Transcript UNDP HIV/AIDS Global Programme

UNDP Regional Bureau for Africa MDG-based
national Development Planning Training Workshop
HIV/AIDS Assessments
Dar Es Salaam
February 27 - March 3, 2006
Dr. Joe Annan, HIV/AIDS Group, BDP
Changing Global Architecture around
AIDS and development
GTT = Global Task Team on improving AIDS coordination among
multilateral institutions and international donors
MDGs as the Framework for AIDS
response
UNGASS Commitments
UN System Reform
2005 World Summit outcomes
GTT recommendations (1)
Recommendations 1.1: Countries develop
annual priority AIDS action plans that drive
implementation, improve oversight, emphasize
results.......
Recommendation 1.2: - Countries ensure that
their macroeconomic and public expenditure
frameworks support and appropriately prioritize
the implementation of national AIDS action
frameworks and annual priority AIDS action
plans. …...
GTT recommendations (2)
Recommendation 2.1: Multilateral institutions and
international partners commit to working with national AIDS
coordinating authorities to align their support to national
strategies, policies, systems, cycles, and annual priority AIDS
action plans.
Recommendation 3.1: The UN Secretary-General instruct
the UN Resident Coordinator to establish, in collaboration with
the UN Country Team, a joint UN team on AIDS – facilitated
by the UNAIDS Country Coordinator – that will develop a
unified UN country support programme on AIDS within the
national planning framework.
Recommendation 3.2: The multilateral system establish a
joint UN system-Global Fund problem-solving team that
supports efforts to address implementation bottlenecks at
country level.
UNAIDS technical support division of labour
UNDP lead organization for :
HIV and AIDS, development planning,
governance and mainstreaming, including
instruments such as PRSPs and enabling
legislation, human rights and gender
Main partners
ILO, UNAIDS Secretariat, UNESCO, UNICEF, WHO, World Bank,
UNFPA, UNHCR
UNDP HIV/AIDS Focus Areas
1 - HIV/AIDS and Human Development
2 - Governance of HIV/AIDS Responses
3 - Human Rights, Gender and HIV/AIDS
Joint UNDP/UNAIDS/ WB initiative on
AIDS and PRSPs
Ensure appropriate guidance material is available for
Integrating AIDS in development instruments and
PRSPs
Enhance the participation of HIV/AIDS stakeholders in
the PRSP process and establish roles and
accountabilities
Improve implementation modalities of HIV/AIDS in
PRSPs, and linkages to other development frameworks.
Roll-out
Joint missions by AIDS specialist and
macroeconomist in 7 countries: Ethiopia, Ghana,
Mali, Rwanda, Senegal, Tanzania and Zambia
Johannesburg meeting: for experience: country followup activities (CFA) plans developed UNDP US$
80,000 per country teams for implementation
Issues tackled
Bi-directional relationship of AIDS and poverty
Coordination of response
Strengthening participation
What capacities are required?
Monitoring and evaluation
Challenges
Need for alternative scenarios for AIDS
/PRSP and MTEF
Tools for integration? PRSP Handbook
Linking MDG based PRSPs to National
development plans
Harmonization and alignment (projects) at
country level
Comprehensive costing of AIDS was not
seen as a critical issue in PRSPs
Estimating HIV/AIDS resources needs
UNAIDS Secretariat conducted resource needs for
longer term investments
US$ 15 billion 2006, 18 billion 2007, 22 billion, 2008
Prevention: comprehensive response by 2010
Treatment and care: 75% of 6.6 million people with
access to ART by 2008
OVC: cover all OVC in SSA + others
Programme costs, 1000 new health centers by 2010
Human resources: costs of additional medical staff
AIDS resource needs (US$ billion)
UNAIDS 2005
Prevention
Treatment and care
OVC
Program costs
Human Resources
Totals
2006
8.4
3.0
1.6
1.5
0.4
14.9
2007
10.0
4.0
2.1
1.4
0.6
18.1
2008
11.4
5.3
2.7
1.8
0.9
22.1
29.8
12.3
6.4
4.7
1.9
55.1
Models
Costing Guidelines for HIV Prevention
Strategies (2000)
Report of the Commission on
Macroeconomics and Health, WHO (2001)
Futures Group Model (2001)
Cape Town Antiretroviral Costing Model
(2004)