DEVELOPMENT PARTNERS GROUP DPG SPECIAL BRIEFING SESSION ON HIV

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DEVELOPMENT PARTNERS GROUP (DPG)SPECIAL
BRIEFING SESSION ON HIVAIDS

• 5 OCTOBER 2006

By DPG AIDS
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Why a special meeting on AIDS?

• AIDS remains a leading health, social and
  economic problem affecting growth, quality of
  life and social well-being.
• AIDS will need for the coming decades continued
  attention and support by the government of
  Tanzania and the development partners
• International attention on AIDS is high at the
  moment -, but we need longer lasting sustainable
  strategies
• With out addressing AIDS adequately future
  development of Tanzania's population is seriously
  constrained

By DPG AIDS 2
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Objectives of the special briefing session

• To share progress made so far and priorities for
  2006/2007
• To share issues around HIV AIDS funding and
  longer term commitment
• Highlight issues for further discussions and
  strategizing
• Receive comments/advise of way forward

By DPG AIDS 3
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Some facts
gt 1.5 Million Living with AIDS
Younger women - Higher risk
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Macroeconomic effects of AIDS

• The net effect of the epidemic on per capita GDP
  growth is negative possibly substantial.
• Calculations have suggested that the rate of
  economic growth has fallen by 2-4 in sub-Saharan
  Africa as a result of AIDS
• HIV/AIDS may reduce Tanzanias GDP by 2010 by
  15-25 compared to a no-AIDS scenario
• Per capita income might be reduced by up to 10
• HIV/AIDS affects labour supply, skills and
  productivity in all sectors of the economy
  leading to profound negative impacts on the
  overall economy

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JOINT NMSF REVIEW (March 2006)

• 2nd review since establishment of the National
  Multisectoral Framework on AIDS and the MoU
  signed by all DPs
• Preceded by a mid-term evaluation of the NMSF
• Technical and main review attended by an
  important number of stakeholders including
  representatives of civil society
• Aim to review progress and chart way forward in
  the fight against AIDS

By DPG AIDS 6
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JOINT REVIEW Achievements

• Increased awareness
• Top level government commitment
• Rising funding from16 (2002/03)381(2005/06)
  Bio.TShs.
• MoU between Gov.and Dps, TNCM
• National Advocacy and Comm. Strategy
• Establishment of RFAs,CMACs to enhance districts
  comprehensive planning
• Effective mobilization of the Private sector
• Process to mainstream AIDS into MDAs
• Implementation of the Care and Treatment Plan

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JOINT REVIEW- IssuesI.Resource and funding
Sources of Finance
Multilateral and Bilateral Donors
Funding Foundations
Government
Local Government
Private Sector
Civil Society
Central Government MDAs
By DPG AIDS 8
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JOINT REVIEW- issues Capacity Dev. and
tech.Assistance

• Low capacity especially in implementation at
  district level
• Public Sector response still low
• Human Resource crisis in the health sector is
  critical
• Achieving set targets has been a problem
• Capacity of TACAIDS to provide TA limited
• Pooled Technical Assistance Fund (TAF) aborted

By DPG AIDS 9
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JOINT REVIEW - issues Coordination and Leadership

• Three ones in place
• TACAIDS, one coordination structure
• NMSF, one strategic framework
• ME, one ME system (under development)
• High commitment by government leaders
• But
• Lack of sense of urgency and commitment in middle
  management of MDAs
• Cooperation between TACAIDS and key MDAs (health,
  education) could be further improved

By DPG AIDS 10
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JOINT REVIEW - issues Accountability, ME and
quality assurance

• Commitment accountability
• Quality assurance
• Resource tracking capacity low
• ME System not yet functioning

By DPG AIDS 11
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JOINT REVIEW- issues Sustainability and ownership

• 90 of all HIV AIDS funds are from DPs
• Human resources crisis and capacity issues
  challenge sustainability of strategies and
  activities
• High commitment of GoT lead not yet translated
  into ownership within government machinery
• high sense of readiness at community level not
  tapped due low ownership and capacity by leaders
  at different levels

By DPG AIDS 12
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GBS Review Quality of AIDS review dialogue

• Satisfactory
• Regular bi-annual stakeholder meeting, plus
  bi-monthly joint meetings TACAIDS - DPGAIDS
• wide range of stakeholders,
• high degree of ownership and leadership by GoT
  (TACAIDS)

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GBS Review areas of good performance

• increased public awareness
• high-level commitment
• CMACs in all LGAs, RFAs in place
• 1050 CSOs receive funding
• effective mobilization of private sector
• HIV is mainstreamed in the National Budget
• Successful (external) fundraising
• National Care and treatment program has enrolled
  103,036 patients and 49,315 have started ARV
  treatment

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GBS Review ISSUES / CHALLENGES

• predictable funding beyond 2008 not secured
• Human resources crisis in the health sector
• Coordination of some major support remains
  difficult (GFATM, PEPFAR)
• Commitment of MDAs, sense of urgency
• Low capacity of LGAs
• Conservative Gatekeepers hamper
  (unconventional) approaches in reaching various
  target population with IEC messages

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DPG AIDS priorities in line with milestones set
for 2006/07

• Long term resource mobilization
• Support formulation of the next NMSF (2007
  2012) by June 2007
• Acceleration of Prevention
• Strengthened Technical Support

By DPG AIDS 16
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Issues for further discussion

• Funding Predictability and Sustainability
• How do we ensure DPs long term financial
  commitment?
• How to improve efficiency of funding?
• How can Global Initiatives / Funds better be
  integrated into the JAS respectively Exchecer
  System?
• Technical Assistance Coordination
• How to improve a needs / demand driven technical
  assitance strategy with TACAIDS, NACP and other
  key MDAs
• How to better harmonize DPs TA in the area of
  AIDS?

By DPG AIDS 17