Donor funding for HIV/AIDS has skyrocketed in the last decade: from US$ 300 million in 1996 to US$ 8.9 billion in 2006. Yet, little is understood about how these resources are being spent. This second major output from CGD's HIV/AIDS Monitor team analyzes the policies and practices of the world's largest AIDS donors -- the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the World Bank's Multi-Country HIV/AIDS Program for Africa (MAP) -- as they are applied in Mozambique, Uganda and Zambia, and compares these systems against six key funding practices that can help donors support the national AIDS response in a manner consistent with the aid effectiveness principles of the Paris Declaration. These best practices are: working with the government; building local capacity; keeping funding flexible; selecting appropriate recipients; making the money move; and collecting and sharing data. PEPFAR scores well on making its money move and on collecting data; the Global Fund ranks high on tailoring programs and sharing data; and the World Bank stands out for its long-term commitment to working with the government, strengthening systems and building local recipients' capacity.
1) Recommendations to all three donors
- Jointly coordinate and plan activities to support the National AIDS Plan
- Assist the government in tracking total national AIDS funds
- Focus on building and measuring capacity
- Develop strategies with host governments and other donors to ensure financial sustainability
- Strengthen financial data collection and disclosure
2) Recommendations to PEPFAR
- Make the government a true partner in PEPFAR programs
- Increase flexibility of programming and funding
- Strengthen capacity-building activities in host country
- Adopt two-year cycles for Country Operational Plans
- Publicly disclose data
3) Recommendations to the Global Fund
- Keep the focus on funding gaps
- Re-examine strategies to build local capacity
- Simplify procedures for good performers
- Publicly disclose data
4) Recommendations to the World Bank MAP
- Focus resources on building government capacity
- Become a knowledge bank, with a focus on prevention
- Transition to use of existing government systems
- Increase individual disbursement amounts
- Publicly disclose data
Rights & Permissions
You may use and disseminate CGD’s publications under these conditions.
