Information about the AIDS Watch Africa implementation structure and draft indicators for measuring the AU roadmap.

1. PRACTICAL GUIDE FOR THE IMPLEMENTATION
OF THE AU ROADMAP FOR SHARED
RESPONSIBILITY AND GLOBAL SOLIDARITY
FOR AIDS, TB AND MALARIA
SABELO MBOKAZI -AUC
8 TH NOV 2013
ADDIS ABABA, ETHIOPIA

2. Heads of State and
Government (Africa-wide)
AW Chairperson A
Ethiopia
AW Vice Chairperson A
Mozambique
AW Consultative
A
Experts Committee (MS)
AW Secretariat
A
AW Champions
A
Central Africa
Gabon
East Africa
Tanzania
North Africa
Tunisia
Southern Africa
Malawi
W Africa
est
Cote d’lvoire

3. Responsibility and Global Solidarity 2012
-2015




The Roadmap presents a set of practical African-sourced solutions for enhancing
Shared Responsibility and Global Solidarity for AIDS, TB, and Malaria responses
in Africa.
The overarching goal of the AU Roadmap is to support African countries to
exercise leadership to meet AIDS, TB, malaria targets by 2015 and source
African solutions to ensure universal access to health-related services for all
those in need on a sustainable basis. The AU Roadmap builds on a number of
AU initiatives (e.g. Abuja Declaration)
This practical guide has been developed to assist the, the African Member States,
RECs and other relevant stakeholders to implement the AU Roadmap.
The solutions are organised around three strategic pillars:

4. AU Roadmap Three Pillars
1
More diversified,
balanced and
sustainable financing
models
2
Access to medicines
– local production
and regulatory
harmonisation
3
Leadership, governance
and oversight for
sustainability

5. Purpose & Audience
Purpose
To provide practical suggestions for implementing the
agreed AU Roadmap in order to achieve rapid results in



reducing the burden of AIDS, TB and Malaria
developing mechanisms to sustain national, regional and
continentatal programmes for the three diseases.
Audience
AU MS governments, development and non-state partners
(CSOs, FBOs, NGOs, etc), RECs and AU bodies (NEPAD,
APRM,PAP)


6. ARCHITECTURE FOR AU ROADMAP PRACTICAL
GUIDE
PILLAR NO. 1
Level
Action
National
• Analyzing the costs of the three diseases
• Develop a sustainable financial plan based on evidence based
strategies
• Building a picture of ‘returns on investment’
• Identify innovative sources of domestic funding (see examples in
Guide)
• Work with development partners to ensure they meet their funding
commitments
Regional
• Facilitate sharing of ideas and lessons learned on diversifying and
innovating funding
Continental
• Monitor and report on progress of member states on biennial basis

7. ARCHITECTURE FOR AU ROADMAP PRACTICAL
GUIDE PILLAR NO. 2
Level
Action
National
• Promote and facilitate investing in leading medicines
(e.g ARVs, ACTs, TB.) and health commodities (e.g.
LLINs, insecticides) manufacturers in country.
• Develop in-country essential skills in manufacturing
and management
• Create an enabling regulatory environment within
country in order to reduce import tariffs and harmonize
regulatory requirements with other countries in the
region
• Create a legislative environment that incorporates the

8. ARCHITECTURE FOR AU ROADMAP PRACTICAL
GUIDE PILLAR NO. 2 CONT…
Level
Action
Regional •
•
•
•
•
•
•
Undertake functions as defined in African Medicines Regulatory Harmonisation
(AMRH) initiative and Pharmaceutical Manufacturing Plan for Africa (PMPA)
business plan in the region
Work to identify leading companies that can be supported to build their capacity so
become quality assured pharmaceutical and commodities (e.g. LLINs)
manufacturers in the region for core drugs for the three diseases.
Support countries in the region to understand flexibilities under TRIPS and how to
maximize these to the benefit of domestic markets
Create a platform for dialogue between the key stakeholders on the implementation
of medicines regulatory harmonization plans and sharing best practice;
Dialogue with and advocate for national governments to create conducive business
environments, reduce tariffs and other trade barriers within the sub-regions.
Increasing economies of scale and bargaining power through joint procurement
and price negotiations.
Once regional production is consistently available, advocate for purchase of

9. ARCHITECTURE FOR AU ROADMAP PRACTICAL
GUIDE PILLAR NO.2 CONT…
Level
Action
Continent
al
• Advocate at high levels in all member states for
sustained attention and investment in pharmacy and
commodity manufacturing and regulatory harmony,
including through continued support for PMPA and
AMRH
• Establish a Pharma Market Data Initiative
• Lay the foundations for a single African regulatory
authority
• URGENTLY advocate at a global level for continuation
of TRIPS flexibilities

10. ARCHITECTURE FOR THE AU ROADMAP
PRACTICAL GUIDE PILLAR NO. 3
Level
Action
National •
Understand the scale of the three diseases
• Use existing reviews of disease programme governance and
management arrangements to determine where capacity exists to
drive forward achieving AU Roadmap objectives
• Develop evidence based, well costed, sustainable national
strategies using inclusive processes that prioritise how national
resources will be committed over the next five to ten years
• Develop investment cases to draw in increased funding based on
priorities from strategy
• Examine where efficiency and effectiveness can be gained by
better pooling or integration of governance and management
arrangements for disease programmes

11. ARCHITECTURE FOR AU ROADMAP
PRACTICAL GUIDE PILLAR NO. 3 CONT…
Level
Action
Regional
•
•
Facilitate regional multi-stakeholder (including civil society) peer review of
Roadmap implementation, including review of national strategies,
investment cases, governance arrangements, adherence to human rights
agreements and drug regulatory policies and frameworks
Organise annual regional forums to share experiences and best practices
on achieving Roadmap targets

12. ARCHITECTURE FOR THE ROADMAP
PRACTICAL GUIDE PILLAR NO. 3 CONT…
Level
Action
Continental
• Put in place biennial reporting on AU Roadmap
Implementation progress against indicators,
starting with reporting at the AU Summit in 2014.
• Monitor the degree to which both AU member state
governments and development partners are
meeting their funding commitments
• Agree with African Peer Review Mechanism the
inclusion of indicators on leadership, governance
and oversight for the AU Roadmap within the selfassessment form and peer review process.

13. REVIEW & VERIFICATION OF INDICATORS
PLEASE R
EFER TO THE INDICATORS CHEDULE PROVIDED
Milestones:

Presented to AIDS Watch Africa (AWA) Consultative Experts Committee (April 2013)

Referred to AUC for review (April 2013)

HIV/AIDS, TB and Malaria for made inputs (May – Oct, 2013)

Review, verification and finalisation (Nov 2013)