Update on Coordinated International Assistance Olga Jonas, Avian and Human Influenza Global Program Coordinator, World Bank Presentation in Session X NEW DELHI INTERNATIONAL MINISTERIAL CONFERENCE ON AVIAN AND PANDEMIC INFLUENZA 6 December 2007

Genesis of the AHI Financing Framework for In Geneva (Nov. 2005), agreement on integrated country programs (animal & human health, pandemic preparedness, communications) A flexible framework, instead of a central funding mechanism, systematically monitored by WB In Beijing (January 2006), $1.8 b pledges for country-level responses key regional organizations global-level activities (WHO, OIE, FAO, others) In Bamako (December 2006) – $474 m pledges for

Financing Framework Implementation: Commitments and Disbursements (As reported in the UNSIC/WB Third Global Progress Report) Out of $2.3 billion pledged: $1.7 billion committed (73% of pledges), of which $1.0 billion disbursed (61% of commitments) Impressive delivery on pledges in “emergency phase”  But response evolving … and support not keeping pace

Overview of Donor Performance Only $57m of pledged grant funding remains available

Share of cumulative commitments As of June 30, 2007 Countries - 37% AHI Facility - 5% International Organizations - 26% Regional Organizations - 12% Other - 20%

Assistance to international organizations Top 15 donors Main recipients: WHO ($178.5m), FAO ($89.9m), OIE ($28.5m) and UNICEF ($68.5m)

Assistance to countries Top 15 donors

Assistance to countries Regional distribution

Assistance to countries Cumulative commitments as of June 30, 2007 In Kind: $108 m (15% of total) Grants: $259 m (37% of total) - of which $76m from AHIF&PHRD Loans/credits: $339 m (48% of total) Total: $706 m

Status of financing for countries * grants & in-kind assistance cover 17% of needs * loans and government contributions cover 39% of needs * 44% remains as financing gap

Decline in pledges relative to gaps poses risks for sustainability of global response to avian flu threat ? ,000 1,200 1,400 1,600 1,800 2,000 Beijing (Jan '06)Bamako (Dec '06)Delhi (Dec '07) US$ millions Number of donors pledging Financing gapPledgesNumber of donors pledging

Risks Example of a gap that will remain if resources are unavailable: compensation for culling

Need for a global strategic framework for In addition to reducing financing gap for needs identified in Bamako for (especially grants for developing countries) also re-visit approach to global response to HPAI by Improving pandemic preparedness Increasing focus on sustainable medium-term programs of strengthening animal and human health systems, within a 10-year vision of Eliminating threat posed by HPAI Improved capacity in developing countries to prevent and control zoonotic diseases more broadly

Gerardo Bravo Garcia Avian Flu Series, 2006 Oil & Gold Leaf on Canvas Courtesy of the World Bank Art Program