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