Jamra primary scholl for children affected by HIV/AIDS, drugs or poverty, Senegal (c) Nell Freeman/Alliance Participants in the Photovioce project, Ecuador © Marcela Nievas for the Alliance
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Health overlooked at High Level Forum in Busan


Aids Alliance

The Alliance is disappointed to see the lack of attention to global health at the Fourth High Level Forum on Aid Effectiveness in Busan, South Korea (29 Nov - 1 Dec).

Development ministers from across the globe have gathered in Busan to assess global progress in improving the quality of aid against the agreed commitments, made in the 2005 Paris Declaration on Aid Effectiveness and the Accra Agenda for Action in 2008, to be more effective in reducing poverty and achieving the Millennium Development Goals.

In addition to the health gains made in recent years, delivering aid to the health sector has also provided valuable lessons learned in terms of how to improve aid effectiveness in other sectors. Health has been a ‘tracer sector’ since Paris in assessing how aid effectiveness principles are being implemented at the sectorial level. Despite this, health does not feature in the ‘Busan Outcome Document’ which will be adopted at the High Level Forum and serve as a roadmap for future global development cooperation.

At the same time, the Global Fund to Fight HIV/AIDS, Tuberculosis and Malaria, one of the most effective global mechanisms for promoting aid effectiveness in the health sector with a strong emphasis on country ownership and results, has been forced to cancel its next funding round for 2012 -2014 due to lack of sufficient donor support. This will have a devastating effect on people and communities affected by HIV and AIDS, as well as TB and malaria, and on overall health outcomes.

Sustain gains

It is crucial that we must not lose ground. To sustain gains across all development sectors and continue to save lives, health must remain a priority in the aid effectiveness agenda.

We urge the international community to:

  • Keep health as a key priority, and provide political and financial support, in order to save lives and be more effective in other development sectors.
  • Apply the lessons learned from the HIV and health sector to put aid effectiveness into practice, e.g. use of monitoring and evaluation frameworks.
  • Invest in community-based responses for aid to effectively reach the most vulnerable and marginalised who are hard to reach. Using a strategic model like the Investment framework that promotes community involvement, will help achieve value for money.
  • Ensure civil society can meaningfully participate by promoting enabling environments for country ownership, that guarantee the space, transparency and conditions necessary for meaningful participation.

More details on the above asks, along with real life examples about how these applying these principles are having a positive impact, can be found in the Alliance’s briefing paper on HIV and Aid Effectiveness.