1. Donor Perspective on Aid Effectiveness (a short recap of our commitments)
Mary Cobb
2 February 2011

2. Recap 1: Worldwide Challenges to Health Aid Architecture - Historically
Inadequate funding (country and partner)
Multiplicity of donors and initiatives  fragmentation  overload of countries
Multiple plans, assessments, monitoring approaches, reporting requirements
Donors set priorities, countries not in lead
Weak health systems and human resources
“Vertical” programs fail to build sustainable systems and local capacity
Lack of transparency and accountability
“Health system strengthening investments” not always translated into better health outcomes
Inconsistent attention to RESULTS

3. Recap 2: The Paris Principles (2005)
Countries in the lead (“Ownership”)
Single plan, in context of country development framework
“Alignment” of aid with country priorities, systems, and procedures
“Harmonization” of partner activities to simplify procedures, monitoring, reporting, and information-sharing
Predictability of donor funding (long-term commitments)
Increased national funding
Donors increasingly use government systems for management, financing, procurement
Countries increase systems’ integrity
Mutual accountability

4. What Does the Paris Declaration Commit Us To?
5. Managing for Development Results
Mutual accountability
Ownership
(Partner countries)
Aligning with
partners’
agenda
Using
systems
Partners
set the
Alignment
Harmonisation
Establishing
com
mon
arrangements
Simplifying
procedures
Sharing
information
(Donor —
Partner)
Donor) 1 2 3 4 5

5. Recap 3: Accra Agenda for Action (2008)
U.S. Statement regarding the Accra Agenda:
Though the U.S. is the single largest bilateral provider of foreign assistance, it continues to believe that simply providing increased resources will not, in and of itself, reduce global poverty, eliminate diseases, increase global food security or stimulate economic growth in the developing world.
In addition providing resources for foreign assistance, the U.S. is also firmly committed to improving the quality of its aid in order to maximize development benefits through:
Strengthening partner country ownership of development policies and programs
Promoting more effective and inclusive partnerships
Accountability for resources and results

6. So, where are we now?