ENGAGING CIVIL SOCIETY FOR RESOURCE MOBILIZATION

Sue Perez

STP ACSM Meeting

5 November 2007

TARGET SOURCES OF FUNDING

World BankGlobal Fund to Fight AIDS, Tuberculosis and Malaria

US President’s Emergency Plan for AIDS Relief (PEPFAR)

WORLD BANK

Bank has supported successful, large scale up efforts – India and China; should be adapted for Africa.

Dedicated programs for HIV/AIDS and malaria – needs same level of attention for TB.

2006 RESULTS International report found that in 2005, just US$3.5 million (<1%) was spent on TB in Africa compared to US$585 million for health in the region overall.

USING WB REPORT FOR ADVOCACY

MEDIA REF hosted media conf call w/journalists featuring Stephen Lewis, Joia

Mukherjee and Richard Bumgarner. Media pieces generated in The New York Times , The Boston Globe and articles published in over 90 outlets worldwide.

PARTNERSHIP W/AFRICAN CIVIL SOCIETY REF worked with African civil society partners, esp the Africa Civil Society

Coalition on HIV & AIDS to draft/gather signatures for a letter to Bank President Paul Wolfowitz calling for increased investment in TB in Africa

Letter was adapted urging African Ministers of Finance to finance TB emergency and demand greater investment by Bank; letter distributed at spring 2007 UN Economic Commission for Africa mtg

US CONGRESSIONAL OUTREACH Grassroots outreach to US MOCs to educate/inform on inadequate investment

by the Bank Recent meeting in early Oct with US MOCs and Zoellick to raise concerns about

Bank’s underinvestment

UK AND CANADIAN MP ACTIONS Grassroots mobilization from RESULTS UK & RESULTS Canada to send letters UK/Canadian MPs during trips to Kenya met with in-country Bank

representative

WHAT’S NEEDED FROM CS?

Continue pressure on Zoellick Outreach to Executive Directors to the

Board of the World Bank to increase voice and demand

Take action now at the ACTION booth Postcard campaign to Zoellick and 2

African EDs urging greater role and investment by the Bank on TB in Africa

GLOBAL FUND

Largest external financer for TB – providing 2/3

Coordinated global CS advocacy resulted in adoption by the GFATM Board of resource size of US$6-8B by 2010 (GF resource share to reach the MDGs)

WHAT’S NEEDED FROM CS?

Advocacy to ensure bold/sustained commitment by donors

Greater TB representation on CCMs

Developing process for greater accessibility by smaller NGOs to GFATM resources

Monitoring to ensure monies flowing

US PEPFAR

Largest HIV/AIDS initiative to date – US$15 billion over five years – 2004-2008

Discussions underway in the US on reauthorization of PEPFAR for the next five years – 2009-2013 (US$30-50 billion)

TB-HIV funding by PEFAR is about US$120 million in 2007; US$150 million in 2008

WHAT’S NEEDED FROM CS?

Advocacy for support of US$50 billion for PEPFAR II (in line w/UNAIDS estimates although lowest scenario)

Advocacy to increase demand and ensure TB-HIV is a top priority for PEPFAR

Advocacy urging collaboration with scientists and researchers on what are findings from operational research to bring to implementers (overall need for greater dissemination of lessons learned in implementing TB-HIV coordinated activities)

WHAT ELSE?

Ensure CS involvement in global policy decisionmaking processes

Advocate for meaningful plans and strategies

Advocacy around financing in-country plans/strategies