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Creditor Reporting System on Aid Activities 2007

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This publication presents comprehensive statistics on aid flows in support of HIV/AIDS control. The analysis of aid flows covers the years 2000-2006, including trends in donors’ aid and the degree of targeting to countries most in need; estimates are provided for year 2007. The publication also records the relevant aid activities reported by DAC members and multilateral institutions to the CRS Aid Activity database (Creditor Reporting System). The information is based on individual commitments and disbursements of Official Development Assistance (ODA) to HIV/AIDS control.

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									Creditor Reporting System
AID ACTIVITIES IN SUPPORT
OF HIV/AIDS CONTROL, 2000-2007




Système de notification
des pays créanciers
ACTIVITÉS D’AIDE POUR LA LUTTE
CONTRE LE VIH/SIDA, 2000-2007




                                 2007
            Creditor Reporting System: Aid Activities

Système de notification des pays créanciers : Activités d’aide




Aid Activities in Support
  of HIV/AIDS Control
                                    2000-2007



   Activités d’aide pour
la lutte contre le VIH/sida
                                    2000-2007



       This document has been produced with the financial assistance of UNAIDS. The views
     expressed herein can in no way be taken to reflect the official opinion of UNAIDS.
       Ce document a été produit avec le concours financier de l'ONUSIDA. Les opinions
     exprimées ici ne reflètent en aucune manière celles de l'ONUSIDA.
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                         Foreword                                                        Avant-Propos

     This report examines data on aid in support of                      Ce rapport examine les données sur l’aide à
HIV/AIDS control over the years 2000-2006, and                      la lutte contre le VIH/sida sur la période 2000-
includes donors’ estimates for 2007. It is based on                 2006, et inclut les estimations des donneurs pour
donors’ reporting on Official Development Assistance                2007. II est basé sur les engagements et
(ODA) commitments and disbursements to the                          versements d’aide publique au développement
Creditor Reporting System (CRS) Aid Activity                        (APD) déclarés par les donneurs dans la base de
Database.                                                           données sur les activités d’aide du Système de
                                                                    notification des pays créanciers (SNPC).

     The report has been prepared by the Secretariat                     Ce texte a été préparé par le Secrétariat du
of the Development Assistance Committee (DAC)1 in                   Comité d’Aide au Développement (CAD)1 en
collaboration with the DAC Working Party on                         collaboration avec le le Groupe de travail du CAD
Statistics. It concludes a two-year project conducted               sur les Statistiques. Il conclut un projet de
in co-operation with the Joint United Nations                       coopération de deux ans avec le Programme
Programme on HIV/AIDS (UNAIDS) to review and                        commun des Nations unies sur le VIH/sida
improve reporting on aid to HIV/AIDS control.                       (ONUSIDA) en vue de revoir et d’améliorer la
                                                                    notification de l’aide pour la lutte contre le
                                                                    VIH/sida.

     Part 1 of the report contains an analysis of aid to                 La partie I du rapport présente une analyse
HIV/AIDS control over 2000-2006, including trends in                de l’aide à la lutte contre le VIH/sida sur la
donors’ aid, estimates for 2007, targeting of aid to                période 2000-2006, y compris les tendances de
countries most in need and a methodological note.                   l’aide, les estimations pour 2007, l’adéquation des
Part 2 records aid activities for aid to HIV/AIDS                   apports d’aide avec les besoins des pays et une
control, with amounts and descriptions, reported by                 note méthodologique. La partie II rassemble les
bilateral and multilateral donors in 2005.                          activités d’aide à la lutte contre le VIH/sida, avec
                                                                    leurs montants et leurs descriptions, déclarées
                                                                    par les donneurs bilatéraux et multilatéraux en
                                                                    2005.

    The DAC online site dedicates a page to aid in                       Le site web du CAD dédie une page complète
support         of        HIV/AIDS          control:                à l’aide à la lutte contre le VIH/sida :
www.oecd.org/dac/stats/crs/hivaids.            The                  www.oecd.org/cad/stats/snpc/vihsida. L’édition
complete CRS Aid Activity database contains records                 complète de la base de données SNPC sur les
from 1973 onwards. It is available on the yearly                    activités d’aide propose des données remontant
International Development Statistics CD-ROM, and                    jusqu'en 1973. Elle est disponible sur le CD-ROM
on the DAC online site at the following address:                    annuel Statistiques sur le développement
www.oecd.org/dac/stats/idsonligne.                                  international, et en ligne sur le site du CAD à
                                                                    l'adresse : www.oecd.org/dac/stats/sdienligne.




