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Improving Coordination and Harmonization

Improving Coordination and Harmonization. Jonathan C. Brown Operations Adviser Global HIV/AIDS Program The World Bank Washington, DC February 7, 2006. Dynamic and evolving epidemic. Thailand 1988-2010. Cost Category. Lowest Cost Scenario (US$). High Cost Scenario (US$). ARV Drugs. 140.

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Improving Coordination and Harmonization

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  1. Improving Coordination and Harmonization Jonathan C. Brown Operations Adviser Global HIV/AIDS Program The World Bank Washington, DC February 7, 2006

  2. Dynamic and evolving epidemic Thailand 1988-2010

  3. Cost Category Lowest Cost Scenario (US$) High Cost Scenario (US$) ARV Drugs 140 1,000 Other Drugs 80 80 Biological Monitoring 150 400 Personnel 200 200 Equipment 50 50 Total Cost 620 1,730 Treatment – Local operating cost challenge • Costs of Treatment Not costed/ increasing the number of skilled treatment professionals

  4. The implementation gap Source: World Bank, 2005

  5. WHO INT NGO CIDA 3/5 UNAIDS GTZ RNE UNICEF Norad WB Sida USAID T-MAP MOF UNTG PMO US$ 50M CF DAC GFCCP PRSP PEPFAR US$ 60M HSSP GFATM MOEC MOH SWAP US$290 M CCM NCTP CTU CCAIDS US$200M NACP LOCALGVT CIVIL SOCIETY PRIVATE SECTOR AIDS stakeholders and donors in one African country

  6. The Three Ones – April 2004 • One agreed HIV/AIDS Framework that provides the basis for coordinating the work of all partners • One National AIDS Coordinating Authority, with a broad based multi-sectoral mandate • One agreed country level Program Monitoring and Evaluation System

  7. Implementing the Three Ones at Country Authority Strategic Plan Monitoring and Evaluation System Public Sector Private Sector Civil Society Local Gov’t Donors GTZ, CIDA, Norad, USAID, Sida, GFATM, PEPFAR, WB, UNICEF, UNAIDS, WHO

  8. Improving alignment and harmonization of multilateral institutions and international donors – GTT – March 2005 • Working groups on: • Harmonization of programming and financing • Harmonization of technical support • Harmonization of monitoring and evaluation

  9. Working Group on the harmonization of programming and financing – GTT Roll Out • Better integration into PRSP/MTEF • Improved strategies and action plans - ASAP • Aligning around country systems • Aligning with national cycles and action plans • Joint annual program reviews • Common financial management and procurement

  10. Working Group on the harmonization of programming and financing – GTT Roll Out (cont.) • Joint implementation processes • Pooling/coordinated parallel financing • Reviewing comparative advantages: GFATM/World Bank Study • Sharing information and developing concrete steps at country level: GFATM/PEPFAR/World Bank Coordination Meeting, January 2006

  11. World Bank Global HIV/AIDS Program of ActionWork closely with partners for stronger, harmonized AIDS responses Key Action Areas • Sustained funding for HIV/AIDS programs & health sector – Gap filling • Support stronger strategic, prioritized national planning • Accelerate implementation • Build monitoring and evaluation systems & capacity • Impact evaluation and analytic work to improve HIV/AIDS knowledge and improve programs

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