Diseases without borders What must the Global Development Community Do?

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Diseases without bordersWhat must the Global
Development Community Do?

• World Bank Seminar Series
• Tawhid Nawaz, Operations Advisor
• Human Development Network

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Slide 1
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Slide 2
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Slide 3 What Must The Global Development
Community Do?

• Since Donors as a group have convening power
  responsibilities include providing both
  coordination of financial assistance as well as
  technical leadership
• - support global governance
• - intervene on key issues to improve systems of
  prevention, control and treatment

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• Slide 4 Attempts to set common goals by the
  international development community
• The Monterrey ConsensusMarch 2002
• - a framework of mutual accountability
• between developing and developed
• countries
• - developing countries to improve their
• policies and governance
• - developed countries to open their
• markets and provide more and better
• aid
• Focus shift from consensus to implementation

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Slide 5 Communicable diseases and global
challenges

• Three main challenges during implementation
• Ensuring the sustained and predictable financing
  required to expand the recurrent cost intensive
  services
• Making sure that resources translate into
  effective service delivery, by improving
  governance and accountability
• Scaling up skilled providers--doctors and
  nurses--needed to rapidly expand health services

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• Slide 6 A major challenge remains progress in
  health outcomes for the poor
• In two-thirds of the countries that have reduced
  child mortality since 1990, outcomes for families
  in the lowest income quintile have improved less
  than for the population as a whole
• However, there are exceptions
• - Mali, Turkey, Egypt, Peru and Cameroon
  achieved faster reductions in child mortality for
  the poorest quintiles

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• Slide 7 Effective Donor strategies for reaching
  the poor in low income countries
• - prioritizing the expansion of services in
• poor and rural regions
• - expanding health care services that
• have a direct impact
• - eliminating user fees for essential health
• services

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Slide 8 Major Global Programs in Health

• Global Fund to Fight AIDS, TB and Malaria
• The Global Alliance for Vaccination and
  Immunization
• The World Banks Multi-Country AIDS Program
• The US Presidents Emergency Plan for AIDS Relief
  
• 70 other global health initiatives

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Slide 9 Donor Contribution on Communicable
Diseases

• HIV/AIDS
• Financing, research and global advocacy for
  HIV/AIDS have increased significantly
• Commitments for HIV/AIDS prevention and treatment
  programs jumped from less than 400 million in
  the late 1990s to an estimated 6 billion in 2005
• Faster progress for harmonizing donor aid at the
  country level and implementing the Three Ones
  principle one strategy, one implementation
  agency, one monitoring and evaluation system
• Impact by 2003, 80 of public spending on
  HIV/AIDS in low-income countries was financed by
  external grants

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• Slide 10 Donor Action on Malaria
• Global funding has quintupled in the past few
  years, from 120 million to 570 million, thanks
  largely to the Global Fund to Fight AIDS,
  Tuberculosis and Malaria
• The Roll Back Malaria effort global framework
  for intensified progress
• Donor action needed on technical issues
• - increase use of bednets
• - new and more expensive treatment for vector
  control and drug resistance
• As much as 1 billion or more each year is needed

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• Slide 11 Major Achievements
• Raising global awareness
• Stimulating new drug and vaccine research
• Making aid for health pro-poor
• More Challenges
• Verticalization of health sector support
  through diverse, specialized global initiatives
  is having adverse impacts
• Donor support needed to organize country-led
  health strategies for all communicable disease
  priorities
• Donors need to view themselves as partners

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• Slide 12 CONCLUSIONS
• Many low-income countries rely heavily on
  development assistance (ODA). The international
  development community needs to focus on
• building country capacity and promoting 13the
• development and use of country systems
• strengthen partnerships and harmonize
• aid
• strengthen the focus on results
• ensure the flexibility and predictability of aid
  flows