PPPs and the Paris Declaration

1
PPPs and the Paris Declaration

• Can we make this happen in health and HIV/AIDS
  programs?

2
Paris Declaration

• 139 parties, incl. all bilateral donors, 26
  multilaterals and 57 developing countries
• 56 commitments both donors and countries.
• Adds Mutual accountability 12 Indicators, 21
  targets
• 26 NGOs call on donors to be bolder in their
  vision and commitments on aid effectiveness

3
From Projects to Joined-up Approaches

• This challenge requires new approaches
• Securing systemic governance and institutional
  change requires a community of effort to do
  together what we could not do separately.
• Whats new A strong international consensus on a
  new, joined-up, way of engaging in development
  cooperation

4
Where are PPPs in the aid effectiveness agenda?

• Part of the dialogue
• Recognized role in promoting domestic
  accountability
• Country ownership not state ownership meaning
  there is a role for PPPs
• But to date, core of aid effectiveness agenda is
  focused on the state, on core state functions
  improved planning and financial management at the
  centre

5
Tanzania HIV/AIDS budget

• In Tanzania, development partners accounted for
  close to 90 of total public expenditure on
  HIV/AIDS in 2005/06
• Government recurrent spending doubled
• Large external earmarked money (mainly for AIDS)
  crowds out discretionary funding for health
• Spending on health total health budget

6
CIDA support to NMSF

• CIDA sector support to gov. National
  Multisectoral Strategic Framework (Cdn 20
  Million) provides flexible assistance
• First tranche of 10 million is being allocated
  to LGAs this is the first time districts can
  plan budget for HIV/AIDS
• CIDA also supports NGO HIV/AIDS programming
  consistent with NMSF in a pooled arrangement
  called Rapid Funding Envelope (10 donors)

7
What would an aid effectiveness agenda for PPPs
Entail?

• Statement of Resolve
• Lessons of Experience
• Commitments by Governments, Donors, Civil
  Society, Other Partners
• Joint commitments
• Indicators and Targets Mutual Accountability

8
Challenges and questions?

• How do PPPs see their role in countries receiving
  program-based funding?
• Building local capacity, ownership and
  harmonization what does this mean for PPPs?
  Does this require internal restructuring and
  policy changes and if so, how far are PPPs
  prepared to change?
• Are PPPs prepared or willing to become more
  involved in health systems work?
• How aligned are PPPs prepared to be with national
  priorities?

9
How can PPPs help to operationalize principles of
Paris Declaration

• In countries receiving program-based or sector
  funding, choose to become more active and more
  engaged working with country governments, donors
  and local civil society
• to analyze, research the role of PPPs in the
  sector
• identify the gaps and aim at developing more
  harmonization, coordination
  amongst PPPs

10
How can PPPs help to operationalize principles of
Paris Declaration

• invest in human resources that can do policy,
  analytical work to complement the delivery of
  services
• become more involved in examining systems issues
  (i.e. human resources, information systems,
  financing, etc)
• share experiences to strengthen capacity with
  other PPPs