• MDGs and HIV

MDGs HIV and AIDS

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 paper analyses the policies and practices of the world’s largest AIDS donors as they are applied in Mozambique, Uganda and Zambia.

The donors reviewed include 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). The report compares the programmes and policies of these donors against six key funding practices consistent with aid effectiveness principles, namely:

• working with the government
• building local capacity
• keeping funding flexible
• selecting appropriate recipients
• making the money move
• collecting and sharing data

The findings from the study reveal the follwoing:

• PEPFAR scores well on making its money move and on collecting data
• the Global Fund ranks high on tailoring programs and sharing data
• the World Bank stands out for its long-term commitment to working with the government, strengthening systems and building local recipients' capacity

The report offers a number of recommendations for how donors can improve their programmes to increase the effectiveness of aid. Recommendations for all three donors include:

• 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

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