Towards Universal Access Scaling up HIV Prevention, Treatment, Care and Support:

1. Towards Universal Access Scaling up HIV Prevention, Treatment, Care and Support: The Role of the United Nations

2. Overview • Universal Access – What? • Three Ones – What means? • Global Task Team & Making the Money Work – What support?

3. WHO INT NGO CIDA 3/5 UNAIDS GTZ RNE UNICEF Norad WB Sida USAID T-MAP MOF UNTG PMO CF DAC GFCCP PRSP PEPFAR HSSP GFATM MOEC MOH SWAP CCM NCTP CTU CCAIDS NACP LOCALGVT CIVIL SOCIETY PRIVATE SECTOR

4. What are the costs? Bypassing central government by providing aid through vertical projects Credibility of the national response is compromised Agenda becomes donor-driven, uncoordinated & inconsistent Impossible to scale-up the response in this environment Distortions in human capacity, policy dialogue, focus, partnership Quality of governance and capacity of the public sector undermined Stakeholder confidence falls

5. One Agreed AIDS Framework Key elements: • Clear priorities for resource allocation and accountability • Operational from strategy to action: all partners; good linkages • With workplans and budgets** • Inclusive & participatory process** • Basis for joint reviews ** Major weaknesses in 66 country review

6. One Coordinating Authority Key elements: • Strong, formal mandate ** • Policy dialogue • Clear partnership arrangements • Representation & inclusiveness • Human and management capacity** • Accountability with oversight ** Major weaknesses in 66 country review

7. One Monitoring & Evaluation System • Global alignment • Core system in place** • Strategies for data quality • Investment in national (human) capacity** ** Major weaknesses in 66 country review

8. HOW? Global Task Team Recommendations for putting “Three Ones” into practice for multilateral institutions and country level Developed through a highly participatory process of UN, governments and civil society

9. Four Key Recommendations • Empowering inclusive national leadership and ownership • Alignment and harmonization of multilateral and international partners • Reform for a more effective multilateral response • Accountability and oversight

10. UNAIDS follow-up to the Global Task Team report • Division of Labour • Consolidated UN Technical Support Plan • Flexible and demand-driven financing mechanism (PAF) • Global Implementation Support Team (GIST) • Country Harmonisation Assessment Tool (CHAT) – in development

11. Division of Labour • Identifies 17 areas of technical support • Strategic planning, governance and financial management • Scaling-up interventions • M&E, strategic information, knowledge-sharing and accountability • Identifies a ‘lead organization’ for each area: • A single entry/liaison point for governments and relevant stakeholders • Primarily accountable for the provision of quality and timely technical support

12. Towards Universal AccessWhat have we learned? • No single epidemic • Equity is central • Sustainability within a changing environment • Comprehensive response

13. Towards Universal AccessFundamentals to address • Priority setting and public policies • Human and system capacities • Sustainable long-term funding • Affordable commodities • Stigma and discrimination: human rights and legislation • Accountability

14. In Summary… • GTT developed global commitments to support implementing ThreeOnesprinciples at country level • Together GTT & Three Ones are means to ensure a comprehensive national response – with the outcome towards scaling up for Universal Access