1. Elaine Ireland Policy Adviser: Global Health Global Health Policy Forum 9 th September 2010 Aid Effectiveness in the Health Sector: A civil society perspective www.actionforglobalhealth.eu

2.  Paris Declaration  Accra Agenda for Action  IHP+  JANS  HSS Funding Platform Aid Effectiveness in the Health Sector

3.  IHP+:  Northern Civil Society Representative to Executive Team & SuRG  HSS Funding Platform  TTHATS:  Contribution to OECD Interim Report  CS representation in TTHATS; specific focus on democratic ownership  Policy reports:  ‘Healthy Aid’  ‘Health in Crisis’ Action for Global Health & Aid Effectiveness

4.  JANS:  Conducted in Nepal, Uganda, Ethiopia  Upcoming in Vietnam, Ghana, Mali  Lessons learned:  Helpful as structured approach to analysing draft plan  Enabled broader participation (incl. CS)  Expected to improve quality of plans  Suggestions not always new, but can emphasise key issues to be addressed  Nepal: GAVI used JANS in approving support; others already committed to funding plan  Ethiopia: awaiting responses from development partners regarding what they will do differently. Progress on Aid Effectiveness (IHP+)

5.  IHP+ Results:  Annual monitoring of IHP+ commitments  Putting mutual accountability into practice  Developed an agreed set of Standard Performance Measures  Coordinating efforts with OECD/DAC  Production of country scorecards Progress on Aid Effectiveness (IHP+)

6.  IHP+ Results:  Expected Results: 1.Commitments are documented & mutually agreed 2.Support is based on country plans & strategies 3.Funding commitments are increased &/or long-term 4.Funds are disbursed predictably and as committed 5.Country systems for procurement & public financial management are used & strengthened 6.Resources are being managed for Development results 7.Mutual accountability is being demonstrated 8.Civil society is actively engaged Progress on Aid Effectiveness (IHP+)

7. Challenges:  Countries moving faster than development partners  Are development partners really committed?  Ensuring behaviour change  Understanding mutual accountability  Demonstrating results  Turning the rhetoric into action  Sustaining donor interest  Filling the financing gaps Challenges & Risks for IHP+ in 2010

8.  Risks:  IHP+ is about catalysing change but risks becoming a stand-alone project  All signatories need to take responsibility for the success of the IHP+  All partners must be responsible for meeting commitments made  IHP+ needs to be responsive to new developments in global health financing  2010: need for greater focus on  Joint Assessment of National Strategies (JANS)  Mutual Accountability Opportunities, Challenges & Risks for IHP+ in 2010

9.  HSS Funding Platform (GAVI, Global Fund, World Bank, WHO)  Strengthen country systems  Mobilise new & existing funds for HSS  Align & harmonise HSS support  NOT: a new global fund or pool for HSS resources  Platform will be: country-driven; results-focused; involve relevant stakeholders  Based on supporting: One national plan; One financial management & procurement arrangement; One performance assessment framework, shared annual report, & one M&E system Progress on Aid Effectiveness

10.  Track 1: Better harmonisation between existing GAVI & GFATM projects  Track 2: How new funding should be allocated, 2 options: 1.Merging of current GAVI & GFATM HSS applications – to become operational in 2011 2.Funding of national health sector strategies/plans  Track 2, option 2:  IHP+ JANS tool to be used as basis for funding decisions  Donors work together to decide which parts of national health sector strategies/plans they will fund  Funding allocated through existing mechanisms, but more coordinated and transparent The HSS Funding Platform

11.  Agenda for Action on the MDGs  MDG Contracting  MDG Review Summit  EC Global Health Communication  Muskoka Initiative  Global Strategy for Women and Children’s Health Global Health Initiatives in 2010

12.  Challenges in applying Paris Declaration principles on:  Managing for results  Mutual accountability  Democratic ownership (incl. civil society involvement)  How are new initiatives responding to aid effectiveness principles? Making progress on aid effectiveness in health?

13.  Aid effectiveness fact-finding missions  Countries:  Uganda, Tanzania, El Salvador, Mozambique, India, Vietnam  Objective:  Gather evidence and experience from Southern partners on progress on aid effectiveness  Scope:  Ownership, including CS & MP participation in the health sector  Impact of donor coordination on health spending in developing countries  Role of aid in progress towards the MDGs and universal access to primary health care. Action for Global Health & Aid Effectiveness

14.  Aid effectiveness Online Dialogue, Oct 2010-March 2011:  2 parallel online discussions  Thematic Axes:  Ownership, including CS & MP participation in the health sector  Impact of donor coordination on health spending in developing countries  Role of aid in progress towards the MDGs and universal access to primary health care.  Roundtables on aid effectiveness:  EU Donor Roundtable (April 2011)  Joint CSO/Donor Roundtable (June 2011) Action for Global Health & Aid Effectiveness

15. THANK YOU! www.actionforglobalhealth.eu