Aid accountability and Effectiveness: putting the Paris Declaration to work

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Aid accountability and Effectiveness putting the
Paris Declaration to work

• Elisabeth SandorAid EffectivenessDevelopment
  Cooperation Directorate
• American Public Health Association
• San Diego, October 29th 2008

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Table of contents
1 From Paris to Accra
2 Health as a tracer sector
3 Challenges for future work
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Paris Declaration a roadmap for change
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Paris Declaration (2005)

• Unprecedented consensus
• 56 action-oriented commitments for both Donors
  and Partners countries
• New concepts of managing for results and mutual
  accountability (indicators 11 12)
• Built-in mechanism for monitoring progress at
  country and global levels and
• Targets set for 2010.

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Measuring accountability in the PD(3
inter-related aspects)
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HLF 3 in Accra a broad consultation process

• High Level political event on aid, a few months
  before Financing for Development in Doha
• Mid-term Stock-taking of the Paris Declaration
  mutual commitments
• Forward looking event road to 2011.
• 100 partner countries, most donors, most
  international aid agencies. 1 700 participants
  total
• Strong civil society engagement ( parallel
  event)
• Unprecedented consultation process
• 9 Round Tables, AAA, side-events, market place

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Accra outputs and outcomes

• Progress Report on implementation of the PD
• 2008 Monitoring Survey
• 54 partner countries (34/2006) 40 bn of aid
• 10 out of the 12 indicators show progress but at
  different speeds (across countries and
  indicators)
• One report on Health (Effective aid better
  health) by the Task Team on Health as a tracer
  sector
• Accra Action Agenda
• 48 ambitious actions to accelerate the full
  implementation of the Paris Declaration with
  additional deadlines
• Progress will be monitored and evaluated by 2010.
  OECD (Working Party on Aid Effectiveness) to
  report back to HLF4 in 2011

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Reaching the PD target on accountability requires
additional efforts

• 2005-2007 No progress in mutual assessment of
  progress on partnership commitments (22 of
  surveyed countries/from 12 to 13)
• Expansion of mechanisms for reviewing partnership
  commitments seems to have come to a halt
• There is variety of experiences and very few
  sound and common Performance Assessment
  Frameworks (Rwanda)

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Strong push for progress on country/global
accountability (AAA)

• Delivering and accounting for Development Results
  ( 22-26) Looking forward ( 27-32)
• Donors will align their monitoring with country
  information systems
• Proposals for strengthening existing
  international accountability mechanisms
• Beginning now, donors will provide regular and
  timely information on their rolling 3-to-5 years
  forward expenditure and/or implementation plans
• Countries to design country-based action plans
  with time-bound and monitorable proposals to
  implement the PD and AAA

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Table of contents
1 From Paris to Accra
2 Health as a tracer sector

3 Challenges for future work
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Background

• High-Level Fora on Aid Effectiveness and Scaling
  up for Better Health (2004-2006) focused on AE
  issues (including volatility, fragmentation and
  aid architecture)
• Dec.2006 WHO/WB/OECD meeting on Aid
  Effectiveness and health participants endorsed
  Health as a tracer sector
• Health as a tracer sector to feed the broader
  agenda on Aid Effectiveness (best practice,
  lessons, keeping public support to financing for
  development)

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Achievements

• Promoting and reporting about good practice (DCR
  2007)
• Coordinating World Bank, WHO, IHP and other
  initiatives (Health Metrics Network,
  International Health Metrics and Evaluation)
  dialogue with NGOs
• Substantial inputs for Accra one report
  (Effective aid better health), inputs to the
  Round Tables, side-event on predictability,
  market place
• Stimulating discussions on innovative financing
  GFD workshop on Lessons for development finance
  from innovative financing in health (7 Oct)
• One Task Team on HaTS to support the WP EFF

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Table of contents
1 From Paris to Accra
2 Health as a tracer sector
3 Challenges for future work
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Tracking and deepening analysis of trends for
better accountability
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Tracking priorities in donor aid for health
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Health as a tracer sector challenges for future
work

• Improving aid predictability in health (including
  through innovative financing mechanisms)
• Encouraging and monitoring approaches that are
  results-based and foster mutual accountability
  (IHP,)
• Strengthening health systems to deliver better
  outcomes (sound and realistic plans to support
  confidence and efficient partnership)
• Promoting development and use of country systems
  (incl. procurement, Health Information Systems)
  as part of capacity development
• Show evidence that Aid Effectiveness matters !