The International Health Partnership and Related Initiatives IHP

The International Health Partnership and Related Initiatives (IHP+) XVII International AIDS conference, Mexico City Financing for Sustainable National Health Care 06 August 2008 Dr Carissa Etienne 1 Assistant Director-General Health Systems and Services

Investment in health: insufficient Dr Carissa Etienne 2 Assistant Director-General Health Systems and Services

International funding: unpredictable Dr Carissa Etienne 3 Assistant Director-General Health Systems and Services

Support to countries: inefficient GTZ Norad USAID CIDA RNE Sida CF PEPFAR GFATM CCM WHO UNAIDS WB T-MAP DAC HSSP UNICEF GFCCP NCTP CIVIL SOCIETY PMO PRSP MOEC SWAP NACP LOCALGVT MOF UNTG MOH INT NGO 3/5 CCAIDS CTU PRIVATE SECTOR Dr Carissa Etienne 4 Assistant Director-General Health Systems and Services

Development Partners and Country Government Compact development process Country Health Plan and Budget HIV/AIDS Malaria MNCH TB HRH Validation/Appraisal Process Agreement on Country Compact Negotiation of Country Compact Implementation of Country Compact Monitoring & Reporting Process Performance Benchmarks Results Framework Aid Modality Policy Matrix Dr Carissa Etienne 5 Assistant Director-General Health Systems and Services

Compact Timelines* *Estimated Mali compact drafted Ethiopia compact drafted APR 08 Nepal and Mozambique are being drafted Nepal and Zambia compacts signed Ethiopia compact signed JUL 08 Mali compact signed Mozambique compact signed AUG 08 SEP 08 OCT 08 NOV 08 Madagascar and Burundi compacts signed MAR 09 Dr Carissa Etienne 6 Assistant Director-General Health Systems and Services

IHP+ Inter-agency Work • Compact Guidance Note – building on country experiences • Civil Society Engagement – critical for transparency and accountability • Validation & Appraisal of Plans – developing common, country-based options for all donors • Monitoring and Evaluation – use common national M&E frameworks by all national and global partners • Annual External Reviews – to monitor mutual accountability and commitments agreed in compacts Dr Carissa Etienne 7 Assistant Director-General Health Systems and Services

Challenges and Expectations • Increase predictable financing and reduce transaction costs to countries • Adhering to existing commitments, e. g. Universal Access for HIV/AIDS prevention, care and treatment, and targets for TB, malaria, and maternal, newborn, and child health • Strengthen the functioning of country teams • Promote a primary health care approach to health systems strengthening Dr Carissa Etienne 8 Assistant Director-General Health Systems and Services

Conclusions • The International Health Partnership (IHP+) provides the opportunity: – To attract more predictable financing to health; – To improve the impact of collective efforts; – To expand the successes of HIV+ activism to the whole health sector; – To strengthen the response to HIV/AIDS and chronic care. Dr Carissa Etienne 9 Assistant Director-General Health Systems and Services

Thank You! Dr Carissa Etienne 10 Assistant Director-General Health Systems and Services