AU ROADMAP ON SHARED RESPONSIBILITY AND
GLOBAL SOLIDARITY FOR AIDS, TB AND MALARIA
ADDIS ABABA, ETHIOPIA
Parliamentary Roundtable
25-26 March 2014
THE STRUCTURE OF AIDS WATCH AFRICA (AWA)
Heads of State and
Government (Africa-wide)
AWA Chairperson -Mauritania
AWA Vice Chairperson Mozambique
AWA Consultative Experts
Committee (MS)
AWA Secretariat
AWA Champions
Central Africa
Gabon
East Africa
Tanzania
North Africa
Tunisia
Southern Africa
Malawi
West Africa
Cote d’lvoire
Brief Background: AU Roadmap on Shared
Responsibility and Global Solidarity 2012 -2015
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The Roadmap presents a set of practical African-sourced solutions for enhancing Shared
Responsibility and Global Solidarity for AIDS, TB, and Malaria responses in Africa.
The overarching goal of the AU Roadmap is to support African countries to exercise
leadership to meet AIDS, TB, malaria targets by 2015 and source African solutions to
ensure universal access to health-related services for all those in need on a sustainable
basis. The AU Roadmap builds on a number of AU initiatives (e.g. Abuja Declaration)
This practical guide has been developed with indicators to assist the, the African
Member States, RECs and other relevant stakeholders to implement the AU Roadmap.
The AU Roadmap suggested solutions are organised around three strategic pillars:
AU Roadmap Three Pillars
1
More diversified,
balanced and
sustainable financing
models
2
Access to medicines
– local production
and regulatory
harmonisation
3
Leadership, governance
and oversight for
sustainability
The Roadmap: three action pillars
1
More diversified, balanced
and sustainable financing
models
2
Access to medicines –
local production and
regulatory harmonisation
3
Leadership, governance and
oversight for sustainability
Priority actions
 Develop financial sustainability
plans with clear targets
 Ensure development partners meet
commitments and align with
Africa’s priorities
 Maximise opportunities to diversify
funding sources and increase
domestic resource allocation
5
 Invest in leading medicines
manufacturers – focusing on AIDS,
TB and malaria
 Use strategic investment
approaches for scale-up of basic
programmes
 Lay foundations for a single
African regulatory agency
 Support communities to claim their
rights and participate in
governance of the responses
 Acquire essential skills through
technology transfers and southsouth cooperation
 Incorporate TRIPS flexibilities and
avoid "TRIPS-plus" measures in
trade agreements
 Ensure investments contribute to
health system strengthening
 Mobilise leadership at all levels to
implement the Roadmap
AU ROADMAP PRACTICAL GUIDE: PILLAR NO. 1
Level
Action
National
• Analyzing the costs of the three diseases
• Building a picture of ‘returns on investment’
• Identify innovative sources of domestic funding Building a picture of
‘returns on investment’
• Identify innovative sources of domestic funding (see examples in
Guide)
• Work with development partners to ensure they meet their funding
commitments
Regional
Facilitate sharing of ideas and lessons learned on diversifying and
innovating funding
AU ROADMAP PRACTICAL GUIDE: PILLAR NO. 2
Level
Action
National
• Promote and facilitate investing in leading medicines (e.g ARVs,
ACTs, TB.) and health commodities (e.g. ITNs, insecticides)
manufacturers in country.
• Create an enabling regulatory environment within country in order to
reduce import tariffs and harmonize regulatory requirements with
other countries in the region
• Create a legislative environment that incorporates the full use of
TRIPS flexibilities
Regional
•
Undertake functions as defined in African Medicines Regulatory
Harmonisation (AMRH) initiative and Pharmaceutical Manufacturing
Plan for Africa (PMPA) business plan in the region
AU ROADMAP PRACTICAL GUIDE: PILLAR NO. 3
Level
Action
National
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Regional
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Understand the scale of the three diseases
Use existing reviews of disease programme governance and
management arrangements to determine where capacity exists to
drive forward achieving AU Roadmap objectives
Develop strategy for engaging people living with HIV, civil society,
key populations, national human rights entities and parliamentarians
as partners in implementation and oversight of the Roadmap
Determine responsibility and accountability for oversight and
reporting on Roadmap progress
Facilitate regional multi-stakeholder (including civil society) peer
review of Roadmap implementation, including review of national
strategies, investment cases, governance arrangements, adherence
AU Roadmap on Shared Responsibility and Global Solidarity
for HIV/AIDS, TB and Malaria (2012-2015)
Period
Milestones
July 2012
AU Roadmap, adopted by AU Assembly
July 2012
AU Roadmap Practical Guide was developed with Indicators
July 2012
High-Level Ministerial Dialogue on Value for Money, Sustainability and
Accountability in the Health sector calls for reducing aid dependence
July 2012
African Leaders Malaria Alliance (ALMA) Summit on malaria calls for
increased domestic financing and innovative financing
Sept 2012
United Nations General Assembly African Union High-Level Side Event
on Shared Responsibility and Global Solidarity for AIDS
March 2013
Pan-African Parliament commits to monitoring the implementation of the
AU
AU Roadmap on Shared Responsibility and Global Solidarity
for HIV/AIDS, TB and Malaria (2012-2015) cont…
Period
Milestones
Nov 2013
First Year - AU Roadmap was produced
July 2012
Abuja Special Summit called for acceleration of the implementation of the
AU Roadmap on Shared Responsibility and Global Solidarity for HIV/AIDS,
TB and Malaria Response in Africa and strengthen the accountability
platform;
July 2012
Ministerial Meeting on Domestic Health Financing
AWA Champions - strategic platform to
implement AU Roadmap
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The AWA meeting in May 2013, appointed Mozambique President
Armando Guebuza as the Vice-Chairperson of AWA. The AWA “champions”
are as follows:
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President Alassane Ouattara of Côte d’Ivoire - West Africa;
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President Ali Bongo Ondimba of Gabon - Central Africa;
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President Jakaya Kikwete of the United Republic of Tanzania - East Africa;
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President Joyce Banda of Malawi - Southern Africa;
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President Moncef Marzouki, of the Democratic Republic of Tunisia - North
Africa.
Example: Leadership of AWA Champion in
Implementation of AU Roadmap
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The President of Malawi, SADC Chairperson and SADC AWA
Champion
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Special Breakfast Summit of SADC Heads of States and
Government, margins of 33rd SADC Summit
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Aim to discuss progress and challenges that the region is facing in
the areas of HIV and AIDS, TB and Malaria
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SADC AWA Summit directed SADC Ministers of Health and
Ministers responsible for HIV and AIDS to deliberate on the above
issues and present their recommendations at the next Summit in
2014.