OVERVIEW OF NEPAD INSTRUMENTS AND PEER REVIEW MECHANISMS: KEY CHALLENGESOPPORTUNITIES AND WORK WITH

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OVERVIEW OF NEPAD INSTRUMENTS AND PEER REVIEW
MECHANISMS KEY CHALLENGES/OPPORTUNITIES AND WORK
WITH RECsHIV and AIDS, TB, MalariaActivities,
Opportunities, Challenges

• Inter Agency Meeting on Co-ordination/Harmonisatio
  n
• of HIIV and AIDS, TB and Malaria Strategies
• November 2006
• Addis Ababa
• Eric Buch
• Health Adviser, NEPAD
• eric.buch_at_up.ac.za

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Niche of the continental level

• Effective policies and strategies
• Harmonise all elements of the fight
• Achieve economies of scale
• Build collaboration
• Share learning
• Enable peer accountability
• African influence / common positions
• Strong continental voice
• ? How effectively are each leveraged?

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Common continental themes

• Access to prevention ARV treatment
• Affordable commodities, medicines
• Health systems and human resources
• Gender and human rights
• Political leadership and advocacy
• Resource mobilisation including own funds
• Monitoring and evaluation
• ?How well are we covering these?

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NEPAD Instruments

• As a programme of the AU
• Countries and RECs
• Heads of State Implementation Committee (HSGIC),
  Steering Committee
• Secretariat, Continental strategies
• African Peer Review Mechanism
• Gender, Civil Society Task Forces
• African Capacity, Centres of Excellence,
  Knowledge Institutions
• African Partnership Forum, donors

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HSGIC and Steercom

• 20 Heads of State 5x4
• Steercom of personal reps of HoS
• HSGIC Reports to AU Summit
• African determined and driven agenda
• Consistent personal involvement
• Adopt strategies/ commit countries
• Africa Action Plan
• Country follow through

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Secretariat

• Phases
• African positions/strategies secretariat
• Advocacy, support
• Implement projects reflecting niche
• Mainstreaming
• Global Fund
• NACs
• Too small secretariat, budget

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Continental Strategies

• AU/NEPAD Health Strategy
• Enhancing stewardship, multi-sectoral
• Build secure health systems services
• Scaling up disease control programs
• Strengthen programs re childbirth
• Empower individual action for health
• Mobilize sufficient sustainable resources
• Countries keen to implement NEPAD
• 5 Year review and to CAMH3
• Capacity to enable incorporation

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Health Strategy

• Enhance prevention/promotion HIV programmes, in
  particular peer education for vulnerable groups
  and those targeting youth.
• Advocate for, support provision of affordable
  anti-retrovirals treatment of opportunistic
  infections in persons living with AIDS
• Support expansion of services for voluntary
  counselling testing.
• Support scaling-up of prevention treatment of
  STIs
• Support initiatives that increase access to
  improve quality of DOTS services, such as
  community based DOTS, collaborative TB/HIV/AIDS
  activities and public-private partnerships
• Develop regional strategies to mobilise human,
  financial resources ensure uninterrupted supply
  of affordable anti-TB drugs
• Facilitate financing, procurement distribution
  of effective malaria control interventions, such
  as artemisinin derivatives, insecticide treated
  nets and insecticides, to reach vulnerable
  populations.

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APRM

• 20 countries signed up, 9 reviews
• Positioning and credibility
• Thin on health inc ATM, focus on governance

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Gender, Civil Society Task Forces

• Established in 2006, evolving role
• Strong interest in gender and AIDS
• Build a useful niche role

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Knowledge Institutions / C o E

• Grow African Capacity, Knowledge Institutions,
  Centres of Excellence
• Memoranda of Understanding, Collaboration
• Add a unique element to the Fight against ATM
• Nurturing development, sustainable funding,
  co-ordinate and incorporate effort

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APF, G8, Dev Partners

• African Partnership Forum of personal
  representatives of NEPAD and major donor Heads of
  State
• Meets bi-annually
• AIDS in 2004 overall, 2006(i) on bottlenecks
  2006 (ii) review of action
• Infectious diseases in 2006 (ii)
• Niche role, Annual monitoring
• Follow-up
• Regular inputs to G8, Development Partners
• Commission for Africa
• Protecting the health slice

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• There is much scope for African continental and
  regional bodies to accelerate the Fight Against
  AIDS, TB and Malaria.
• The challenge is for us to effectively harmonise
  and co-ordinate our efforts and best deliver our
  niche contributions, mobilising support from and
  working collaboratively with government, civil
  society, partners and agencies.
• NEPAD is ready to play its part