Monitor ing the Dec lar ation of Commitment Monitor ing the Dec - - PowerPoint PPT Presentation
Monitor ing the Dec lar ation of Commitment Monitor ing the Dec lar ation of Commitment on HIV/ AIDS & UNGASS indic ator s on HIV/ AIDS & UNGASS indic ator s Jos Antonio I zazola Chief, AIDS Financing and Economics Division
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Monitor ing the Dec lar ation of Commitment Monitor ing the Dec lar ation of Commitment
s
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José Antonio I zazola
Chief, AIDS Financing and Economics Division Evidence, Monitoring and Policy Department UNAIDS
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“Unle ss c o mmitme nt is ma de , the re a re o nly pro mise s a nd ho pe s; b ut no pla ns.”
Pe te r F . Druc ke r
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United Nations General Assembly Special Session on HIV/AIDS on June 2001. During the Assembly, a Declaration of Commitment on HIV/AIDS was endorsed by the leaders of 189 countries. Related initiatives Universal Access by 2010 The declaration stated that the Millennium Development Goal of stopping and reverting the tendency of the HIV/AIDS epidemic should be achieved by the year 2015
United Nations General Assembly Special Session on HIV/AIDS United Nations General Assembly Special Session on HIV/AIDS Antecedents (1) Antecedents (1)
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The Declaration established the need for monitoring global and national commitment:
submission of periodic reports Set of basic indicators was established in 2002 The indicators allow to follow up the accomplishment of the different goals of the Declaration:
In 2003: reports from 103 countries
many of them were incomplete, the HIV Financing indicator was significantly underreported
For the 2006 review there were reports from 95 countries on domestic spending: only 63 reported data for 2005
UNGASS Comprehensive Reviews: 2006, 2008, 2011
United Nations General Assembly Special Session on HIV/AIDS United Nations General Assembly Special Session on HIV/AIDS Antecedents (2) Antecedents (2)
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(ensuring adequacy, sustainability and results-orientation
(reaching a target of 7-10 billion of annual HIV/AIDS expenditure in low and middle income countries by 2005) (Increasing and prioritizing national HIV/AIDS allocations and ensuring adequate allocations by all ministries and
United Nations General Assembly Special Session on HIV/AIDS United Nations General Assembly Special Session on HIV/AIDS Targets Targets
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50% coverage (3 million people on
treatment)
21 countries achieved this Global target not achieved Percentage of people with advanced HIV infection receiving antiretroviral therapy****
9% (Country range: 1%‒59% coverage), (n=41) Percentage of youth aged 15‒24 who correctly identify ways of preventing HIV transmission and who reject major misconceptions about HIV transmission**
US$7.0‒US$10.0 Bn Global target achieved US$ 8 297 000 000; ($7.5‒US$8.5 Bn)
MALE: 33% (Country range: 7%‒50% coverage), (n=16) FEMALE: 20% (Country range: 8%‒44% coverage), (n=17)
Total annual expenditure*
Percentage of HIV-positive pregnant women receiving antiretroviral prophylaxis***
2005 Country progress towards 2001 Declaration of Commitment 2005 Country progress towards 2001 Declaration of Commitment
—Global targets (low Global targets (low-
and middle-
income countries) [1/2]
90% coverage No country achieved this 80% coverage No country achieved this
20% (Country range: 1%‒100% coverage), (n=116) 1 300 000 people on treatment
GLOBAL RESULTS 2005 GLOBAL TARGETS 2005
* See ‘Financing’ chapter ** Demographic and Health Survey/AIDS Indicator Survey, 2001‒2005 (MEASURE DHS, 2006) *** Stover et al. (2006) **** “3 by 5” Report (WHO/UNAIDS, 2006)3.1a
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Low Low-
and middle-
income countries reporting on domestic expenditure for the review of the domestic expenditure for the review of the DoC DoC. . March, 2006 March, 2006
Reported on Indicator no. 1
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National AIDS Spending Assessment “NASA” [i] 1996-2005 data: Extracted from 2006 Report on the Global AIDS Epidemic (UNAIDS, 2006) [ii] 1986-1993 data: AIDS in the World II. Edited by Jonathan Mann and Daniel J. M. Tarantola (1996)
Notes: [1] 1986-2000 figures are for international funds only [2] Domestic funds are included from 2001 onwards
Total annual resources available for AIDS 1986‒2007 Total annual resources available for AIDS 1986‒2007
1000 2000 3000 4000 5000 6000 7000 8000 9000 US$ million
292 1623 8.3 billion
Signing of Declaration of Commitment on HIV/AIDS, UNGASS
‘96 ‘97 ‘98 ‘99 ‘00 ‘01 ‘02 ‘03 ‘04 ‘05 1986 ‘87 ‘88 ‘89 ‘90 ‘91 ‘92 ‘93 ‘94 ‘95
Less than US$ 1 million
59 212
World Bank MAP launch Global Fund PEPFAR
257
UNAIDS Gates Foundation
‘06 2007 10 000
8.9 billion 10 billion
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Resources Available for AIDS from all Sources compared to Resources Needed, 2006
USD billions $3.9 $6.0 $14.9 Total Global Resource Needs in Low & Middle Income Countries $1.8 $3.2
Gap All Other International (Multilateral, Private) Donor Governments Estimated Domestic (public and OOPE)
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International AIDS Assistance: G8/EC & Other Donor Governments, Summary Data Table, 2006
Global Fund Government Commitment Disbursement Adjusted (58%) Commitment Disbursement
Canada
63.3 $ 63.1 $
63.3 $ 63.1 $
France
40.4 $ 40.4 $ 166.5 $ 206.8 $ 206.8 $
Germany
122.4 $ 121.8 $ 51.1 $ 173.5 $ 172.9 $
Ireland
75.4 $ 75.4 $ 15.3 $ 90.7 $ 90.7 $
Italy
7.5 $ 7.5 $
7.5 $ 7.5 $
Japan
31.1 $ 31.1 $ 75.5 $ 106.6 $ 106.6 $
Netherlands
883.2 $ 301.1 $ 44.5 $ 927.7 $ 345.6 $
Sweden
130.1 $ 130.1 $ 47.7 $ 177.8 $ 177.8 $
United Kingdom
670.1 $ 670.1 $ 109.8 $ 779.9 $ 779.9 $
United States
2,362.8 $ 1,320.9 $ 268.9 $ 2,631.7 $ 1,589.8 $
European Commission
116.8 $ 98.3 $ 67.9 $ 184.8 $ 166.2 $
Other Governments
116.5 $ 91.2 $ 96.0 $ 212.5 $ 187.2 $
TOTAL
4,619.6 $ 2,951.1 $ 943.3 $ 5,562.9 $ 3,894.3 $ Bilateral Total
USD millions
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DAC-bilateral aid to health commitments, annual averages.