      1. The members of the DAC are: Australia, Austria, Belgium,   1. Les membres du CAD sont : l’Allemagne, l’Australie,
Canada, Denmark, Finland, France, Germany, Greece, Italy,           l’Autriche, la Belgique, le Canada, le Danemark, l’Espagne, les
Ireland, Japan, Luxembourg, the Netherlands, New Zealand,           États-Unis, la Finlande, la France, la Grèce, l’Irlande, l’Italie, le
Norway, Portugal, Spain, Sweden, Switzerland, the United            Japon, le Luxembourg, la Norvège, la Nouvelle-Zélande, les
Kingdom, the United States and the European Communities.            Pays-Bas, le Portugal, le Royaume-Uni, la Suède, la Suisse et
                                                                    la Communauté européenne.


CRS AID ACTIVITIES IN SUPPORT OF HIV/AIDS CONTROL – ISBN 978-92-64-03283-5 – © OECD 2007                                        3
                 Table of contents                                           Table des matières




    INTRODUCTION: Basic aspects of the CRS              p.5      INTRODUCTION : La base de données
    Aid Activity database (Creditor Reporting                    SNPC sur les activités d’aide en bref
    System)                                                      (Système    de Notification des  Pays
                                                                 Créanciers)

    PART 1: Analysis of aid in support of             p.7 eng.   PARTIE 1 : Analyse de l’aide à la lutte
    HIV/AIDS control, 2000-2007                       p.25 fr.   contre le VIH/sida, 2000-2007

    PART 2: List of aid activities in support of        p.45     PARTIE 2 : Liste des activités d’aide à la
    HIV/AIDS control, 2005                                       lutte contre le VIH/sida, 2005


    Reference lists                                              Listes de référence
    List 1. Aid agencies                               p.105     Liste 1. Agences d’aide

    List 2. DAC list of aid recipients                 p.108     Liste 2. Liste du CAD des pays bénéficiaires
                                                                 de l’aide




4      SNPC : ACTIVITES D’AIDE POUR LA LUTTE CONTRE LE VIH/SIDA – ISBN 978-92-64-03283-5 – © OECD 2007
       INTRODUCTION: Basic aspects                          INTRODUCTION : La base de données
      of the CRS Aid Activity database                       SNPC sur les activités d’aide en bref
             (Creditor Reporting System)                    (Système de notification des pays créanciers)

     The CRS Aid Activity database includes data on            La base de données SNPC sur les activités
  Official Development Assistance (ODA), Official Aid      d’aide comprend des données sur l’Aide publique
  (OA) and other lending to developing countries and       au développement (APD), l’Aide publique (AP) et
  countries in transition.                                 les autres prêts aux pays en développement et
                                                           pays en transition.

      The CRS was established in 1967, jointly by the          Le SNPC a été établi en 1967 conjointement
  OECD and the World Bank, with the aim of                 par l’OCDE et la Banque mondiale afin de fournir
  “supplying the participants with a regular flow of       « régulièrement       aux      participants     des
  data on indebtedness and capital flows”.                 renseignements sur l’endettement et les apports
  Calculating capital flows and debt stock remain key      de moyens financiers ». Les statistiques sur les
  functions of the system, but others have evolved in      apports de ressources et le stock de la dette
  the course of years. In particular, the CRS aid          restent d’actualité, mais les fonctions du système
  activity database has become the internationally         ont évolué au cours des années. En particulier la
  recognised source of data on the geographical and        base de données sur les activités d’aide est
  sectoral breakdown of aid and is widely used by          devenue la référence internationale sur la
  governments, organisations and researchers active        répartition géographique et sectorielle de l’aide et
  in the field of development. For DAC members, the        est largement utilisée par les gouvernements,
  CRS serves as a tool for monitoring specific policy      organisations et chercheurs actifs dans le
  issues, supplementing the information collected at       domaine de l’aide. Pour les membres du CAD, le
  the aggregate level in the annual DAC Statistics.        SNPC est un outil de suivi des questions
                                                           politiques    spécifiques,    qui    complète    les
                                                           informations agrégées notifiées dans les
                                                           statistiques annuelles du CAD.


