1. Barbara Evans 19.03.09

2.  Which initiatives ?  Key features and aims  Concerns and unintended consequences  Emerging lessons for GF4A

3. 1. International Health Partnership (IHP): Aid effectiveness principles at sector level 2. Education Fast Track Initiative (FTI): Alignment to country plans, extra funds 3. Innovation at Global Fund and GAVI Broader ownership, flexible instruments

4. 1. Better national processes (FTI, IHP) 2. Broader ownership (GFATM) 3. Greater mutual accountability ( IHP) 4. Improved benchmarking (FTI, IHP) 5. Seed money for sector plans (FTI, IHP) 6. Gap-financing for plans (FTI, GFATM) 7. Flexible aid instruments (GAVI) 8. Strong results focus (GAVI, GFATM)

5.  Accountability needs constant attention  Real local participation is too rare  Excessive focus on new versus old funds  Reconciling quality and ownership  Complex governance, slower results

6. 1. Be clear on behaviour principles 2. Focus on overall funding, including national 3. Strengthen country processes first 4. Avoid top-down international assessment 5. Be inclusive, but start small, with quick wins.