| Funding agreed for case study on sustainability of funding for HIV programmes |
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Evidence for Action has agreed to fund a case study examining the effect of the changing World Bank Multi-country AIDS Programme (MAP) in Zambia. This case study follows on from an initial project looking at The role of Global Health Initiatives (GHI’s) in the implementation of anti-retroviral (ARV) roll -out in Zambia. This new detailed evidence will provide insights and explore the concerns around the sustainability of ART programmes that depend on external funding. Research findings will provide recommendations on how to minimise negative impact on programmes in cases where external resources stop or change, and ensure greater sustainability of ART programmes.
BackgroundThe World Bank MAP is a Global Health Initiative launched by the Bank in 2000, with a commitment to run for fifteen years, focusing mainly on providing grants, including for the roll-out of ART. In 2002 Zambia received a MAP grant of USD 42 million over five years for its response to HIV/AIDS, the grant was entitled ZANARA (Zambia National Response to HIV/AIDS) and had five components, one of which was funding to the Ministry of Health for support to ART roll-out. The grant and programme ended in February 2008. In August 2007, the Bank published its revised strategy for fighting HIV/AIDS – its Agenda for Action. This presents a substantial change in the MAP strategy, including a shift from providing grants, to using its institutional expertise to build countries’ capacity to respond to HIV. In practice this means technical assistance will be provided instead of direct financial support. In addition, all countries that have reached HIPC completion point (including Zambia), and achieved debt relief, now qualify only for loans - no longer for grants. The research will focus on the impact the change in financing has had on the implementation of programmes. |