Transcript Three Ones GTT UA presentation

Towards Universal Access
Scaling up HIV Prevention, Treatment, Care and
Support:
The Role of the United Nations
Overview
1. Universal Access – What?
2. Three Ones – What means?
3. Global Task Team & Making the
Money Work – What support?
GTZ
WHO
CIDA
UNAIDS
RNE
INT NGO
3/5
UNICEF
Norad
WB
Sida
USAID
T-MAP
MOF
UNTG
CF
DAC
GFCCP
PEPFAR
GFATM
CCM
PMO
PRSP
HSSP
MOH
MOEC
SWAP
NCTP
CTU
CCAIDS
NACP
LOCALGVT
CIVIL SOCIETY
PRIVATE SECTOR
What are the costs?
Bypassing central government
by providing aid through
vertical projects
Impossible to scale-up the
response in this environment
Credibility of the national
response is compromised
Agenda becomes donor-driven,
uncoordinated & inconsistent
Distortions in human capacity,
policy dialogue, focus,
partnership
Quality of governance and
capacity of the public
sector undermined
Stakeholder confidence
falls
One Agreed AIDS Framework
Key elements:
• Clear priorities for resource allocation and
accountability
• Operational from strategy to action: all partners;
good linkages
• With workplans and budgets**
• Inclusive & participatory process**
• Basis for joint reviews
** Major weaknesses in 66 country review
One Coordinating Authority
Key elements:
• Strong, formal mandate **
• Policy dialogue
• Clear partnership arrangements
• Representation & inclusiveness
• Human and management capacity**
• Accountability with oversight
** Major weaknesses in 66 country review
One Monitoring & Evaluation System
•
•
•
•
Global alignment
Core system in place**
Strategies for data quality
Investment in national (human) capacity**
** Major weaknesses in 66 country review
HOW?
Global Task Team
Recommendations
for putting “Three Ones” into practice
for multilateral institutions and
country level
Developed through a highly participatory process
of UN, governments and civil society
Four Key Recommendations
1. Empowering inclusive national leadership and
ownership
2. Alignment and harmonization of multilateral and
international partners
3. Reform for a more effective multilateral response
4. Accountability and oversight
UNAIDS follow-up to the Global
Task Team report
• Division of Labour
• Consolidated UN Technical Support Plan
• Flexible and demand-driven financing
mechanism (PAF)
• Global Implementation Support Team (GIST)
• Country Harmonisation Assessment Tool
(CHAT) – in development
Division of Labour
– Identifies 17 areas of technical support
• Strategic planning, governance and financial management
• Scaling-up interventions
• M&E, strategic information, knowledge-sharing and
accountability
– Identifies a ‘lead organization’ for each area:
• A single entry/liaison point for governments and relevant
stakeholders
• Primarily accountable for the provision of quality and timely
technical support
Towards Universal Access
What have we learned?
• No single epidemic
• Equity is central
• Sustainability within a changing
environment
• Comprehensive response
Towards Universal Access
Fundamentals to address
•
•
•
•
•
Priority setting and public policies
Human and system capacities
Sustainable long-term funding
Affordable commodities
Stigma and discrimination: human rights and
legislation
• Accountability
In Summary…
• GTT developed global commitments to
support implementing Three Ones principles
at country level
• Together GTT & Three Ones are means to
ensure a comprehensive national response –
with the outcome towards scaling up for
Universal Access