1. Sources of Support and What They Mean to the Field Dr. Duff Gillespie June 15 th, 2002 Africa SOTA, Nairobi

2. Global Alliance For Improved Nutrition (GAIN) GAIN is an alliance of public and private sector organizations supporting activities to reduce micronutrient deficiencies through food fortification and other sustainable nutrition strategies. GAIN Fund: $70 million committed over next 5 years GAIN partners: USAID, Gates, CIDA, UNICEF, World Bank, WHO, and representatives from the commercial sector (from both developing and developed countries), NGOs and academic institutions.

3. GAIN Support to Countries Strengthening & Implementation Grants Up to $3 million over 3 years Situational Analysis Grants Up to $250,000 RFA with details on grant application process (posted on July 1, www.gainhealth.org)Requirements: National Need Coverage and Protection Proposed food vehicles Program Sustainability Technical, Fiscal and Operational Soundness

4. GAIN: Key issues related to funding Requires plan of action within context of sustainable, comprehensive national plan to address micronutrient deficiencies Establishment of multi- sectoral National Fortification Alliance Demonstrated commitment and cost-sharing from counterparts by public and private sector Who Can Submit Proposals? In most cases, proposals will be submitted by a National Fortification Alliance, comprised of government, industry and civil society

5. Funding from GAIN GAIN funds will be awarded to an Executing Agency, identified by a multi-sectoral National Fortification Alliance. Funds will then be disbursed to alliance partners The Executing Agency may be an international or domestic NGO, a government agency, the domestic office of a UN agency, or other organization designated by the National Fortification Alliance and satisfying the management and fiduciary requirements of the Trustee

6. Role of USAID Missions to GAIN May participate as a member of a National Fortification Alliance May provide technical assistance toward the development of a country national fortification program

7. Gates Foundation Areas of Focus: Global Health Development of health technologies / tools HIV/AIDS prevention and care Infectious disease: TB, malaria, polio Immunization Reproductive health and family planning Maternal health Child health Nutrition Public health leadership Education (U.S.) Libraries (mostly U.S.) U.S. Pacific Northwest

8. Gates Foundation Funding: Assets total approximately $24 billion Half of investments go towards Global Health programs Global Health spending approximately $600 million per year Grants for addressing disease burden in priority thematic areas

9. Gates Foundation Who Can Receive Grants? Tax-exempt, charitable organizations Grants & Proposal Process: Quarterly review process All grants over $1 million reviewed personally by Founders. Unsolicited proposals discouraged “Leveraging” from other donors encouraged Grants mostly issue-based, rather than country- based Preference for innovation & capitalization Minimal management of grants awarded

10. Areas of USAID–Gates Collaboration Major alliances: GAVI GAVI GAIN GAIN Global Fund Global Fund IMMPACT IMMPACT MTCT+ MTCT+ Other areas: Other areas: microbicide development, contraceptive security, malaria vaccine development, AIDS vaccine development

11. GATES Global Health Program Strategy

12. Gates: Focus of HIV/AIDS Interventions AIDS vaccine development (IAVI) Microbicide development Condom promotion / social marketing Behavior change / health education Mother-to-child transmission prevention Global Fund VCT Care & support Assistance for orphans

13. Gates Foundation Revised Strategy: R&D for Health Technologies and Tools R&D for Health Technologies and Tools Catalytic Financing Catalytic Financing Leadership and Advocacy Leadership and Advocacy High Impact Demonstration Programs High Impact Demonstration Programs Country Opportunities: High Impact Demonstration Programs-- a few focus countries to be selected for comprehensive programs in the areas of HIV/AIDS and reproductive & child health High Impact Demonstration Programs-- a few focus countries to be selected for comprehensive programs in the areas of HIV/AIDS and reproductive & child health Potential for funding through Gates Foundation grantees Potential for funding through Gates Foundation grantees Selected funding for country-based humanitarian aid efforts Selected funding for country-based humanitarian aid efforts

14. OTHER FOUNDATIONS  Packard Foundation  Hewlett Foundation  Buffet Foundation

15. Millennium Challenge Account Major New Vision announced by President Bush- March 14 th, 2002 1. 1. Development based on the common interests of developed and developing nations in peace, security and prosperity 2. 2. Defines new partnership between the U.S. and governments in developing countries that have made and are demonstrating a commitment to domestic reforms necessary for sustained growth 3. 3. Separate development assistant account 4. 4. Andrew Natsios chairing ‘Committee on Programs’ 4. 4. Begins in FY04 - 1.7 Billion Increase FY05 - 3.3 Billion Increase FY06 - 5.0 Billion Increase

16. Millennium Challenge Account To gain access to the account developing, Countries must show that they are: 1. 1. Governing justly e.g., upholding the rule of law, rooting out corruption, protecting human rights and political freedoms 2. 2. Investing in their people, esp. children e.g., investment in education and health care 3. 3. Promoting economic freedom e.g., open markets, sound fiscal and monetary policies, appropriate regulatory environments, and strong support for private enterprise

17. Role of USAID- Not yet formalized Role of USAID- Not yet formalized USG-wide effort (Treasury lead) USG-wide effort (Treasury lead) Specific focus- Health & Education Specific focus- Health & Education Criteria on how to access is currently being developed Criteria on how to access is currently being developed Millennium Challenge Account

18. What is the GDA? Business model to implement USAID’s development assistance mandate A catalyst to mobilize ideas, efforts and resources Tool to maximize positive results for developing countries and their people Global Development Alliance

19.   Responds to the changing global environment Increases USAID’s reach and effectiveness in meeting development objectives Leverages additional ideas, technologies and resources for development activities Improves the quality of partnerships Global Development Alliance

20. Child Survival funds can not be used to support GDA activities There is currently not a system in place to apply for funds to support GDA activities