Global Task Team: Improving AIDS Coordination Among Multilateral Institutions and International Donors Briefing for Theme Group on HIV/AIDS 1 November 2005

Contexts – epidemic, national responses, aid environment Expanding epidemics, deepening impacts Increased leadership & resource commitments Slow scale-up, challenges of resource utilization MDGs – commitment to global goals OECD/DAC – aid effectiveness (A-S-H) UN reform - improved efficiency & effectiveness

The GTT – origins and aims “Making the Money Work” meeting (9 March) conclusions: –more must be done –we must maximize our collective effectiveness Agreed to GTT to make recommendations on: –options for further coordination, particularly within the multilateral system, to resolve areas of duplication and gaps, and; –Consider how the multilateral system can streamline, simplify and further harmonise AIDS procedures and practices with a view to improving effectiveness and reducing the burden placed on countries

The GTT – participation & process Comprised 64 representatives from 24 countries & institutions (govts, civil society, multilaterals) Co-chaired by Sweden and UNAIDS Worked within 80 day deadline (May and June) Endorsed by UNAIDS PCB (27-29 June): –requested UNAIDS Secretariat & Cosponsors to implement GTT recommendations –Urged GFATM, WB to consider recommendations

Key challenges For countries: to secure ownership by developing capacity to identify problems, set priorities, and establish accountable systems to enable the rapid scaling up of a multisectoral response to AIDS (G8 “Universal Access”) For multilateral institutions and international partners: to be accountable for providing support to national plans, policies, procedures, systems, and cycles including through aligning with them and harmonizing with each other

Challenges to multilateral system Functioning of UN system at country level: coherence and alignment, joint strategic & operational plans, coordination Ability of the multilateral system – at country and global levels - to respond to immediate problems at the country level (to address bottlenecks to “making the money work”) Division of labour among UNAIDS Cosponsors and the GFATM Challenges to the financing of technical support – mismatch between needs and resources

GTT Recommendations 1.Empowering inclusive national leadership and ownership 2.Alignment and harmonization 3.Reform for a more effective multilateral response, incl UN 4.Accountability and oversight

1.Empowering inclusive national leadership and ownership Countries: develop annual priority action plans –UNAIDS: develop standards & criteria (Dec 2005) –UN: technically support action plan preparation –UNAIDS: monitor and report progress (June 2006) Countries: ensure macro-economic and public expenditure frameworks prioritise HIV/AIDS –WB & UN: TA to integrate AIDS into PRSPs, MTEF, etc. –WB: ensure evidence on economic consequences of AIDS shapes internal policies and guidance to countries –WB & IMF: assist countries to ensure that macro-economic & public expenditure frameworks support implementation of AIDS action plans

2. Alignment and harmonization Multilaterals: commit to working with NACs to align support to national strategies, policies, systems, cycles, & annual priority action plans –GFATM, WB: identify approaches to improve alignment of financing (Dec 05) –GFATM, WB: participate in joint annual reviews and evaluations (June 2006) –UNAIDS, GFATM, WB: report progress on clarifying relationship between NACs and CCMs (June 2006 ) GFATM, WB, UN – take concrete steps to align, harmonise and simplify (OECD/DAC)

3. Reform for a more effective multilateral response UNSG: instruct UNRCs to establish a unified country programme and joint UN team on HIV/AIDS (5-10 countries by Dec 2005) Establish joint GFATM-UN problem solving team to address country level implementation bottlenecks UNAIDS Cosponsors & GFATM to establish a clearer division of labour, in order to more effectively support countries Increase funding for UN-provided technical support

4. Accountability and oversight UNAIDS: assist NACs to lead participatory reviews of the performance of multilateral institutions, international partners and national stakeholders that build upon existing OECD/DAC standards and criteria for alignment and harmonization Multilateral and other international partners: assist NACs to strengthen M&E mechanisms and structures that facilitate oversight of and problem solving for national AIDS programmes

A more effective UN response: Joint UN Team The joint UN team will provide a common entry point for national stakeholders to more easily access the full range of AIDS-related services available throughout UN system The joint UN team will, upon request, support NACC to develop capacity to oversee implementation and to identify and solve problems

A More Effective UN Response: Consolidated Technical Support Plan 17 broad areas of UNAIDS technical support ‘Lead Organization’ and ‘Main Partners’ Each UNAIDS organization leading at least one technical area Grouping under three thematic headings: 1.Strategic planning, governance and financial management 2.Scaling up interventions 3.M&E, strategic information, knowledge sharing and accountability

Lead Agencies Global: Leadership/global policy discussions Establishment of global and regional support mechanisms Country-level: Single entry point for support enquiries Coordination/facilitation of technical support provision (request – consultation with TG Chair, UCC, main partners to identify optimal provider(s) and financing) Advice to stakeholders, demand stimulation/advocacy Reporting, M&E coordination

In summary…. Implementation of GTT recommendations will: Help countries turn available financial resources into action on the ground; Increase accountability of all partners; Strengthen coordination mechanisms at the country and global levels; Establish a coherent division of labour among multilateral institutions; Increase collaboration among the UN family, the Global Fund and other multilateral institutions; and, Ultimately scale-up national AIDS programmes.