1. External Relations and Partnerships Harmonization and Coordination Experiences of the Global Fund

2. Overview I.Introduction: GF Guiding Principles II.Aid Effectiveness and the Paris principles III.Actions going forward IV.Ressource needs

3. THE FRAMEWORK DOCUMENT OF THE GLOBAL FUND TO FIGHT AIDS, TUBERCULOSIS AND MALARIA “The purpose of the Fund is to attract, manage and disburse additional resources through a new public-private partnership that will make a sustainable and significant contribution to the reduction of infections, illness and death, thereby mitigating the impact caused by HIV/AIDS, tuberculosis and malaria in countries in need, and contributing to poverty reduction as part of the Millennium Development Goals.”

4. Guiding Principles 1.Operate as a financial instrument, not an implementing entity 2.Make available and leverage additional financial resources 3.Support programs that reflect national ownership 4.Operate in a balanced manner in terms of different regions, diseases and interventions 5.Pursue an integrated and balanced approach to prevention and treatment 6.Evaluate proposals through independent review processes 7.Establish a simplified, rapid and innovative grant-making process and operate transparently, with accountability BG/290607/2

5. Global Fund Proposals Process The Board Issues call for proposals policy and governance Country Coordinating Mechanisms Devises national strategy submits proposals CCM Includes GOVERNMENT MULTI-AND BILATERAL DEVELOPMENT PARTNERS NGO AFFECTED COMMUNITIES FAITH-BASED ORGANISATIONS PRIVATE SECTOR Secretariat Screens for Eligibility The Board Approves funding for first two years Country Coordinating Mechanisms Principal Recipient Technical Review Panel Reviews and recommends for funding

6. The Paris Declaration The Paris Declaration is a global agreement signed by the Global Fund and over 100 countries and donors. Global Fund actions to improve aid effectiveness include: National Strategy Applications to simplify application and reporting procedures Direct civil society financing track to maximize channels for delivery Salary support policy for programs to improve consistency, harmonisation and alignment Country communication strategy to encourage collaboration and coordination

7. 54 countries participated in 2008 monitoring round; 2006 monitoring took place in 32 countries. Many newcomers in Eastern Europe and West Africa. 2008 survey covered 59% of total disbursements in 2007, and USD 3,4 billion of commitments. Monitoring process was country-led. LFAs were contracted to carry out data collection to keep country burden at a minimum I Global Fund measured progress against the Paris principles in 2006 and 2008 and next in 2010

8. + Strengths Strong managing for results and accountability Untied and largely predictable financing to recipients Financing supports a program approach with fewer parallel structures Building monitoring, evaluation and performance systems - Weaknesses While overall numbers are low, missions and analytic works can be better coordinated National auditing procedures Relationships between sector and finance ministries Lack of consistent approach to salaries The Global Fund’s Strengths and areas for Improvement

9. GF contribution to IHP+ A signatory to the global IHP compact A member of the oversight committee of the IHP+ (Scaling Up Reference Group) An active member of IHP+ working groups 1) Validation of national strategies and 2) harmonization of monitoring & evaluation. Working to closely align the development of national strategy applications for Global Fund financing with IHP processes, including piloting the NSA approach in a select number of both IHP and non-IHP countries

10. As convener of the Learning group of Global Programmes –Members from education, environment, agriculture, health and urban affairs –Meetings regularly to share best practices through culture of learning –Continued engagement with OECD Development Assistance Committee and working parties Through actionable recommendations presented to management and Board –Key Performance Indicators to institutionalize monitoring –GF financing included in national budgets to strengthen national planning –Alignment to country fiscal and reporting cycles –Coordination of support to program salaries Actions going forward

11. Total pledges available through 2010 = US$ 19.2 billion Approximately US$ 11.8 billion has been paid in G8 committed 72% of the resources to date Funding to the Global Fund

12. Debt2Health Framework Agreement with Germany for €200 million (years 2007-10) First Debt2Health Agreement with Indonesia for €50 million Discussions with Other Creditors on-going UNITAID Direct contribution to Round 6 (US$ 52.5 m) Indirect contribution for scale-up of ACTs (US$ 79 m) Indirect contribution for scale-up of MDR-TB (US$ 13 m) Increasing investment through Innovative Financing

13. What Results have been Achieved? 1 December 2008 2,000,000 4,600,000 70,000,000 People Reached GP/110608/8

14. High quality demand is growing  April 07: the financial growth of the Global Fund should be based on country demand  November 07: high quality proposals worth US$ 2.75 billion approved for funding  Largest funding Round ever  Acceptance rate increased from 31% in Round 7 to 54 %

15. GF Resource Needs for 2009-2010 Needed/EstimatedAlready Covered Round 8$2.75 billion$2.0 billion Renewals of Existing Grants $4.0 billion Round 9$2.5 billion$0.9 billion Round 10/National Strategies ? TOTAL$ 9.25 billion$6.9 billion “GAP” of 2.35 bio for 2009-2010 period

16. Thank you!