UNDP Regional Bureau for Africa MDG-based UNDP Regional Bureau for Africa MDG-based national Development Planning Training Workshopnational Development Planning Training Workshop

HIV/AIDS AssessmentsHIV/AIDS Assessments

Dar Es SalaamDar Es SalaamFebruary 27 - March 3, 2006February 27 - March 3, 2006

Dr. Joe Annan, HIV/AIDS Group, BDPDr. Joe Annan, HIV/AIDS Group, BDP

Changing Global Architecture around Changing Global Architecture around AIDS and developmentAIDS and development

GTT = GTT = Global Task Team on improving AIDS coordination among Global Task Team on improving AIDS coordination among multilateral institutions and international donorsmultilateral institutions and international donors

MDGs as the Framework for AIDS MDGs as the Framework for AIDS responseresponse

UNGASS Commitments UNGASS Commitments

UN System ReformUN System Reform

2005 World Summit outcomes2005 World Summit outcomes

GTT recommendations (1)GTT recommendations (1)

Recommendations 1.1Recommendations 1.1: Countries develop : Countries develop annual annual priority AIDS action plans that drive priority AIDS action plans that drive implementationimplementation, improve oversight, emphasize , improve oversight, emphasize results.......results.......

Recommendation 1.2: Recommendation 1.2: - Countries ensure that - Countries ensure that their their macroeconomic macroeconomic and and public expenditurepublic expenditure frameworks support and appropriately prioritize frameworks support and appropriately prioritize the the implementationimplementation of national AIDS action of national AIDS action frameworks and annual priority AIDS action frameworks and annual priority AIDS action plans. …...plans. …...

GTT recommendations (2) GTT recommendations (2)

Recommendation 2.1Recommendation 2.1: Multilateral institutions and : Multilateral institutions and international partners commit to working with national AIDS international partners commit to working with national AIDS coordinating authorities to align their support to national coordinating authorities to align their support to national strategies, policies, systems, cycles, and strategies, policies, systems, cycles, and annual priorityannual priority AIDS AIDS action plans. action plans.

Recommendation 3.1Recommendation 3.1: The UN Secretary-General instruct : The UN Secretary-General instruct the UN Resident Coordinator to establish, in collaboration with the UN Resident Coordinator to establish, in collaboration with the UN Country Team, a joint UN team on AIDS – facilitated the UN Country Team, a joint UN team on AIDS – facilitated by the UNAIDS Country Coordinator – that will develop a by the UNAIDS Country Coordinator – that will develop a unified UN country support programme on AIDSunified UN country support programme on AIDS within the within the national planning framework.national planning framework.

Recommendation 3.2Recommendation 3.2: The multilateral system establish a : The multilateral system establish a joint UN system-Global Fund problem-solving team that joint UN system-Global Fund problem-solving team that supports efforts to address implementation bottlenecks at supports efforts to address implementation bottlenecks at country level.country level.

UNAIDS technical support division of labourUNAIDS technical support division of labour

UNDP lead organization for :UNDP lead organization for :

HIV and AIDS, development planning, HIV and AIDS, development planning, governance and mainstreaming, including governance and mainstreaming, including instruments such as PRSPs and enabling instruments such as PRSPs and enabling legislation, human rights and genderlegislation, human rights and gender

Main partnersMain partners

ILO, UNAIDS Secretariat, UNESCO, UNICEF, WHO, World Bank, ILO, UNAIDS Secretariat, UNESCO, UNICEF, WHO, World Bank, UNFPA, UNHCRUNFPA, UNHCR

UNDP HIV/AIDS Focus AreasUNDP HIV/AIDS Focus Areas

1 - HIV/AIDS and Human Development1 - HIV/AIDS and Human Development

2 - Governance of HIV/AIDS Responses2 - Governance of HIV/AIDS Responses

3 - Human Rights, Gender and HIV/AIDS3 - Human Rights, Gender and HIV/AIDS

Joint UNDP/UNAIDS/ WB initiative on Joint UNDP/UNAIDS/ WB initiative on

AIDS and PRSPsAIDS and PRSPs

Ensure appropriate guidance material is available for Ensure appropriate guidance material is available for