     The CRS Aid Activity database comprises                   La base de données sur les activités d’aide
  commitment and disbursement data on Official             du SNPC comprend des données sur les
  Development Assistance (ODA) and Official Aid            engagements et les versements d’Aide publique
  (OA) activities in developing countries and              au développement (APD) et d’Aide publique (AP)
  countries in transition submitted by members of the      dans les pays en développement et les pays en
  DAC and multilateral institutions (50 000 – 65 000       transition par les membres du CAD et par des
  transactions in recent years).        Data in this       institutions multilatérales (de 50 000 à 65 000
  publication refer to commitments, if not otherwise       transactions ces dernières années). Les données
  stated.                                                  de cette publication portent sur les engagements,
                                                           sauf indication particulière.




CRS AID ACTIVITIES IN SUPPORT OF HIV/AIDS CONTROL – ISBN 978-92-64-03283-5 – © OECD 2007                5
                                                 PART 1

                   Analysis of aid in support of HIV/AIDS control,

                                               2000-2007


                                www.oecd.org/dac/stats/idsonline




CRS AID ACTIVITIES IN SUPPORT OF HIV/AIDS CONTROL – ISBN 978-92-64-03283-5 – © OECD 2007   7
                                                Key findings
      In 2005-06, DAC members’ annual aid commitments to HIV/AIDS control reached an
   unprecedented USD 4.7 billion, compared with USD 3 billion in 2003-04. Over the period 2000-06,
   aid to HIV/AIDS increased at an average annual rate of 24% (real terms).

      Out of the total USD 4.7 billion, DAC members’ bilateral aid projects and programmes amounted
   to USD 3.3 billion; this represented 6% of their total sector allocable aid. Contributions to the
   GFATM that can be attributed to HIV/AIDS control accounted for USD 882 million, and the
   remainder USD 530 million is the estimated aid to HIV/AIDS control through core funding to the EC,
   the World Bank and UN agencies.

      The United States was the main donor, allocating 70% of total bilateral aid to HIV/AIDS in 2006;
   the United Kingdom’s share was 13%. HIV/AIDS control has been a growing priority in donors’ health
   aid programmes over the period under study. The share of aid to HIV/AIDS control in total aid to
   health increased from 26% in 2000-01 to 36% in 2004-05, while aid to other major infectious
   diseases such as malaria and tuberculosis remained at 11% of total aid to health over the same
   period.

      Sub-Saharan Africa received 57% of total aid flows to HIV/AIDS control in 2004-05. The top
   recipients were Tanzania, Uganda, South Africa, and India.

                                     www.oecd.org/dac/stats/idsonline




CRS AID ACTIVITIES IN SUPPORT OF HIV/AIDS CONTROL – ISBN 978-92-64-03283-5 – © OECD 2007            9
Introduction
Context
This report examines data on aid in support of HIV/AIDS control over the years 2000-06, and includes
donors’ estimates for 2007. It has been prepared by the Secretariat of the Development Assistance
Committee (DAC) in collaboration with the DAC Working Party on Statistics.

It provides a comprehensive picture of donors’ aid programmes that address the HIV/AIDS epidemic in
developing countries, and that are therefore linked to Millennium Development Goal (MDG) 6: Combat
HIV/AIDS, malaria and other diseases, Target 7: Have halted by 2015 and begun to reverse the spread of
HIV/AIDS.

The report provides an update of a study previously carried out in 2004 on 2000-02 data, and published in
“CRS Aid activities in Support of HIV/AIDS control”. The 2004 study provided the first definitive statistics on
aid to HIV/AIDS control, and focused on methodological issues, confirming that the standard DAC
statistical methodology captured the bulk of donors’ assistance to HIV/AIDS control. The present update
concentrates on data, including commitments and disbursements, preliminary data on 2006, and estimates
for 2007.

