Improving Coordination and
Harmonization
Jonathan C. Brown
Operations Adviser
Global HIV/AIDS Program
The World Bank
Washington, DC
February 7, 2006
Dynamic and evolving epidemic
Thailand 1988-2010
2
Treatment – Local operating cost challenge

Costs of Treatment
Cost Category
Lowest Cost
Scenario (US$)
High Cost
Scenario (US$)
ARV Drugs
140
1,000
Other Drugs
80
80
Biological Monitoring
150
400
Personnel
200
200
Equipment
50
50
Total Cost
620
1,730
Not costed/ increasing the number of skilled treatment professionals
3
The implementation gap
HIV/AIDS: Annual Needs, Com m itm ents
and Disbursem ents (US$ Billion)
16
14
12
10
8
6
4
2
Com.
Source: World Bank, 2005
Di sb.
20
07
20
06
20
05
20
04
20
03
20
02
20
01
20
00
19
99
0
Needs
4
AIDS stakeholders and donors in one African
country
INT NGO
WHO
GTZ
CIDA
3/5
UNAIDS
RNE
Norad
Sida
USAID
US$
50M
CF
PEPFAR
WB
T-MAP
US$290 M
CCM
MOF
UNTG
DAC
GFCC
P
US$ 60M
GFATM
MOH
HSSP
PMO
PRSP
MOEC
SWAP
NCTP
CTU
US$200M
LOCALGVT
UNICEF
CIVIL SOCIETY
CCAIDS
NACP
PRIVATE SECTOR
5
The Three Ones – April 2004

One agreed HIV/AIDS Framework that
provides the basis for coordinating the
work of all partners

One National AIDS Coordinating Authority,
with a broad based multi-sectoral mandate

One agreed country level Program
Monitoring and Evaluation System
6
Implementing the Three Ones at
Country Authority
Strategic Plan
Public Sector
Private Sector
Monitoring and
Evaluation
System
Civil Society
Local Gov’t
Donors
GTZ, CIDA, Norad, USAID, Sida, GFATM, PEPFAR, WB, UNICEF, UNAIDS, WHO
7
Improving alignment and harmonization of
multilateral institutions and international
donors – GTT – March 2005

Working groups on:
 Harmonization
of programming and financing
 Harmonization
of technical support
 Harmonization
of monitoring and evaluation
8
Working Group on the harmonization of
programming and financing – GTT Roll Out



Better integration into PRSP/MTEF
Improved strategies and action plans - ASAP
Aligning around country systems

Aligning with national cycles and action plans

Joint annual program reviews

Common financial management and
procurement
9
Working Group on the harmonization of
programming and financing – GTT Roll Out
(cont.)

Joint implementation processes

Pooling/coordinated parallel financing

Reviewing comparative advantages:
GFATM/World Bank Study

Sharing information and developing concrete
steps at country level: GFATM/PEPFAR/World
Bank Coordination Meeting, January 2006
10
World Bank Global HIV/AIDS Program of Action
Work closely with partners for stronger, harmonized AIDS responses
Key Action Areas





Sustained funding for HIV/AIDS programs & health
sector – Gap filling
Support stronger strategic, prioritized national
planning
Accelerate implementation
Build monitoring and evaluation systems & capacity
Impact evaluation and analytic work to improve
HIV/AIDS knowledge and improve programs
11