PRACTICAL GUIDE FOR THE IMPLEMENTATION OF THE AU ROADMAP FOR SHARED

RESPONSIBILITY AND GLOBAL SOLIDARITY FOR AIDS, TB AND MALARIA

SABELO MBOKAZI -AUC8TH NOV 2013

ADDIS ABABA, ETHIOPIA

Heads of State and Government (Africa-

wide)

AWA Champions

AWA Consultative Experts Committee

(MS)

AWA Secretariat

AWA Chairperson - EthiopiaAWA Vice Chairperson - Mozambique

East AfricaTanzania

North AfricaTunisia Southern Africa

Malawi West Africa Cote d’lvoire

Central Africa Gabon

Brief Background: AU Roadmap on Shared

Responsibility and Global Solidarity 2012 -2015

The Roadmap presents a set of practical African-sourced solutions for enhancing Shared Responsibility and Global Solidarity for AIDS, TB, and Malaria responses in Africa.

The overarching goal of the AU Roadmap is to support African countries to exercise leadership to meet AIDS, TB, malaria targets by 2015 and source African solutions to ensure universal access to health-related services for all those in need on a sustainable basis. The AU Roadmap builds on a number of AU initiatives (e.g. Abuja Declaration)

This practical guide has been developed to assist the, the African Member States, RECs and other relevant stakeholders to implement the AU Roadmap.

The solutions are organised around three strategic pillars:

AU Roadmap Three Pillars

1More diversified,

balanced and sustainable financing

models

2Access to medicines

– local production and regulatory harmonisation

3 Leadership, governance

and oversight for sustainability

Purpose & Audience

PurposeTo provide practical suggestions for implementing the agreed AU Roadmap in order to achieve rapid results in

reducing the burden of AIDS, TB and Malaria developing mechanisms to sustain national, regional and

continentatal programmes for the three diseases.

AudienceAU MS governments, development and non-state partners (CSOs, FBOs, NGOs, etc), RECs and AU bodies (NEPAD, APRM,PAP)

ARCHITECTURE FOR AU ROADMAP PRACTICAL GUIDE

PILLAR NO. 1

Level Action

National • Analyzing the costs of the three diseases• Develop a sustainable financial plan based on evidence based

strategies• Building a picture of ‘returns on investment’• Identify innovative sources of domestic funding (see examples in

Guide)• Work with development partners to ensure they meet their funding

commitments

Regional • Facilitate sharing of ideas and lessons learned on diversifying and innovating funding

Continental • Monitor and report on progress of member states on biennial basis

ARCHITECTURE FOR AU ROADMAP PRACTICAL GUIDE PILLAR NO. 2

Level Action

National • Promote and facilitate investing in leading medicines (e.g ARVs, ACTs, TB.) and health commodities (e.g. LLINs, insecticides) manufacturers in country.

• Develop in-country essential skills in manufacturing and management

• Create an enabling regulatory environment within country in order to reduce import tariffs and harmonize regulatory requirements with other countries in the region

• Create a legislative environment that incorporates the full use of TRIPS flexibilities

ARCHITECTURE FOR AU ROADMAP PRACTICAL GUIDE PILLAR NO. 2 CONT…

Level Action

Regional

• Undertake functions as defined in African Medicines Regulatory Harmonisation (AMRH) initiative and Pharmaceutical Manufacturing Plan for Africa (PMPA) business plan in the region

• Work to identify leading companies that can be supported to build their capacity so become quality assured pharmaceutical and commodities (e.g. LLINs) manufacturers in the region for core drugs for the three diseases.

• Support countries in the region to understand flexibilities under TRIPS and how to maximize these to the benefit of domestic markets

• Create a platform for dialogue between the key stakeholders on the implementation of medicines regulatory harmonization plans and sharing best practice;

• Dialogue with and advocate for national governments to create conducive business environments, reduce tariffs and other trade barriers within the sub-regions.

• Increasing economies of scale and bargaining power through joint procurement and price negotiations.

• Once regional production is consistently available, advocate for purchase of regionally produced medicines and commodities by country public health systems

ARCHITECTURE FOR AU ROADMAP PRACTICAL GUIDE PILLAR NO.2 CONT…

Level Action

Continental

• Advocate at high levels in all member states for sustained attention and investment in pharmacy and commodity manufacturing and regulatory harmony, including through continued support for PMPA and AMRH

• Establish a Pharma Market Data Initiative• Lay the foundations for a single African regulatory

authority• URGENTLY advocate at a global level for continuation

of TRIPS flexibilities

ARCHITECTURE FOR THE AU ROADMAP PRACTICAL GUIDE PILLAR NO. 3

Level Action

National

• Understand the scale of the three diseases• Use existing reviews of disease programme governance

and management arrangements to determine where capacity exists to drive forward achieving AU Roadmap objectives

• Develop evidence based, well costed, sustainable national strategies using inclusive processes that prioritise how national resources will be committed over the next five to ten years

• Develop investment cases to draw in increased funding based on priorities from strategy

• Examine where efficiency and effectiveness can be gained by better pooling or integration of governance and management arrangements for disease programmes

• Develop strategy for engaging people living with HIV, civil society, key populations, national human rights entities and parliamentarians as partners in implementation and oversight of the Roadmap

• Determine responsibility and accountability for oversight and reporting on Roadmap progress

ARCHITECTURE FOR AU ROADMAP PRACTICAL GUIDE PILLAR NO. 3 CONT…

Level Action

Regional • Facilitate regional multi-stakeholder (including civil society) peer review of Roadmap implementation, including review of national strategies, investment cases, governance arrangements, adherence to human rights agreements and drug regulatory policies and frameworks

• Organise annual regional forums to share experiences and best practices on achieving Roadmap targets

ARCHITECTURE FOR THE ROADMAP PRACTICAL GUIDE PILLAR NO. 3 CONT…

Level Action

Continental • Put in place biennial reporting on AU Roadmap Implementation progress against indicators, starting with reporting at the AU Summit in 2014.

• Monitor the degree to which both AU member state governments and development partners are meeting their funding commitments

• Agree with African Peer Review Mechanism the inclusion of indicators on leadership, governance and oversight for the AU Roadmap within the self-assessment form and peer review process.

• Set up an AU award to go those countries with highest achievement as far as progress towards reaching AU Roadmap targets.

REVIEW & VERIFICATION OF INDICATORS

PLEASE REFER TO THE INDICATORS CHEDULE PROVIDED

Milestones: Presented to AIDS Watch Africa (AWA) Consultative Experts Committee (April 2013) Referred to AUC for review (April 2013) HIV/AIDS, TB and Malaria for made inputs (May – Oct, 2013) Review, verification and finalisation (Nov 2013)