Following the Funding for HIV/AIDS: A Comparative Analysis of the Funding Practices of PEPFAR, the Global Fund and World Bank MAP in Mozambique, Uganda and Zambia
Publication Info
Publication Type
Download
Initiative
Research Topics
CGD Expert
Opinions
- A Trickle or a Flood: Commitments and Disbursement for HIV/AIDS - Q&A with Michael Bernstein
- AIDS Requires a Lateral Approach [Financial Times]
- Book Chapter: AIDS and the Accumulation and Utilization of Human Capital in Africa
- Global Fund Grant Programs: An Analysis of Evaluation
- HIV/AIDS Monitor: Q&A with Nandini Oomman
- How to win the AIDS battle
- Letters to The Editor: US Emphasis on Performance is Tailor-made for The Global Fund (Financial Times)
- Making Sense of the 2006 AIDS Epidemic Update: Q&A with Mead Over
Articles
- AIDS Funding Binds Longevity of Millions to U.S. (Washington Post)
- HIV/AIDS Research in Uganda (Interview)
- HIV/AIDS Research in Zambia (Interview)
- What Are Donors Doing with AIDS Money? (Event)
Rights and Permissions
We welcome the use of CGD work-just let us know in advance! For contact information see our Rights & Permissions page. CGD rights and permissions are managed under the terms of the Creative Commons license below.
Nandini Oomman, Michael Bernstein, Steven Rosenzweig
10/10/2007
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