It concludes a two-year project conducted in co-operation with the Joint United Nations Programme on
HIV/AIDS (UNAIDS) to review and improve reporting on aid to HIV/AIDS control. UNAIDS has a great
need for quality and timely data on aid flows in support of HIV/AIDS control, in particular for the review of
progress made in relation to targets set out in United Nations General Assembly Special Session on
HIV/AIDS (UNGASS). During two years, UNAIDS supported the work of the DAC Secretariat in
i) improving the methodology used in collecting these data; ii) expanding the data collection on
commitments and disbursements from donors; and iii) better disseminating the data to facilitate access by
users.

Source of the data
The report is based on donors’ reporting on Official Development Assistance (ODA) commitments and
disbursements to the Creditor Reporting System (CRS) Aid Activity Database, and on a special survey
submitted to DAC members during the summer 2007 to collect early data on 2006 aid flows and
preliminary estimates for 2007.

Structure of the report
Part 1 of the report contains an analysis of aid to HIV/AIDS control over 2000-06, including trends in
donors’ aid (section I), targeting of aid to countries most in need (section II) and estimates for 2007
(section III). A methodological note (section IV) explains the definitions and concepts underlying the figures
and describes the survey launched among DAC members to obtain early information. Part 2 records aid
activities in support of HIV/AIDS control, with amounts and descriptions, reported by bilateral and
multilateral donors in 2005 (for 2006 and 2007, members provided total figures on their aid to HIV/AIDS
control but the most recent comprehensive detail of aid activities relates to 2005).

                 Data that support this report are available from the DAC online site:

                                   www.oecd.org/dac/stats/crs/hivaids

                                    www.oecd.org/dac/stats/idsonline




10    SNPC : ACTIVITES D’AIDE POUR LA LUTTE CONTRE LE VIH/SIDA – ISBN 978-92-64-03283-5 – © OECD 2007
I.             DAC members’ support to HIV/AIDS control

This section provides a statistical overview of DAC members’ support to HIV/AIDS control. Section 1.1 first
details the bilateral data obtained from DAC members for most recent years 2005 and 2006. Section 1.2
summarises members’ contributions to multilateral institutions active in the field of HIV/AIDS control.
Section 1.3 provides figures for DAC members’ total aid to HIV/AIDS, including their bilateral and
multilateral contributions, and illustrates the trend over the period 2000-06.

I.1            DAC members’ bilateral aid to HIV/AIDS control

Table 1 below presents the data on DAC members’ bilateral aid to HIV/AIDS for 2005 and 2006. When
available, it provides a breakdown of aid between health and social activities. It shows that DAC members
committed USD 2.9 billion directly for this purpose in 2005, and USD 3.8 billion in 2006. This represented
4.9% of DAC members’ bilateral sector-allocable aid in 2005, and 6.4% in 20061. The United States is the
main donor, allocating 70% of total bilateral aid to HIV/AIDS in 2006 mainly through the President’s
Emergency Plan for AIDS relief (PEPFAR) and the International HIV/AIDS Research Program of the
National Institutes of Health. The United Kingdom’s share represented 13%. Ireland, Netherlands and
Sweden are also substantial donors of aid to HIV/AIDS control with approximately 6% of their total bilateral
sector allocable ODA allocated to HIV/AIDS control.

Expenditure data amount to USD 2.3 billion in 2005, and to USD 3.1 billion in 2006. The fact that
commitment figures are higher than disbursements indicates increased focus of aid to HIV/AIDS control in
donor programmes. Commitments are multi-year and subsequent disbursements spread over several
years. The increase in aid allocations (commitments) to HIV/AIDS control will thus be visible in
disbursement data with a time lag (see also chart 2).




