1. 1 NEPAD HEALTH STRATEGY & AFRICAN HEALTH POLICY UNSW SPHCM Presentation January 2006 Eric Buch Health Policy and Management, UP Health Adviser, NEPAD eric.buch@up.ac.za

2. 2 DEVELOPMENT’S NEPAD Adopted by the African Union (AU) as its strategy for development of Africa and by the UN, G8, EU, WSSD backing Countries, RECs key implementers NEPAD Secretariat a facilitator Closer integration with AU

3. 3 PRIMARY OBJECTIVES: NEPAD Accelerate eradication of poverty in Africa and inequality with the developed world Place African countries on a path of sustainable growth and development Halt marginalisation of Africa in the globalisation process Accelerate empowerment of women

4. 4 UNIQUE FROM NEPAD? Africa determined and driven Internationally positioned Presidents personal involvement Presidents adopt policies, commit countries Peer review process Potential to mobilise resources  facilitate, mobilise, enable, leverage, commitment  Support from UN agencies esp WHO  Effective development partnerships  Implementation lead agents Shift towards projects

5. 5 HEALTH STRATEGY After consultation and African peer review Adopted by Africa’s Health Ministers and the AU

6. 6 BASIS OF THE STRATEGY A huge burden of preventable & treatable disease for which the response is growing, but which needs massive scaling up. Africa is not on track to meet goals and targets

7. 7 REASONS FOR THE BURDEN  Continued poverty & marginalisation  Health systems unable to support  Disease control programmes not to scale  Lack of safety in pregnancy & childbirth  People not sufficiently empowered  Insufficient resources

8. 8 STRATEGIC DIRECTIONS Intersectoral factors through NEPAD Comprehensive integrated approach  Enhancing stewardship, multi-sectoral  Build secure health systems & services  Scaling up disease control programmes  Strengthen programmes re childbirth  Empower individual action for health  Mobilise sufficient sustainable resources Equity is a golden thread Country and region specific

9. 9 INITIAL PROGRAM OF ACTION To set the foundation for the medium term and address urgent and relatively neglected matters A set of 35 projects

10. 10 INITIAL PROGRAM OF ACTION low transaction costs, good economies of scale, branded Foundation building programme according to country identified priorities from the IPOA CFA supports US$7b over 5 years i.e ~US$ 30m/country/annum 85% to countries against their plans, 15% to continental support WHO Afro and others ready to be implementation partners

11. 11 INITIAL PROGRAM OF ACTION  Observatory, HS and HRH  International agreement on recruitment  Technical capacity of Ministries of Health  Local demonstration districts in all countries  Fund to support innovations and new developments  Rural clinic infrastructure – communication  Trypanosomiasis  Public broadcasters for health

12. 12 OTHER AFRICAN HEALTH POLICIES  AU Heads of State Summit January 05  AU Health Ministers, WHO Regional Committee  World Bank PRSPs, Africa Health Strategy  WHO Afro Five year plan  National plans  Abuja Declarations  Global Health Initiatives

13. 13 DONOR FUNDING  Recognising Africa lacks fiscal space  Promises have not been kept  Growing commitment, responsiveness but well short of US$20bn required  CFA seeks doubling, US$10 billion extra  Various proposals for sourcing funding  G8 avoids amounts, measurabality  Priorities not clear if not fully funded  African Partnership Forum – Joint “Plan”  Africa not to reduce own spend

14. 14 ARCHITECTURE OF FUNDING  Emerging moves from short-term parallel projects to support for core budget funding and Paris on Harmonisation  How much absorption vs architecture?  Are there risks with core cf sectoral?  What about fragile, problematic states?  Potential for pooling and African say  Where do GHI’s fit in?