Making the Money Work: The “Three Ones” in Action
Michel Sidibe
Taking stock-fragmentation, dispersion, proliferation
AUTHORITY IS DISPERSED
NAT’L PLANNING&PRIORITIES WEAKENED
M&E FRAGMENTEDM&E FRAGMENTED
IMPLEMENTATION SLOWED
MOH MOEC
MOF
PMO
PRIVATE SECTORCIVIL SOCIETYLOCALGVT
NACP
CTU
CCAIDS
INT NGO
PEPFAR
Norad
CIDA
RNE
GTZ
SidaWB
UNICEF
UNAIDSWHO
CF
GFATM
USAID
NCTP NCTP
HSSP HSSP
GFCCPGFCCPDAC
CCM
T-MAP
3/5
SWAPSWAP
UNTG
PRSP PRSP
200 MUSD
290 MUSD
50 MUSD
60 MUSD
•Bypassing central govt units by providing aid through projects
•Credibility of the national response is compromised
•Agenda becomes donor-driven and often inconsistent with the “one national framework”.
•Distortions in human capacity, policy dialogue, focus, partnership…
•Stakeholder confidence levels fall
•Undermine quality of governance and capacity of the public sector
•Increased recurrent expenditure
•No sustained impact in poor sector policy environment
What are the costs?”
…the way forward
In an effort to address the lack of harmonization, need for effective and efficient use of resources, and rapid action and results based management at country level, the Three Ones principles were developed and approved by developing countries and key donors in April 2004.
The African Union adopted Three Ones at its Summit in January 2005.
What are the “Three Ones?”
• One agreed AIDS action framework that provides the basis for coordinating the work of all partners; NOT mere strategic plans
• One national AIDS authority, with a broad-based multisectoral mandate; NOT about only government control
• One agreed country-level monitoring and evaluation system; NOT merely reporting, but accountability
Guiding Principles and Approaches
• Government in the driver’s seat—National ownership• Strong focus:national priorities, capacity building,
stakeholder participation• Flexible approach from country to country, not “one-
size-fits-all.”• Enhanced impact of partnership with all sectors• Reduction of transaction costs• Defined roles, responsibilities and levels of
accountability
Figure 1: Harmonization and Coordination Continuum
Partial Coordination
and Harmonization
Comprehensive Coordination
and Harmonization
ExchangingInformation
Joint Programming and Annual
Reviews
Common Implementation
Units
Pooling of Funds/SWAps
Figure 1: Harmonization and Coordination Continuum
Partial Coordination
and Harmonization
Comprehensive Coordination
and Harmonization
ExchangingInformation
Joint Programming and Annual
Reviews
Common Implementation
Units
Pooling of Funds/SWAps
The “Three Ones” Implementation Continuum
Major bilateral and multi-lateral financial donors should:
• agree on Global Coordinating Mechanism (GCM)
• appoint a Three Ones focal point among their senior managers to work with a team in the UNAIDS Secretariat
• establish within 90 days an action program for global coordination, including specific areas for harmonization, based on the comparative advantages and policies and procedures of the various donors.
As a first step, World Bank and UNAIDS will assemble for the GCM a status report of Three Ones progress initially in a select number of countries. This status report will form the basis for an action program to be submitted to the financial donors.
The external donors may want to agree on a lead donor for financial coordination at the country level.
Implementation of the Three Ones
UNAIDS action plan highlights
• Three Ones e-forum to facilitate information sharing among partners at country, regional and global levels.– Facilitate horizontal learning among all stakeholders.
• Country-level mapping– UCC annual reports (rapid assessment)– Consultant-assisted, detailed mapping in 12 focus countries.
• National consultations with major stakeholders to promote Three Ones and build consensus on way forward
• Technical/institutional support on:– Monitoring and evaluation– Partnership forums– Joint participatory reviews– Harmonization of coordination mechanisms
• Three Ones reporting– Annual report– Case studies and model approaches
Three Ones in action – a sampling of progress
In Kenya, a Harmonization Task Force has been established under the leadership of the National AIDS Control Council with the assistance of UNAIDS. An agreement has also been reached to develop a database of community-based organizations to better coordinate donor support. Also, the 2005-2010 national strategic plan will use the Three Ones as its guiding principles.
The Uganda AIDS Commission announced recently that the third and final element of its national coordination triad – a national M&E framework – is ready for implementation. The next important step, also with substantive UN support, will be the endorsement of a National AIDS Policy fully anchored in the principles of the Three Ones.
Three Ones in action – a sampling of progress
In Indonesia, UNAIDS is leading a joint assessment of the Three Ones with national and external stakeholders.
In the Philippines, the Three Ones was presented in June at a plenary meeting of the Philippine National AIDS Council. There was a positive feedback and the council’s chair, the Secretary of Health, who has expressed a desire to see the principles operationalized.
In Ethiopia, the World Bank and UNAIDS are co-sponsoring a consultation to facilitate action-oriented policy dialogue on the Three Ones that will take place in Addis Ababa, in February 2005.
THANK YOU