“AID EFFECTIVENESS AND HEALTH Challenges and opportunities Marielle Hart Action for Global Health

AE history 1st HLF on Harmonisation in Rome (2003) Marrakech Roundtable on Managing for Development Results (2004) 2nd HLF on Aid Effectiveness in Paris (2005) – Paris Declaration 3rd HLF on Aid Effectiveness in Accra (2008) – Accra Agenda for Action

AE principles Country ownership Harmonisation Alignment Mutual Accountability Managing for Results

AAA – three focus areas to accelerate progress on AE Country ownership is key Building more effective and inclusive partnerships for development Delivering and accounting for development results

EU Commitments Division of labour – harmonisation Use of country systems – budget support Predictability of aid – MDG contracting Mutual accountability for results – involvement of civil society

Division of Labour and Health Large and diverse number of donors active in the health sector – challenge Partner government leadership is key Need to keep focus on results rather than process Division of labour should not lead to a decrease in health ODA

Use of country systems and health Increased use of budget support Government ownership or democratic ownership? Position Ministry of Health Involvement other stakeholders, including civil society, is key Sector budget support vs general budget support

Predictability of aid and health Predictability critical for the health sector EC MDG contracts International Health Partnership+ Innovative financing mechanisms

Mutual accountability for results and health Accountability mechanisms need focus on results, including human rights, MDGs, and gender equality Accountability towards partner governments and civil society? Common monitoring frameworks IHP+

Alma Ata – Put people at the centre of health care Improve health equity – Universal coverage reform Make health systems people centred – Service delivery reforms Make health authorities more reliable – Leadership reforms Promote and protect the health of communities – Public policy reforms

Next steps EU Report on Financing for Development and the AE Agenda – towards achieving MDGs Follow up Court of Auditors report on EC financing for health Review EU Division of Labour in 2009 – follow up letter Louis Michel OECD DAC assessment implementation AAA in th High Level Forum on AE in 2011

Thank you!