USD million, constant 2005 prices
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Trends in HIV and AIDS per- capita domestic public expenditures in selected low-income Sub Saharan African Countries
$0.31 $0.15 $0.22 $0.49 $0.65 $0.00 $0.10 $0.20 $0.30 $0.40 $0.50 $0.60 $0.70 $0.80 $0.90 $1.00 $1.10 2000 2001 2002 2003 2004 2005 HIV per capita spending US$ $0.31 $0.49 $0.65 $0.00 $0.10 $0.20 $0.30 $0.40 $0.50 $0.60 $0.70 $0.80 $0.90 $1.00 $1.10 2000 2001 2002 2003 2004 2005 HIV per capita spending US$
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0.19 0.28 0.09 0.23 0.18 0.28 0.72 0.63 0.64 0.54 0.72 0.83 2.21 2.04 2.12 2.24 1.90 1.92 0.49 0.22 0.15 0.65 0.31
0.00 0.50 1.00 1.50 2.00 2.50 2000 2001 2002 2003 2004 2005
USD Per capita HIV and AIDS expenditures by country income level
Low income Lower middle Higher middle Low income SSA
Per capita AIDS expenditures from low- and middle- income countries
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NASA: Sources of HIV spending in three countries, 2004 NASA: Sources of HIV spending in three countries, 2004
US$ 1.87 HIV and AIDS spending per capita US$ 0.059 US$ 0.28
World Bank loan 27% All donors 14% Public 86% Public 9% Global Fund 9% Bilateral 35% World Bank credit 32% Multilateral (excluding GF) 15% Bilateral 32% Public 36% Global Fund 2% Multilateral (excluding GF) 3%
Country B Country C Country A
10.11
Source: UNAIDS, based on National AIDS Spending Assessments.
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National Funding Matrix National Funding Matrix
Sources: Countries reporting on UNGASS on domestic public expenditure; UNAIDS estimates
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to monitor the flow of AIDS funding
spreadsheet that allows financial data from any of these three methodologies to be easily entered, calculated, reviewed and reported.
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UNGASS Indicator 1 UNGASS Indicator 1
Sources: Countries reporting on UNGASS on domestic public expenditure; UNAIDS estimates
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Domestic and International AIDS Spending by Categories and Financing Sources PURPOSE To collect accurate and consistent data on how funds are spent at the national level and where those funds are sourced APPLICABILITY All countries FREQUENCY Calendar or Fiscal Year Data MEASUREMENT TOOL National AIDS Spending Assessment. National Health Accounts / AIDS sub-account. Resource Flows Survey / NAIDS/UNFPA/NIDI METHOD OF MEASUREMENT: Actual expenditures classified by eight AIDS Spending Categories (ASC) and by financing source, including public expenditure from its own sources and from international sources
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1. Pre ve ntio n 2. T re a tme nt a nd c a re 3. Orpha n a nd vulne ra b le c hildre n 4. Pro g ra mme ma na g e me nt 5. Huma n re so urc e s fo r AI DS 6. So c ia l pro te c tio n 7. E na b ling e nviro nme nt & c o mmunity de ve lo pme nt 8. Re se a rc h: AI DS re la te d
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REPORTING TO UNGASS Expenditure on HIV and AIDS
Central (National) Sub- national Development Bank Reimbursable UN GF Development Banks Grants (non- reimbursable) Corporations Out-of- pocket
Total USD $
Bilaterals Multilaterals
enhanced environment
INTERNATIONAL PUBLIC
MANDATORY (as agreed in the UNGASS DoC)
Functions
ORIGIN OF THE SOURCES by FINANCING AGENT
TOTAL
PRIVATE
OPTIONAL RECOMMENDED (Components of the total figure to be reported)
children
Resources
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1. There is a sharp increase in the international and domestic funds for HIV. 2. One third is from domestic sources 3. There is need to coordinate the inflows according to the specific activities and intended beneficiaries 4. There are several tools to account for the total money for HIV; NASA is a tool that offers detailed information for HIV health and non-health service provision
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Ideally:
next year’s operational plan
activity-wise and the targeted beneficiaries can support resource allocation analysis:
– Resource Needs – GOALS
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Thank you!