brazilian govt lessons learned

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Strengthening Latin America and Caribbean Proposals for the Next GFATM Rounds – The Role of PAHO Dr. Jhoney Barcarolo Ministry of Health, Brazil June 2002

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What is the Global Fund? Financial instrument – NOT an implementing agency New public-private partnership to provide additional resources Results-based, country-led processes Focus on poverty and disease burden Goal: attract, manage and disburse 7-10 billion dollars annually

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Timeline 1st Phase (early July 2001 – 14 December 2001) Transitional Working Group 2nd Phase (14 December – 28 January 2002) Oversight Committee 3rd Phase (28 January 2002 - present) Board of Directors

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Structure of the Global Fund Partnership Forum  meets every two years to review progress and amass political support from the international community Board of Directors  decision-making body;  has 18 voting members (7 donor countries, 7 developing countries, 2 NGO’s, 2 private sector) and other 4 non-voting members (WHO, UNAIDS, World Bank and a representative from people living or affected by AIDS, TB or Malaria) Permanent Secretariat Technical Review Panel  group of 17 experts responsible for technically evaluating and assessing all proposals received

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Proposal Categories (II Board Meeting – April 2002) Category 1  projects approved with no or minor adjustments Category 2  proposals approved, pending clarifications to be sent to the Secretariat Category 3  projects recommended for funding, but need to be resubmitted for revision by the full TRP; will follow a fast-track Categories 4 and 5  not recommended for funding; if resubmitted, follow the track of new proposals

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* HIV/TB and HIV/TB/Malaria components have been split evenly across disease; Includes Category 1 and 2 Source: Global Fund Secretariat, based on data from the 2nd Board meeting, New York Component split by first 2 years budget requirements* Percent, 100% = USD 616 million TB HIV Malaria Component split by number of projects* Percent, 100% = 58 proposals TB HIV Malaria Distribution of Approved Proposals (by resources and disease covered)*

Geographical Distribution of Resources Approved for HIV/AIDS*: 

Total: US$ 429 million for 2 years Africa Burundi Ethiopia/Zambia Ghana Kenya Malawi Nigeria Rwanda S.Africa Senegal Tanzania Uganda Zambia Zimbabwe Total Americas Argentina Chile Haiti Honduras Panama Total South East Asia Indonesia Myanmar/ Thailand Thailand Total Europe Moldova Tajikistan Ukraine Yugoslavia Total Western Pacific Cambodia Laos Vietnam Total Eastern Med. Morocco Global Global 4.9 0.7 2.8 2.9 58.7 28.2 8.1 51.5 6.0 5.4 36.3 42.3 10.3 258.1 12.1 13.6 24.4 20.5 0.5 71.1 6.9 1.1 30.9 38.9 5.2 1.5 24.9 2.7 34.3 14.9 1.3 7.5 23.7 2.8 0.5 Geographical Distribution of Resources Approved for HIV/AIDS* * HIV/TB and HIV/TB/Malaria components have been split evenly across disease; Includes Category 1 and 2 Source: Global Fund Secretariat, based on data from the 2nd Board meeting, New York

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Proposals in Category 3 Africa  27 projects (TOTAL: US$ 770 million) Latin America and the Caribbean  5 projects (Cuba, Guatemala HIV / TB / Malaria, Panama) (TOTAL: US$ 53 million) Asia  9 projects (TOTAL: US$ 43 million) East Europe  1 project (TOTAL: US$ 700 thousand)

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Timeframe for Second Round Call for Proposals: 2nd / 3rd Week of July Deadline for Submitting Proposals: 2nd / 3rd Week of September TRP is convened 3rd Week of October IV Board Meeting – Announcement of New Awards 4th Week of November

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Technical Assistance for Proposal Development – Possible Flow Country Level: Expanded Theme Groups on HIV/AIDS and PAHO serve as nodes for requests from CCMs Sub-regional Level: Facilitating Role of CPAs Regional Level: UNAIDS, PAHO and LAC Representative (Brazil) responsible for overall coordination and information sharing UN System, bilateral aid agencies, HTCG, CARICOM, NGO networks form 'pool' of technical expertise

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Issues of Interest for Providers of Technical Assistance Clear definition of additionality – focus on poverty and need Role and composition of CCMs – involvement of PLWHA/TB/Malaria Purpose and nature of regional proposals Infra-national proposals Implementation arrangements – Fiduciary Issues