Integrating AIDS in development instruments and Integrating AIDS in development instruments and

PRSPs  PRSPs 

Enhance the participation of HIV/AIDS stakeholders in Enhance the participation of HIV/AIDS stakeholders in

the PRSP  process and  establish roles and the PRSP  process and  establish roles and

accountabilities  accountabilities 

Improve implementation modalities of HIV/AIDS in Improve implementation modalities of HIV/AIDS in

PRSPs, and linkages to other development frameworks. PRSPs, and linkages to other development frameworks.

Roll-out Roll-out

Joint missions by AIDS specialist and Joint missions by AIDS specialist and macroeconomist in 7 countries: macroeconomist in 7 countries: Ethiopia, Ghana, Ethiopia, Ghana, Mali, Rwanda, Senegal, Tanzania and ZambiaMali, Rwanda, Senegal, Tanzania and Zambia

Johannesburg meeting: for experience: country follow-Johannesburg meeting: for experience: country follow-up activities (CFA) plans developed UNDP US$ up activities (CFA) plans developed UNDP US$ 80,000 per country teams for implementation80,000 per country teams for implementation

Issues tackledIssues tackledBi-directional relationship of AIDS and poverty Bi-directional relationship of AIDS and poverty Coordination of responseCoordination of responseStrengthening participation Strengthening participation What capacities are required? What capacities are required? Monitoring and evaluation Monitoring and evaluation

ChallengesChallengesNeed for alternative scenarios for AIDS Need for alternative scenarios for AIDS /PRSP and MTEF/PRSP and MTEFTools for integration? PRSP HandbookTools for integration? PRSP HandbookLinking MDG based PRSPs to National Linking MDG based PRSPs to National development plansdevelopment plansHarmonization and alignment (projects) at Harmonization and alignment (projects) at country levelcountry levelComprehensive costing of AIDS was not Comprehensive costing of AIDS was not seen as a critical issue in PRSPsseen as a critical issue in PRSPs

Estimating HIV/AIDS resources needsEstimating HIV/AIDS resources needs

UNAIDS Secretariat conducted resource needs for UNAIDS Secretariat conducted resource needs for longer term investmentslonger term investments

US$ 15 billion 2006, 18 billion 2007, 22 billion, 2008 US$ 15 billion 2006, 18 billion 2007, 22 billion, 2008

Prevention: comprehensive response by 2010Prevention: comprehensive response by 2010

Treatment and care: 75% of 6.6 million people with Treatment and care: 75% of 6.6 million people with access to ART by 2008access to ART by 2008

OVC: cover all OVC in SSA + othersOVC: cover all OVC in SSA + others

Programme costs, 1000 new health centers by 2010Programme costs, 1000 new health centers by 2010

Human resources: costs of additional medical staff Human resources: costs of additional medical staff

AIDS resource needs (US$ billion)UNAIDS 2005

2006 2007 2008

Prevention 8.4 10.0 11.4 29.8

Treatment and care 3.0 4.0 5.3 12.3

OVC 1.6 2.1 2.7 6.4

Program costs 1.5 1.4 1.8 4.7

Human Resources 0.4 0.6 0.9 1.9

Totals 14.9 18.1 22.1 55.1

ModelsModels

Costing Guidelines for HIV Prevention Costing Guidelines for HIV Prevention Strategies (2000)Strategies (2000)

Report of the Commission on Report of the Commission on Macroeconomics and Health, WHO (2001)Macroeconomics and Health, WHO (2001)

Futures Group Model (2001)Futures Group Model (2001)

Cape Town Antiretroviral Costing Model Cape Town Antiretroviral Costing Model (2004)(2004)