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  1. BRIEFING ON AU POLICY INSTRUMENTS By Dr Marie-Goretti HARAKEYE, Head-HIV/AIDS, TB, Malaria & OID Division Department of Social Affairs 25th March 2014

  2. Presentation Outline • Introduction • AUC Mission • AU Commitments on AIDS, TB, Malaria • AWA Objectives • AWA Structure • Future Strategic Directions of AWA • AU Roadmap on Shared responsibility • Wayforward

  3. Introduction • Africa is 14-15% of the world’s population but half of the world’s burden of maternal and child deaths, 81% of Malaria cases, 67% of AIDS cases and one third cases of TB. • However, opportunities within the African context are many: • Strong political will to strengthen health systems • Resources for health have been increasing • Encouraging progress towards health MDGs in many countries • Community care in Africa – a relevant and successful approach

  4. AUC MISSION The African Union, established as a unique Pan African continental body, is charged with spearheading Africa’s rapid integration and sustainable development by promoting unity, solidarity, cohesion and cooperation among the peoples of Africa and African States as well as developing a New Partnership worldwide. AUC mission: To mobilize and coordinate African governments, institutions and people and acting as the interface with the international community AUC mission is to galvanizeand coordinate accelerated actions to stop HIV/AIDS, malaria and TB and mitigate the impact catalyzing Member States and holding them accountable for measurable results. Africa driven response through strengthened Health System, scaled up health interventions and Facilitate acceleration towards universal access to HIV/AIDS, TB, and Malaria

  5. AU Commitments on AIDS, TB, Malaria 2000 – 2001 : Leaders of African Union members states and adopted the Abuja Declarations and Frameworks for Action on Roll Back Malaria, and on HIV and AIDS, tuberculosis and other related infectious diseases. 2006- Abuja Call for Accelerated Action towards UA to ATM services : emerging international consensus on universal access to attain Millennium development Goal 2007: Africa health Strategy 2007-2015 2010- Decision on the 5-Year Review of the Abuja Call -Decision on the Partnership for the Eradication of MTCT - Declaration on Maternal, Newborn and Child Health 2012 - Decision on revitalization of AIDS Watch Africa -African Plan Towards the Elimination of New HIV infections among children by 2015 and keeping their mothers alive - Decision on roadmap Shared Responsibility for Africa’s AIDS response

  6. Current Status Extend the “Abuja Call for the period 2010-2015 to enable further implementation of the commitments and to coincide with the target of the MDGs. Align similar Abuja Call indicators with already existing indicators especially the MDG 6 to simplify data collection and leverage on already existing data collection mechanisms 2011: AU Summit in Malabo: African Common position to the UN High Level Meeting on AIDS and urging member states to step up leadership and ownership for implementation of the “zero” vision 2012: July AU Summit in Addis: decisions on the revitalization of AIDS Watch Africa (AWA) and on the development of a roadmap to address Africa’s dependency . July 2013:AU Special Summit on ATM in Abuja

  7. AWA REVITALISATION January 2012, (AU) Assembly Decision No: Assembly/AU/Dec.413 (XVIII), requested the African Union Commission (AUC) “to work out a roadmap of shared responsibility to draw on African efforts for a viable health funding with support of traditional and emerging partners to address AIDS dependency response Decision on the revitalization of AIDS WATCH AFRICA: African High Level Advocacy &Accountability Platform to Combat HIV/AIDS, TB and Malaria AWA targets expanded to include TB and Malaria

  8. AWA Objectives • Leadership: Top mobilize and sustain the political will • Ownership by Gov, private Sector and Civil Society to insure self-sufficiency • Mobilization of Resources: domestic and international resources (commitments) • Accountability for results: facilitate national government’s accountability for measurable results • Information for Action: disseminate information widely to galvanize action to achieve MDGs

  9. Future Strategic Directions of AWA Institutionalize AWA within the AU and other African mechanisms AWA Structure : AWA Heads of State and Government Action Committee, AWA Consultative Expert Committee and AWA Secretariat hosted by AUC. Integrate AIDS, TB and malaria efforts Achieve AWA Continent-wide Representation Establish strategic partnerships Accelerate implementation of AIDS, TB and malaria commitments Implementation of Roadmap for Shared responsibility & Global Solidarity for ATM

  10. AWA STRUCTURE AWA Heads of State and Government Action Committee: AWA CHAIR, AWA VICE CHAIR and Five Regional Champions (Tunisie, Gabon, Cote d’Ivoire, Tanzania and Malawi) AWA Consultative Expert Committee AWA Secretariat

  11. AU Roadmap on Shared responsibility AFRICA is now ready to advance a new model of shared Responsibility and global solidarity for their own solutions, H.E President BoniYayi, Chair of AU The solutions are organized around three strategic pillars: Diversified financing; Access to medicines; Enhanced health governance. The Roadmap defines goals, results and roles and responsibilities to hold stakeholders accountable for the realization of these solutions between 2012 and 2015 Oversight and implementation of the Roadmap: Member States , AUC, NEPAD, RECS, UNAIDS, WHO, Other UN agencies, Other development partners and CSOs.

  12. Way forward AUCwill continue to champion the process of motivating African Leaders to follow through on (all) their commitments; There is urgent need to continue advocating resources especially domestic resources mobilisation for sustainability for but also to improve the performance of programmes with the involvement of all stakeholders; There needs to be greater collaboration between the AUC and partners as recommended by the Abuja Call and inline with the Roadmap of Shared responsibility ; We need promote evidence based advocacy, to honor and renew their commitments such as the Abuja Call, improving access to medicines through the Pharmaceutical Manufacturing Plan for Africa and the Roadmap(three pillars)

  13. Way forward(2) A Midterm Report for Abuja Call using new indicators was done in 2013.The final report is expected in 2015 Countries need to think about reliable, long-term HIV TB and malaria financing, free of the volatility that commonly disrupts health programmes: costed plans Africa meeting the Abuja target and increasing domestic resources for health Public health spending must increase while the implementation of innovative financing mechanisms Need to improve Technology Transfer from North to South (test kits, drugs, condoms, vaccine research), South South Cooperation There is a need to set up Innovative partnerships with Private Sector to support service delivery