1
    Preliminary estimate as final data on sector allocable aid are not yet available at the time of this study.



CRS AID ACTIVITIES IN SUPPORT OF HIV/AIDS CONTROL – ISBN 978-92-64-03283-5 – © OECD 2007                          11
                            Table 1. DAC members’ bilateral aid to HIV/AIDS control
                                   2005-06 commitments and disbursements
                                          USD million, current prices

                             2005 commitments                2005 disbursements           2006 commitments            2006 disbursements
                                              Total aid to                                                Total aid to
                                  Social                     Total aid to HIV/AIDS              Social                 Total aid to HIV/AIDS
                       Control                 HIV/AIDS                              Control               HIV/AIDS
                                 mitigation                         control                    mitigation                     control
                                                control                                                     control

Australia               18.9           ..           18.9                   2.2            ..         ..          ..                     ..
Austria                  0.6         0.2             0.7                   0.7          3.0        0.1         3.0                    2.7
Belgium                 23.8         1.3            25.1                  18.3         16.9        0.9        17.8                   20.4
Canada                  22.4         0.2            22.6                  51.7         61.4          ..       61.4                   51.4
Denmark                 12.2         2.7            14.8                  10.1         28.4        1.0        29.4                   12.8
Finland                  0.9           ..            0.9                     ..         0.3        1.4         1.6                    0.8
France                   5.2         0.1             5.3                   1.7            ..         ..          ..                     ..
Germany                 48.1         0.0            48.1                  33.7        117.0        0.4       117.5                   47.7
Greece                   0.5         0.2             0.6                   0.6          7.9          ..        7.9                    7.9
Ireland                 20.7           ..           20.7                  20.7         60.6       13.8        74.4                   74.4
Italy                      ..          ..              ..                    ..           ..         ..          ..                     ..
Japan                    2.9           ..            2.9                   2.8          3.3          ..        3.3                    2.3
Luxembourg               3.8           ..            3.8                   3.8          5.3        0.0         5.3                    5.3
Netherlands             80.6        66.5           147.1                  61.0         82.2       44.3       126.5                   74.6
New Zealand              3.5         1.6             5.2                   3.3            ..         ..          ..                     ..
Norway                  32.7         1.6            34.3                  34.4         59.6        0.6        60.2                   44.4
Portugal                 0.3           ..            0.3                   0.3          0.5          ..        0.5                    0.5
Spain                   16.2         0.3            16.5                  16.5            ..         ..          ..                     ..
Sweden                  80.8        17.4            98.3                  72.9         29.1       31.6        60.7                   81.0
Switzerland              6.9           ..            6.9                   6.4          2.8          ..        2.8                    5.6
United Kingdom         380.0           ..          380.0                 380.0        506.6          ..      506.6                  506.6
United States         2016.7           ..         2016.7                1536.7       2633.4          ..     2633.4                 2164.7
EC                      15.1            ..           15.1                  43.7        46.4          ..       46.4                    44.1

Total DAC members     2792.8        92.1          2884.8                 2301.6      3664.7       94.1      3758.8                  3147.3


Notes:
2006 data are preliminary
..          Data not available at the time of the study
Denmark: A large proportion of Danish bilateral aid in the health and reproductive health sectors is delivered through
sector programmes, reported under basic health. Amounts shown in Table 1 for Danish direct bilateral aid
commitments therefore underestimate total bilateral Danish contributions in support of HIV/AIDS control.
United Kingdom: Based on DFID’s internal methodology, aid to HIV/AIDS control amounts to USD 468 million in 2005
and USD 584 million in 2006. This methodology is not directly comparable to other DAC members; it is described in
section IV.


HIV/AIDS control and other aid to health

Figures shown in Table 1 relate to aid activities that were primarily designed for the purpose of controlling
HIV/AIDS. Members generally see these figures as low estimates of their total bilateral aid to HIV/AIDS
control, since wider health and reproductive health programmes as well as sector programmes may also
include HIV/AIDS components not identified separately, and thus not included in the figures shown.
Chart 1 below gives an indication of additional amounts involved, by showing DAC members’ total aid to
reproductive health, very much linked to HIV/AIDS control, and to basic and general health, which may
include HIV/AIDS components. The previous study roughly estimated the share of these items directed to
HIV/AIDS at no more than USD 400 million per year (excluding the United States).

It also appears from Chart 1 that HIV/AIDS control has been a growing priority in donors’ health aid
programmes over the period under study. The share of aid to HIV/AIDS control in total aid to health




12       SNPC : ACTIVITES D’AIDE POUR LA LUTTE CONTRE LE VIH/SIDA – ISBN 978-92-64-03283-5 – © OECD 2007
increased from 26% in 2000-01 to 36% in 2004-05, whereas aid to other major infectious diseases such as
malaria and tuberculosis remained at 11% of total aid to health.


