provided ARVs to 27,000 people
HIV treatment and care
Impact mitigation
M&E

10. The MAP billion catalyzed the following results
Systems Strengthening
HIV Prevention
HV treatment and care
Promoted school attendance of orphans and vulnerable children
Supported community-level care including projects aiming for self-sustainability
1.8 m vulnerable children supported
38,000 income generating activities
Impact mitigation
M&E

11. The MAP billion catalyzed the following results
Systems Strengthening
HIV Prevention
HV treatment and care
M&E units with approved budget
Costed M&E operational plans
Development of HIV Results Scorecard
Epidemiologic grounding for AIDS
strategies & action plans
Data use for programming
Development of M&E training materials
Impact mitigation
M&E

14. The Bank is fully committed to supporting Africa’s HIV response
Playing our part in implementing the “Three Ones”
AIDS Strategy and Action Plan Service – 26 countries supported to date
GAMET – working with countries to gather, analyze and use evidence to manage for results – strengthening the 3rd of the “Three Ones”
Making the Money Work at country level
Joint implementation
Continue to provide flexible, sustainable funding especially in areas that others will not fund

15. “Our commitment to Africa is a long-term commitment until countries develop their own capacity to fight this epidemic” MAP I – Aug 2000