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MEETING OF MINISTERS OF HEALTH AND FINANCE ON DOMESTIC FINANCING FOR HEALTH

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MEETING OF MINISTERS OF HEALTH AND FINANCE ON DOMESTIC FINANCING FOR HEALTH AU Roadmap on Shared Responsibility and Global Solidarity for AIDS, TB and Malaria ... – PowerPoint PPT presentation

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Title: MEETING OF MINISTERS OF HEALTH AND FINANCE ON DOMESTIC FINANCING FOR HEALTH


1
MEETING OF MINISTERS OF
HEALTH AND FINANCE ON DOMESTIC FINANCING FOR
HEALTH
  • AU Roadmap on Shared Responsibility and Global
    Solidarity for AIDS, TB and Malaria response in
    Africa (2012-2015)
  • Dr. MARIE-GORETTI HARAKEYE
  • African Union Commission

2
Background
  • African leaders demonstrated strong commitment to
    stop HIV/AIDS, TB and Malaria as exemplified by
    several continental, regional and international
    decisions and commitments
  • AU Commitments on AIDS, TB, Malaria (2000, 2001,
    2006, 2010, 2013)
  • Efforts were intensified and partnerships
    increased as a result significant progress has
    been recorded, the triple challenge is abating
  • January 2012 Decision on the revitalization of
    AIDS WATCH AFRICA African High Level Advocacy
    Accountability Platform to Combat HIV/AIDS, TB
    and Malaria
  • AWA targets expanded to include TB and Malaria,
    continent-wide
  • (AU) Assembly Decision No Assembly/AU/Dec.413
    (XVIII), requested the African Union Commission
    (AUC) to work out a roadmap of shared
    responsibility to draw on African efforts for a
    viable health funding with support of traditional
    and emerging partners to address AIDS dependency
    response

3
AU Roadmap Principles and goal
  • The Roadmap presents a set of practical
    African-sourced solutions for enhancing Shared
    Responsibility and Global Solidarity for AIDS,
    TB, and Malaria responses in Africa.
  • The overarching goal of the AU Roadmap is to
    support African countries to exercise leadership
    to meet AIDS, TB, malaria targets by 2015 and
    source African solutions to ensure universal
    access to health-related services for all those
    in need on a sustainable basis. The AU Roadmap
    builds on a number of AU initiatives (e.g. Africa
    Health Strategy and Abuja Declaration)

4
The Roadmap three action pillars
1 More diversified, balanced and sustainable
financing models
3 Leadership, governance and oversight for
sustainability
2 Access to medicines local production and
regulatory harmonisation
Priority actions
  • Invest in leading medicines manufacturers
    focusing on AIDS, TB and malaria
  • Lay foundations for a single African regulatory
    agency
  • Acquire essential skills through technology
    transfers and south-south cooperation
  • Incorporate TRIPS flexibilities and avoid
    "TRIPS-plus" measures in trade agreements
  • Use strategic investment approaches for scale-up
    of basic programmes
  • Support communities to claim their rights and
    participate in governance of the responses
  • Ensure investments contribute to health system
    strengthening
  • Mobilise leadership at all levels to implement
    the Roadmap
  • Develop financial sustainability plans with clear
    targets
  • Ensure development partners meet commitments and
    align with Africas priorities
  • Maximise opportunities to diversify funding
    sources and increase domestic resource allocation

5
Key High Level Meetings related to the AU
Roadmap
  • July 2012 Ministerial dialogue on value for
    money on sustainability and accountability with a
    call to reduce aid dependency
  • September 2012 The UNGA high level side event in
    September 2012 event generated broad political
    consensus around a novel approach to development
    cooperation to support implementation of the AU
    Roadmap and to achieve, by 2015, the MDGs
    targets .
  • 29 November 2012 The United States upheld their
    commitment to the Shared Responsibility-Global
    Solidarity agenda for AIDS PEPFAR Blueprint
    launch Creating an AIDS-free Generation.
  • May and July 2013 AWA Action Committee meeting
    of HSOG and the Abuja AU Special Summit.

