1. Donor Coordination: Developing Partnerships in the 21st Century LAC/SOTA March 16, 2001

2. $285.3 $197.7

3. Economic Factors Universality of Capitalism Globalization Tax Payer/Consumer Driven Investment Driven

4. Political Factors End of Cold War Decline of Statism

5. Partnership Persons or organizations working together to achieve a common goal.

6. Types of Partners Bilaterals: (DFID, GTZ, JICA) Multilaterals: (WHO, UNICEF, UNFPA) Host Governments: (Ministries of Health and Finance) Academic Institutions Foundations: (Gates, Packard) U.S. Government Agencies (CDC, NIH, State) Private Sector -Profit: (Proctor & Gamble, Bectin Dickenson) -Non-Profit: (CARE, FHI, Population Council)

7. Characteristics of Successful Partnerships High Level of Commitment Good Communication/Coordination Adequate Funding/Resources Clearly Defined Goals/Shared Vision Clearly Defined Roles of Partners Complimentary Nature of Partnership

8. Impediments to Partnerships Staff turnover Partners have incompatible management structures and procedures Too many partners

9. How could partnership be improved? Develop a concrete, long-term strategy Improve coordination, communication Members devote more time Reflect changing needs and priorities

11. USAID’s Vitamin A Effort (VITA) * Agency-wide initiative launched in late 1997 * Private sector component launched by Mrs. Clinton in March 1999 Goals * 80% of children at-risk will have sufficient vit A * 30% reduction in child deaths in targeted countries Methods (supplementation, food fortification, diet) * Mainstream vitamin A interventions * Scale up effective programs * Develop innovative programs and approaches * Enhance global participation (public/private sector)

12. What we know about Vitamin A Prevents nutritional blindness 23% reduction in child deaths *** - reduction in severity of diarrheal cases - reduction in severity of measles cases 30% fewer malaria-related febrile episodes 45% reduction in maternal mortality in 1 field trial

13. VITA - What’s Happening? Global Vitamin A Effort (not just USAID) 78 countries have vitamin A programs 60 countries link vitamin A with NIDS in 1999 1/2 the children in need worldwide have received at least 1 capsule USAID Vitamin A Activities 12 million at-risk children reached in FY 1999 22 missions support supplement programs (throughCAs,PVOs, others) 12 VITA focus countries 6 missions involved with food fortification activities 4 missions support home/community garden programs 6 missions involved in vitamin A research (global funds)

14. Global Vitamin A Alliance: Partners Donors US Canada United Kingdom Japan Netherlands * International Agencies UNICEF WHO PAHO World Bank Foundations/Institutions Wellcome; Sight and Life; JHU INCAP Developing Countries Pharmaceutical Companies BASF; Roche Vitamins Civic Organizations & PVOs Kiwanis; Lions; Rotary; Sister Cities Mulinational Food Co. Cal Western; Cargill; Kellogg; Land O’ Lakes; Mars; Monsanto; Procter and Gamble; Tate & Lyle Sugar; Unilever; Food Industry Associations US and Canadian Contractors

15. Examples of Joint Activities Sending consistent information on to donor field offices (benefits of adding vitamin A to NIDS) USAID Mission CIDA Field Staff UNICEF Field Office Signing a Global Declaration to Reduce Vitamin A Deficiency Mrs. Clinton and First Lady of the Philippines Director of CIDA Executive Director of UNICEF, WHO Civic Organizations Private Sector CEOs Country level activities Supplementation programs with USAID/CIDA/UNICEF (including CAs/PVOs) Fortification/enhancement efforts with private industry,governments, CAs/PVOs

16. Activities to Maintain Coordination Periodic Conference Calls with Donors -- Hoping to expand to other donors Newsletter distributed bi annually (VITAGRAM) Discus issues at UNICEF Executive meetings, WHO bilateral meetings, bilateral meetings Individual discussions with multinational food producers, ie, Procter & Gamble, Monsanto VITA meetings in Washington JPPC Involvement