Training for International Group of Tender Experts

1
Aid effectiveness, health systems strengthening
and HIV/AIDS
Marielle Hart Action for Global Health
2
Action For Global Health - Introduction
Members of the Network
www.actionforglobalhealth.eu
3
Implementing the Paris Declaration challenges
for the health sector
4
e
Donor collaboration is a challenge
INT NGO
WHO
CIDA
3/5
UNAIDS
GTZ
RNE
UNICEF
Norad
WB
Sida
MOF
USAID
T-MAP
UNTG
PMO
CF
DAC
GFCCP
PRSP
PEPFAR
HSSP
GFATM
MOEC
MOH
SWAP
CCM
NCTP
CTU
CCAIDS
NACP
PRIVATE SECTOR
CIVIL SOCIETY
LOCAL GVT
Source Mbewe, WHO
5

Source Don De Savigny COHRED
6
Response of donors

• New aid coordination mechanisms IHP
• Increased focus on health systems strengthening
  and integration
• Increased financing through budget support

7
Challenges

• Unhelpful horizontal VERSUS vertical debate
• HIV not just a health issue
• Budget support might not achieve adequate and
  equitable health outcomes
• Where is civil society?

8
What are the answers?

• Investment in both health systems strengthening
  and HIV specific response
• Apply lessons learned of the AIDS response
• Provide a mix of vertical and horizontal funding
  mechanisms
• Budget support should include key HIVspecific
  triggers and indicators
• Mechanisms for effective engagement of civil
  society should be in place

9
Thank you!