 | More than 29.4 million Africans are living with HIV/AIDS, the vast majority of them adults in the prime of their working and parenting lives | | Over half the HIV-infected adults in Africa are women, many of whom are of childbearing age | | Another 20.4 million Africans have died of AIDS, with devastating social and economic consequences | | At least 12 million African children have been orphaned by AIDS | | In 2002 alone, more than 3.5 million Africans were newly infected with HIV |
| | MULTI-COUNTRY HIV/AIDS PROGRAM (MAP) FOR AFRICA | | African leaders, the World Bank, and the international community at large recognized the need for quick, forceful, and sustained action against the epidemic. | | Guided by these principles, the World Bank and its partners designed the Multi-Country HIV/AIDS Program (MAP) for Africa, which has made available an initial amount of US$1 billion to scale up national HIV/AIDS efforts and to support sub-regional (multi-country) HIV/AIDS initiatives. The MAP is a long-term commitment by the World Bank to support HIV/AIDS programs for as long as necessary. MAP funds, which are now being provided as grants, are available to any low-income African country that meets the eligibility criteria laid out by the World Bank. | | THE MAP APPROACH | | The MAP is built on a “program support” model, meaning that assistance is comprehensive, flexible, and adaptable. MAP projects are characterized by: | | Empowering stakeholders - MAP support goes to all types of organizations, including government, communities, civil society, faith-based organizations, and the private sector | | Learning by doing and broad knowledge sharing - MAP is a process, not a blueprint | | Building and unleashing capacity - to strengthen implementation of all programs | | Intensive attention to financial management and monitoring and evaluation |
| | PROJECT COMPONENTS | | The MAP supports the full spectrum of HIV/AIDS activities, in conjunction with all other partners. Typically, MAP projects include: | | Capacity building for government agencies and civil society | | Expansion of governmental responses to HIV/AIDS in all sectors | | A civil society fund to channel grants directly to community organizations, NGOs, FBOs and the private sector for local HIV/AIDS initiatives | | Effective mechanisms for project coordination, management, and monitoring and evaluation |
| | PARTNERSHIP | | The MAP reflects the World Bank’s commitment to the Joint United Nations Programme on HIV/AIDS (UNAIDS). | | The MAP is the Bank’s contribution to translate the principles of the International Partnership Against AIDS in Africa into action. The Bank works closely with these partnerships, as well as with the Global Fund to Fight AIDS, TB and Malaria and an array of donors, civil society organizations, and private firms to ensure that MAP support builds on existing HIV/AIDS prevention, care, and treatment efforts. The MAP also requires broad involvement of partners in the national response, especially persons living with HIV/AIDS. In addition to financial support, the MAP provides substantial technical support, which helps programs funded by all partners to implement more quickly and effectively. | | COVERAGE | | Every eligible country in Africa is now receiving MAP support or preparing a program for MAP funding. | | The World Bank is also developing tools to help those countries which, because of income or civil strife, do not have access to direct MAP support. One innovative approach being tried is to link World Bank technical support with financing from other partners. All African countries are eligible for implementation support. | | THE MAP PROVIDES MORE THAN MONEY | The World Bank also supplies a range of services to help improve implementation and accountability of HIV/AIDS programs. This support includes: | Technical Support Teams – On request, the World Bank and UNAIDS provide technical support teams to countries to solve bottlenecks and speed program implementation, while sharing good practice experiences from other countries. | | Workshops – Multi-country workshops are held regularly with participants from all segments of society to share experiences, provide information on improving performance, and involve more stakeholders. | | Manuals & Guidelines – The World Bank and UNAIDS regularly produce and update guidelines and manuals of good practice and emerging lessons. These materials cover overall implementation; specific fiduciary topics such as financial management, procurement, and monitoring and evaluation; and thematic areas such as early childhood development and HIV/AIDS and education. | | GAMET – The multi-donor Global HIV/AIDS Monitoring & Evaluation Team, housed in the World Bank, provides dedicated support for designing and strengthening national M&E systems as a whole throughout Africa. | | Promotion of Networks – ACTafrica and UNAIDS support the development of networks of HIV/AIDS program practitioners across Africa to promote sharing of knowledge and key lessons. |
| | SUBREGIONAL PROJECTS | | The MAP also funds sub-regional and multi-country projects to support activities along borders, in key corridors, in post-conflict situations, among displaced populations, and with the potential to serve multiple countries. | | AIDS Campaign Team for Africa | | The World Bank
1818 H Street, N.W.
Washington, D.C. 20433 | | | Tel: +1 202 458 0606
Fax: +1 202 522 7396
Email: actafrica@worldbank.org |
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| | | Achievements and Highlights | >>> Implementation is accelerating. More sectors and organizations are carrying out HIV/AIDS activities than ever before, and the pace of program implementation is rising rapidly.
>>> MAP funding has supported a strong and rapid expansion of civil society activities in many countries, with thousands of community organizations receiving financial and technical assistance - many for the first time.
>>> Innovative financial mechanisms have been devised, delivering money far more widely than ever before, while still respecting accountability needs.
>>> Partnerships are expanding, as the MAP supports a growing range of partners at both the national and international level. With MAP support, countries are also starting to lead true joint reviews of their national programs. These bring all partners together for a common review, and thus reduce the multiple separate reviews which are so time-consuming for national officials. In some countries, partners are even pooling their HIV/AIDS support into a basket fund.
>>> Implementation support is intensifying. Workshops have already reached hundreds of HIV/AIDS leaders from 40 countries, while technical support and GAMET teams have served more than two dozen countries. >>> The World Bank and UNAIDS have supported the creation of NAPPA (the Network of HIV/AIDS Program Practitioners in Africa) for knowledge sharing. >>> Anti-retroviral treatment is now receiving MAP support, both in the public sector and civil society, as a growing number of countries adopt treatment plans | | MAP GOAL & OBJECTIVES | MAP projects directly support the implementation of national HIV/AIDS strategies and sub-regional
HIV/AIDS activities. | | | The overall goal of the MAP is to intensify action in as many countries as possible. Its specific objectives are to scale up prevention, care, and treatment programs, mitigate impact in all sectors, and strengthen the implementation of programs at all levels.
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