6
Diversified, balanced and sustainable financing
  • Most African countries have recognized the need
    to diversify and expand the sources of funding
    for health generally and for HIV responses
    specifically to reduce their dependence on a few
    external funders.
  • Measures taken include quantifying the
    country-level funding gap (eg. financial gap
    analysis for malaria for 2013 2016 done by all
    malaria endemic countries), identifying policy
    options to increase resources, increased
    financial commitment by the private sector and
    inclusion of health, malaria and HIV services in
    different forms of health insurance and other
    health financing schemes.
  • Member States encouraged to develop financial
    investment plans for health, including AIDS, TB
    and Malaria, showing how national programme costs
    will be covered with domestic and external
    funding and annual increases in share of domestic
    funding

7
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8
Key suggested actions for Pillar 1
Level Action
National Level Analyzing the costs of the three diseases Develop a sustainable financial plan based on evidence based strategies Building a picture of returns on investment Identify innovative sources of domestic funding Work with development partners to ensure they meet their funding commitments
Regional Level Facilitate sharing of ideas and lessons learned on diversifying and innovating funding
Continental Level Monitor and report on progress of member states on biennial basis
9
Commitment by the HOSG for Global Fund
Replenishment
  • There was strong support from Heads of State
    Champions (Nigeria, Tanzania, Kenya, South
    Africa, Senegal, Côte dIvoire, Ghana, Rwanda,
    Malawi, Liberia, Ethiopia, Mozambique) who have
    called for a fully-funded Global Fund
    replenishment at bilateral meetings with donor
    Heads of State, at international events (TICAD V,
    May 2013 AU Summit (AWA), Abuja 12 Special
    Summit), UNGA and in their communication with
    donors.
  • The Heads of State and Government through the
    renewed commitments of Abuja Declaration 2013
    urged all stakeholders to take action in support
    of achieving the USD fifteen (15) billion
    replenishment target of the Global Fund In this
    context, call upon Development Partners to adhere
    to the 0.7 target of GDP for the contribution to
    the Global Fund to fight AIDS, TB and Malaria

10
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11
Scanning the environment Health Financing
  • GF Priority has to be given to Global burden of
    HIV/AIDS, TB and Malaria, as well as the ability
    to pay.
  • Even if countries provide the maximum fair
    share domestic financing of their Health
    especially ATM programs, many of them,
    particularly low-income, high burden countries,
    will continue to need substantial external
    support for some time.
  • More investment on health is required as Africa
    seeks to eliminate ATM (2030 ). This is also
    compounded by emerging dynamics including that
    AIDS is increasingly classified as a chronic
    disease.
  • GF/UNAIDS/UNDP/RECS/CSOs committed to continue
    partner with AU to accelerate the implementation
    of the AU Roadmap in up to 2015

12
RECOMMENDATIONS
  • AU Member States need to assess prospects for
    future external aid, and their own domestic
    fiscal space.
  • Need for Predictable international donor funding
    as well as increased domestic investment and
    innovative financing that can tap into new
    resources.
  • Need for Timely investment, Combat the emergence
    of MDR and XDR TB cases which can cost up 100
    times more. Same issue with the ARV third line
    high costly and quite inaccessible in many
    African countries.
  • We must put energy in getting results as the war
    is won not when pledges come in, but when new
    cases of Aids decline and all those eligible for
    treatment receive it when malaria is eliminated
    and Tuberculosis under control.
  • Share country experiences, best practices and
    challenges in implementing the 3 pillars of the
    Roadmap

13
Proposed benchmarks for diversified, sustainable
and balanced financial models
  •  
  • Increase of investment plans for AIDS, TB and
    Malaria to close the GAP by 2015 and ensure the
    sustainability of the national response
  • At least one new revenue stream for domestic
    financing in operation by 2015
  • 3. Increase in on budget spending between 2013
    and 2015 for the three diseases
  • Donors meet 100 of their commitments for 2015
    financing.

14
 Getting more health for money is
critical for sustainability and holds us
accountable for results.Africas time is
now a nd our people can no longer afford to
wait for health, well being and sustainable
development H.E President Armando Guebuza,
MozambiqueThank you
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