            Chart 1. Breakdown of DAC members’ bilateral aid to health and reproductive health
                                 2000-05 commitments, annual averages
                                    USD million, constant 2005 prices

                    USD million
                     8000

                     7000
                                                                                         General health
                     6000
                                                                                         Other basic health
                     5000

                     4000                                                                Malaria, tuberculosis and
                                                                                         other infectious diseases
                     3000
                                                                                         Other reproductive health
                     2000
                                                                                         HIV/AIDS control
                     1000

                         0
                                  2000/01          2002/03           2004/05




I.2           DAC members’ multilateral contributions to HIV/AIDS control
In order to give a comprehensive picture of donors’ support to HIV/AIDS control, their transfers of funds
through multilateral channels need to be taken into consideration in addition to their direct bilateral
commitments. Donors’ earmarked contributions to specific HIV/AIDS projects managed by international
organisations are recorded as bilateral and are included in Table 1 figures. Likewise, contributions to
public-private partnerships such as the International AIDS Vaccine Initiative (IAVI) or the International
Partnership for Microbicides (IPM) are included2. By contrast, contributions to multilateral organisations’
core budgets are recorded as multilateral and not included. The methodology used to assess the share of
these core contributions that can be imputed to donors and show as part of their total support to HIV/AIDS
control is explained in section IV.

The main multilateral organisation funding the fight against HIV/AIDS in developing countries is the Global
Fund to fight AIDS, Tuberculosis and Malaria (GFATM). Table 2 presents DAC members’ total
contributions to the GFATM over 2004-2006. The Global Fund, created in 2001, received increased
funding every year, rising to USD 1.8 billion in 2006. Out of this amount, the Global Fund in turn allocates
between 55 and 60% to HIV/AIDS control. The five largest contributors to the Global Fund are the United
States, France, Canada, the United Kingdom and Japan which together accounted for 67% of overall
contributions for 2004-06.




2
    This study does not cover the International Drug Purchase Facility (UNITAID) as it was created in 2006.



CRS AID ACTIVITIES IN SUPPORT OF HIV/AIDS CONTROL – ISBN 978-92-64-03283-5 – © OECD 2007                             13
 Table 2. DAC members’ contributions to the Global Fund to fight AIDS, tuberculosis and malaria
                             2004-06, USD million, current prices

                                                      2004        2005       2006
                        Australia                      14.7        15.2       11.1
                        Austria                         0.0         0.0        0.0
                        Belgium                        17.8         6.3       10.1
                        Canada                         25.5       115.5      220.5
                        Denmark                        16.7        23.4       23.6
                        Finland                         0.0         3.7        3.8
                        France                        186.4       186.4      287.1
                        Germany                        47.2       101.9       90.4
                        Greece                          0.3         0.3        0.4
                        Ireland                         0.0        17.4       25.7
                        Italy                           0.0       223.7        0.0
                        Japan                          86.1       100.0      130.1
                        Luxembourg                      1.2         2.4        2.5
                        Netherlands                    56.0        57.2       75.3
                        New Zealand                     0.7         0.8        0.0
                        Norway                         18.6        23.5       42.3
                        Portugal                        0.6         1.5        2.0
                        Spain                          18.6        16.3       77.8
                        Sweden                         49.1        42.2       81.4
                        Switzerland                     2.4         4.0        4.8
                        United Kingdom                 60.5       111.3      184.0
                        United States                 458.9       352.0      463.7
                        EC                             53.2        72.1      113.0
                        Total DAC members            1114.5     1477.1      1849.6


Other organisations active in the field of HIV/AIDS, and for which the CRS/DAC contains information
consist of a number of UN agencies (UNAIDS, UNFPA and UNICEF), the World Bank (IDA), the African
Development Fund, and EC.

Table 3 summarises the multilateral funds that can be imputed to individual donors as a component of their
aid in support of HIV/AIDS control (amounts referred to as “imputed multilateral contributions”). The EC is
shown on a separate line and cannot be added to the total, as aid to HIV/AIDS control through EC is
already taken into account under individual EU countries’ imputed amounts (column “through EC”). The
Global Fund is th
								
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