AIDS IN BRAZIL - NATIONAL RESPONSE

1
Strengthening Latin America and Caribbean
Proposals for the Next GFATM Rounds The Role of
PAHO
Dr. Jhoney Barcarolo Ministry of Health,
Brazil June 2002
2
What is the Global Fund?

• Financial instrument NOT an implementing agency
• New public-private partnership to provide
  additional resources
• Results-based, country-led processes
• Focus on poverty and disease burden
• Goal attract, manage and disburse 7-10 billion
  dollars annually

3
Timeline

• 1st Phase (early July 2001 14 December 2001)
• Transitional Working Group
• 2nd Phase (14 December 28 January 2002)
• Oversight Committee
• 3rd Phase (28 January 2002 - present)
• Board of Directors

4
Structure of the Global Fund

• Partnership Forum
• ? meets every two years to review progress and
  amass political support from the international
  community
• Board of Directors
• ? decision-making body
• ? has 18 voting members (7 donor countries, 7
  developing countries, 2 NGOs, 2 private sector)
  and other 4 non-voting members (WHO, UNAIDS,
  World Bank and a representative from people
  living or affected by AIDS, TB or Malaria)
• Permanent Secretariat
• Technical Review Panel
• ? group of 17 experts responsible for
  technically evaluating and assessing all
  proposals received

5
Proposal Categories (II Board Meeting April
2002)

• Category 1
• ? projects approved with no or minor adjustments
• Category 2
• ? proposals approved, pending clarifications to
  be sent to the Secretariat
• Category 3
• ? projects recommended for funding, but need to
  be resubmitted for revision by the full TRP will
  follow a fast-track
• Categories 4 and 5
• ? not recommended for funding if resubmitted,
  follow the track of new proposals

6
Distribution of Approved Proposals (by resources
and disease covered)

• Component split by first 2 years budget
  requirements
• Percent, 100 USD 616 million

• Component split by number of projects
• Percent, 100 58 proposals

• Malaria

• Malaria

• TB

• HIV

• TB

• HIV

HIV/TB and HIV/TB/Malaria components have been
split evenly across disease Includes Category 1
and 2 Source Global Fund Secretariat, based on
data from the 2nd Board meeting, New York
7
Geographical Distribution of Resources Approved
for HIV/AIDS

• Total US 429 million for 2 years

• Eastern Med.
• Morocco

• 2.8

• Western Pacific
• Cambodia
• Laos
• Vietnam
• Total

• 14.9
• 1.3
• 7.5
• 23.7

• Europe
• Moldova
• Tajikistan
• Ukraine
• Yugoslavia
• Total

• 5.2
• 1.5
• 24.9
• 2.7
• 34.3

• 0.5

• Global
• Global

• 4.9
• 0.7
• 2.8
• 2.9
• 58.7
• 28.2
• 8.1
• 51.5
• 6.0
• 5.4
• 36.3
• 42.3
• 10.3
• 258.1

• Africa
• Burundi
• Ethiopia/Zambia
• Ghana
• Kenya
• Malawi
• Nigeria
• Rwanda
• S.Africa
• Senegal
• Tanzania
• Uganda
• Zambia
• Zimbabwe
• Total

• 6.9
• 1.1
• 30.9
• 38.9

• South East Asia
• Indonesia
• Myanmar/ Thailand
• Thailand
• Total

• 12.1
• 13.6
• 24.4
• 20.5
• 0.5
• 71.1

• Americas
• Argentina
• Chile
• Haiti
• Honduras
• Panama
• Total

HIV/TB and HIV/TB/Malaria components have been
split evenly across disease Includes Category 1
and 2 Source Global Fund Secretariat, based
on data from the 2nd Board meeting, New York
8
Proposals in Category 3

• Africa
• ? 27 projects (TOTAL US 770 million)
• Latin America and the Caribbean
• ? 5 projects (Cuba, Guatemala HIV / TB /
  Malaria, Panama)
• (TOTAL US 53 million)
• Asia
• ? 9 projects (TOTAL US 43 million)
• East Europe
• ? 1 project (TOTAL US 700 thousand)

9
Timeframe for Second Round

• Call for Proposals
• 2nd / 3rd Week of July
• Deadline for Submitting Proposals
• 2nd / 3rd Week of September
• TRP is convened
• 3rd Week of October
• IV Board Meeting Announcement of New Awards
• 4th Week of November

10
Technical Assistance for Proposal Development
Possible Flow

• Country Level
• Expanded Theme Groups on HIV/AIDS and PAHO serve
  as nodes for requests from CCMs
• Sub-regional Level
• Facilitating Role of CPAs
• Regional Level
• UNAIDS, PAHO and LAC Representative (Brazil)
  responsible for overall coordination and
  information sharing
• UN System, bilateral aid agencies, HTCG, CARICOM,
  NGO networks form pool of technical expertise

11
Issues of Interest for Providers of Technical
Assistance

• Clear definition of additionality focus on
  poverty and need
• Role and composition of CCMs involvement of
  PLWHA/TB/Malaria
• Purpose and nature of regional proposals
• Infra-national proposals
• Implementation arrangements Fiduciary Issues