Country Ownership of National HIV & AIDS Response: A Private Sector Perspective Country Ownership of National HIV & AIDS Response: A Private Sector Perspective XV111 International AIDS Conference. Vienna, Austria Vienna, Austria JULY 18, 2010 Onalethata Johnson, PharmD Group Manager – HIV/AIDS Impact Management JULY 18, 2010 Onalethata Johnson, PharmD Group Manager – HIV/AIDS Impact Management

Country Ownership - What it entails….. 1.Governments providing leadership in the formulation of policies programmes and plans 2.Government coordinating the use of committed resources and taking responsibility for the national response monitoring and evaluation 3.Meaningful participation of all stakeholders, including the private sector and aligned contribution to national response strategies

A lot has been achieved……… Government has evidently taken leadership in formulating and monitoring policy, strategies and programmes –The 2 nd National Strategic Framework (NSF) is aligned to the National Vision 2016 and the National Development Plan 10 –All stakeholders have opportunity to meaningfully participate and contribute in joint planning (through various forums) Strong strategic leadership and oversight fostered through the well established ‘Three Ones’ principle – One strategic framework (NSF), one coordinating body (NACA) and one monitoring and evaluation system (BHRIMS ) Government finances most of the response budget (~80%) Access to this and other sources of funding has been extended to non-state stakeholders, including to the private sector Strong partnerships have been formed with the private sectors, civil society and development partners

Page 4  Botswana Business Coalition (BBCA) established part-funded by donations and founding members through in-kind contributions  To coordinate the private sector response, working within the context of NSF to ensure private sector capacity building & HIV programme development  BHRIMS to assist in effort to enable information transmission from business level to national level  Current Funding: development partners and minimal Government financing  Leadership in interventions such as the provision of ART and training of health care workers - Debswana, AFA, BoMaid, major commercial banks  Working partnerships between the private sector and Government e.g. Masa ART programme National Level Individual Business/Company level Private Sector Response

Debswana - Debswana - Extending reach beyond Company boundaries…..  PPP between Debswana and Botswana Government (Min of Health)  To increase capacity and reach of the National ART programme PPP Debswana Ministry of Health National ART Programme Scale-up ~5% of Masa uptake is from this partnership National ART Programme Scale-up ~5% of Masa uptake is from this partnership - Medical Personnel - Infrastructure - Medical Personnel - Infrastructure - Anti-retrovirals - Laboratory reagents - Anti-retrovirals - Laboratory reagents

However Gaps and Challenges Remain……  Low development level & maturity of BBCA resulting in poor recognition as the private sector coordinating body  Participation limited to individual business with self interest – larger, labour intensive, specific industries  Perception that private sector is only concerned with profit  Lack of technical and financial capacity to implement or facilitate workplace programmes  Minimal access to public/development partners’ financial support  No requirement for regular reporting on financial contributions Resources and Processes Policy and Strategy External parties’ Contribution  Fragmented and uncoordinated access to and disbursement systems of international funding  External funders’ own focus, conditions & reporting requirements sometimes unaligned with national agenda nor M & E systems

Our aim is to progress towards improved Country Ownership of the National Response for effectiveness and sustainability Page 7 Commitment and political will to recognise private sector role Support and Incentives Sound Policies and Response Strategies Reductions in Prevalence and related implementation Cost Better Outcomes Sustainability Strong Country HIV/AIDS Response Ownership Private Sectors commitment and proactive contribution

Recommendations – How can we improve Commitment and political will to recognise private sector role  Advocacy  Mindset change  Financial support and technical assistance by government and partners to strengthen capacity of BBCA Support and Incentives  National Capacity enhancement  Promotion of public private partnerships leveraging business skills and core-competencies to fill capacity gaps & address issues of mutual interest  Further National Coordination Capacity Strengthening  Reinforcement of the 3 Ones to promote harmonisation and alignment  Tax Rebates as inducement for meaningful contribution Private sector commitment and proactive contribution  Private Sector Resource Mobilisation  Companies encouraged to set up own workplace policies & programmes  Strengthened BBCA membership drive  Moral suation - ‘It’s the right thing to do’ campaign