1. The Multi-Country HIV/AIDS Program (MAP) and TB
Keith Hansen
AIDS Campaign Team for Africa
The World Bank

2. Multi-Country HIV/AIDS Program (MAP) for Africa
US$1 billion to scale up existing activities
Multisectoral, multi-stakeholder, multi-partner
First phase of a long-term effort in Africa
Part of UNAIDS and IPAA partnerships
Moving quickly: 15 countries for US$517 million; 12 more in preparation
(Soon) Subregional/cross-border projects

3. MAP Goal and Objectives
Intensify action in as many countries as possible
Objectives
Scale up activity along full continuum of care
Mitigate impact in all sectors
Strengthen the architecture and plumbing of implementation, via learning-by-doing

4. Typical MAP Components
Capacity building for government and civil society
Expansion of responses in the public sector
Emergency HIV/AIDS Fund to channel grants to community organizations, NGOs, and private sector: 50% of resources in most countries
Project coordination, management, and monitoring and evaluation mechanisms

5. Typical MAP flow of funds

6. Status of TB in MAPs MAP2 highlighted TB as priority
Most obvious “quick win”
But too little use of MAP on policy side
Competition from: gender, PMTCT, education, RH, adolescents, orphans, the private sector, blood safety, transport sector, military, inter alia

7. How to make headway Get TB on policy, not just technical, agenda
Some national TB programs have never met with counterparts in HIV/AIDS program
AIDS thinks TB is well-resourced
TB program must prove its importance, its need, and its value as a good model
Work with NACs and MOHs

8. Opportunities TB as most important OI for action
TB a source of lessons/tools for AIDS
DOTS framework for ART delivery
TB control data as precursor to AIDS coverage
Lessons of delivery, monitoring, adherence
Active case finding where there is VCT
Build joint technical support teams