Human capacity-building plan for scaling up HIV/AIDS treatment

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Objective: secure funding for capacity-building and training

The massive efforts in training and human resource development required to achieve 3 by 5 necessitate immense financial resources both for preparing training programmes and for implementing them. Accordingly, capacity-building components are now integrated in most major funding initiatives, such as the Global Fund to Fight AIDS, Tuberculosis and Malaria, World Bank loans and grants and funding provided by bilateral aid and other donor agencies.

Yet, given the extent of the emergency 3 by 5 scaling-up process, serious resource gaps are likely to remain. Reasons might include the expansion of previously defined capacity-building targets in the context of 3 by 5, the underestimation of resources needed for funded activities and/or the lack of adequate technical advice in accessing existing resources.

In an emergency approach, unresolved funding issues should not lead to a delay in urgently needed capacity-building activities. For this reason, a comprehensive strategy for scaling up capacity-building must provide mechanisms for rapidly resolving ad hoc funding needs that may potentially jeopardize the achievement of training for 3 by 5.

Strategic approach

The strategic approach to supporting countries in resolving unmet funding needs is based on making optimal use of the plethora of existing funding options rather than creating new funding mechanisms. It also recognizes that fundraising for capacity-building cannot be seen in isolation from the mechanisms for financing the overall HIV/AIDS response.

Consequently, the main thrust of the strategic approach is to support the use of all existing mechanisms at the country level. WHO, together with partners at the country level, will support the appropriate in-country HIV/AIDS coordinating body in anticipating and resolving needs and bottlenecks related to capacity-building funds. This will include reviewing existing grant agreements and preparing for new funding requests to major donors as well as mobilizing national funds.

In cases in which in-country efforts to tap existing financing options do not yield the funds necessary to sustain the 3 by 5 capacity-building efforts, WHO will work with partners at the international level to help in matching those who seek funding with those who might be willing to provide ad hoc financial support. Finally, WHO will work at the global level to raise the awareness of donors that capacity-building needs to be funded and to develop guidance on supporting in-country fundraising.

Expected activities and results

  • Identifying funds in-country. WHO will support the establishment of capacity-building task teams bringing together, under the guidance of the appropriate national mechanism for HIV/AIDS coordination, national government and nongovernmental stakeholders within capacity-building as well as international organizations represented in the country (see the objective on developing a national approach to training and human resources). WHO will help this group in assessing funding needs for capacity-building, to develop capacity-building components for larger grant applications, to identify and resolve bottlenecks in the flow of funding and to exhaust all existing mechanisms for filling ad hoc funding gaps through national and international programmes. This will be aided by a general set of WHO guidelines describing methods of tapping existing funds that are likely to be relevant to most countries.
    Involvement of partners. At the national level, partners and donors are encouraged to participate in WHO-supported capacity-building task teams.
    Service for countries. In countries, training providers can turn to the clearly defined task team as an entry point for identifying funds. Countries will receive support in developing funding proposals, including preparation for the fourth round of grants of the Global Fund to Fight AIDS, Tuberculosis and Malaria.
  • International backing in identifying funds. Beyond providing the above-mentioned proactive incountry support for tapping existing funds, WHO will work with partners to create a mechanism for matching countries with remaining significant resource gaps with international donors. An institution with existing strong relations to both service providers and the donor community can take on this function, possibly in combination with the creation of a global Capacity-Building Help Desk (see the objective on providing technical support for training).
    Involvement of partners. WHO will work with partners to determine and support an appropriate mechanism for matching ad hoc funding requests with potential donors, possibly building on the successful collaboration with the International HIV Treatment Access Coalition. Potential ad hoc funders for capacity-building efforts are invited to alert WHO.
    Service for countries. Countries that failed to raise the necessary resources for capacity-building efforts through their in-country mechanism can turn to WHO to identify potential international funders.
  • Global advocacy for appropriate funding of capacity-building. At the global level, WHO will work with donors to support the appropriate inclusion of capacity-building elements in future funding proposals and to revise how capacity-building components are reflected in existing funding mechanisms. WHO will support partners in elaborating guidance to countries on how to make best use of their respective programmes for financing capacity-building.
    Involvement of partners. Donors are invited to draw on WHO support in refining the capacitybuilding components of their funding mechanism and to produce guidance notes on elaborating the capacity-building components of funding requests.
    Service for countries. Clear guidance on options for including capacity-building components will facilitate fundraising for country capacity-building efforts.

Indicators and milestones