Scope of Scorecard Existing frameworks Abuja 15 Catalytic Framework to End AIDS TB and Eliminate Malaria in Africa by 2030 909090 Sustainable Development Goals Universal Health Care and A ID: 917305
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Slide1
Mind the Gap:African HIV Financing Scorecard
Slide2Scope of Scorecard
Existing frameworks:
Abuja 15%, Catalytic Framework to End AIDS, TB and Eliminate Malaria in Africa by 2030, 90-90-90
; Sustainable Development Goals; Universal Health Care;
and A
ddis Ababa Call to Action and UHC MOU
Global Funding:
Funding for HIV, Investment Cases,
Financing of Research for HIV, Global Private Philanthropy
Partnership with Business:
Public Private Partnerships, Impact Investment, Corporate social responsibility
African Philanthropists:
Private Philanthropy and Diaspora Remittances
Innovative financing for HIV
African governments:
Economic strength and taxes;
Private Corruption and Loss of African funds to illicit financial outflows; Government spending on Health and HIV; Share of PLHIV Receiving ART; Performance on 90-90-90; HIV Outcome and Epidemic Transition Data; Cost to End Epidemic; Health as a government priority;
Sources of Health Financing; TRIPS Flexibilities; Clinical trials.
Civil Society and CCMs:
Civil society organisation on CCM;
Funding of CCMs and EPA Performance; Depoliticisation of civil society working on HIV
Environment: Transparency and Democracy:
Civicus Open Spaces indicator;
Human rights indicator; Cato Human Freedom Index and Ranking
Slide3Abuja
Created in 2001
Set
HIV as a high priority political commitment
Connected HIV to pragmatic steps
Over-simple
Cost per head/commodity differs across countries because of things like geography.
Country level of development, might not need 15% to deliver health
Country priority (water, humanitarian crises)
Feb 2019, recommitted to Abuja
Slide4Global Funding:
Global Funding for HIV on a downturn as move towards
migration and integration, climate change and security. African country reliance on funds from outside of Africa differs considerably. See scorecard.
African financial independence: Transitioning, Journey to Self-Reliance also do not consider the barriers to African development that are inflicted by these International Development Partners. (neocolonial financial structures, historical and current extraction from natural resources to trained healthcare workers)
Importance of global philanthropy funding, not about size but use of funds in very strategic areas, for example for trans diverse people, sex workers, people who use drugs, people who pass through places of detention,
etc
Slide5Partnership with Business
Research shows that public-private partnerships can deliver better quality, more acceptable, more convenient services at a lower cost than government alone.
Impact Investment can be a great vehicle but also a wolf in sheep’s clothing: the definition and the use as a marketing ruse.
First loss: An example of how much civil society has to learn.
Slide6African Philanthropy
High net worth individuals exist but shy away from publicity
African remittances: individual or collective fund transfer back to Africa
Need to create an African non-profit funds transfer company that channels the profits back into health, and not allows remittances funds to be diverted to foreign companies
Slide7Innovative Financing for HIV
Selling/trading Special Drawing Rights – IMF currency
Auctioning of emissions permits
Special tax levies such as airline taxes, cigarette taxes, alcohol taxes.
Debt2health: public debt for investment in health
Slide8Governments
Illicit financial flows, tax fraud, evasion and avoidance, tax collection
Source of funds:
Govt/Out of pocket/International Development partners
Multi-generational poverty
Links to social fabric
Slide9Civil society and CCMs
Composition of CCMs
Funds spent by CCM against performance on the Eligibility and Performance Assessment
Slide10Human Rights Indicators
Civicus Open Spaces
Various human rights indicators (reporting, ratification, and accreditation of human rights institutions
Cato human rights indicators: economic freedom and personal freedom
Slide11Contact details
Phillipa Tucker (she-her)
Director of Research Development and Resourcing
Accountability International
Rue l’Arbre Benit 44
Bruxelles
, Belgium, 1050
Tel: +32 (0)4 73 71 82 16
Twitter: @
PhillipaTucker
Skype: Phillipa Tucker AI
Email:
phillipa at
accountability.international
Website
:
www.accountability.international