Africa Constituencies Bureau Forum: RECAP OF DAY ONE

1. Health Systems Strengthening

• Support existing systems and where systems are too weak, alternative systems could be used but with a timeline along which national systems will be strengthened.

• Earmark funds and contextualize support to country needs e.g. through CSS or support of local production

• Integrate and domicile HSS activities to avoid parallel funding

2. Integrating TB & HIV

• M&E is key• MOH should take lead in integration and

develop guidelines• In future, add malaria • Seek additional funding from multi & bi-

lateral donors

3. The Funding Model

• TA for templates - prioritize HSS; manage conflict of agendas

• Transition to MIC - cost analysis • Funding allocation - revisit criteria; split should be decided

by country• More alignment with NSPs and local plans needed• Simplify the process of constructing the concept note,

which is up-to 9 months in some countries (the time it takes to do a NSP)

• Operational issues - country teams too prescriptive; TRP creates own priorities; low absorptive capacity

4. Countries Operating in Challenging Environments

• All countries are on the continuum and facing varied challenges

• Importance of secretariat flexibility in procedures and processes

• Incorporating challenging operating environment in the criteria and mechanisms for differentiation

• Streamline and institutionalize engagement with other global partners (and country mechanisms) dealing with challenging environments and crises

5. Domestic Financing

• Involve ministries of finance• Hold countries accountable – Get it on the AU Agenda

• Get other innovative financing e.g. high net-worth Africans

• Make GF more visible in countries

6. CCM Strengthening

• Reconsider:– criteria of member selection and management of conflict of

interest – Governance and leadership capacity– How to strengthen competencies that have impact on quality of

CN and implementation. • Need for financing of both internal and external CCM

policies• Address communication challenges with the CCM, partners

and secretariat• Mobilize funding for CCM

Uganda is at 50% CCM funding from governmentExplore how to move towards 100% domestic financing

Pre-Partnership Forum

Overview of Day Two