• Global initiatives and Public Private Partnerships

Global initiatives and Public Private Partnerships

This paper from the Center for Global Development examines the amount of money provided for HIV programmes by the three main global funders since 2004. These three are the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund), the United States President’s Emergency Plan for AIDS Relief (PEPFAR) and the World Banks’ Multi-Country AIDS Programme (MAP). The paper also analyses the disbursement policies of these organisations at the global level, while also drawing on evidence from Uganda and Ethiopia to understand the impact at country level.

The report shows that in 2005 alone the three funding bodies disbursed three billion US dollars, and almost 70 per cent of this came from PEPFAR.The funding was provided through a number of channels to governments, local non-governmental organisations (NGOs), international NGOs, consulting agencies and other bodies. The authors find that the large scale of the increase in funding, and the difference in disbursement procedures between the three funders, made the new funding difficult to manage in Ethiopia and Uganda. The government in both countries had trouble spending the money:their resources were stretched and they had to turn to non-governmental bodies implement programmes.The authors describe how the amount disbursed lags behind the commitments made by the funders, most likely due to theproblems recipient countries have in absorbing large sums of new money.

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