Update on

Coordinated International Assistance

Olga Jonas, Avian and Human Influenza Global Program Coordinator, World Bank

Presentation in Session X

NEW DELHI INTERNATIONAL MINISTERIAL CONFERENCE ON AVIAN AND PANDEMIC INFLUENZA

6 December 2007

Genesis of the AHI Financing Framework for 2005-2007

In Geneva (Nov. 2005), agreement on integrated country programs (animal & human health, pandemic preparedness, communications)

A flexible framework, instead of a central funding mechanism, systematically monitored by WB

In Beijing (January 2006), $1.8 b pledges for 2005-2007 country-level responses key regional organizations global-level activities (WHO, OIE, FAO, others)

In Bamako (December 2006) – $474 m pledges for 2006-2008

Financing Framework Implementation: Commitments and Disbursements(As reported in the UNSIC/WB Third Global Progress Report)

Out of $2.3 billion pledged:

• $1.7 billion committed (73% of pledges), of which

• $1.0 billion disbursed (61% of commitments)

Impressive delivery on pledges in “emergency phase”

But response evolving … and support not keeping pace

Overview of Donor Performance

Donor Pledges Commitments Disbursements % Disbursed Available

A. B. C. C./B. A.-B.1 United States 434 433 375 86% 12 Japan 222 232 232 100% ..3 Australia 111 93 47 51% 184 Canada 87 91 40 44% ..5 United Kingdom 55 51 29 56% 36 France 41 45 26 59% ..7 Germany 37 37 23 62% 08 Russia 32 32 20 63% 09 Netherlands 21 17 6 32% 3

10 Sweden 13 13 13 99% 011 Norway 11 10 10 100% 112 Finland 10 10 10 100% 0

19 other bilateral donors 45 28 20 72% 16Subtotal bilateral donors 1,118 1,094 850 78% 42European Commission 208 193 105 54% 15Multilat. Dev't Banks 984 392 63 16% 592Total 2,309 1,678 1,018 61% 631

as of June 30, 2007, $ million

Only $57m of pledged grant funding remains available

Figure 2.1. Commitments to International Organizations and Countries Nearly Doubled

Between April 2006 and June 2007

629

330

77

74

206

148

433

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377

333

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April '06 June '07

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Countries AHI Facility

Regional Organizations International Organizations

Other

Share of cumulative commitmentsAs of June 30, 2007

Countries - 37%AHI Facility - 5%International Organizations - 26%Regional Organizations - 12%Other - 20%

Assistance to international organizations

Top 15 donorsDonor Commitments Disbursements %disbursed

1 Japan 112.6 111.9 99%2 Canada 78.8 37.3 47%3 United States 44.6 44.2 99%4 France 32.1 22.4 70%5 European Commission 28.8 13.8 48%6 United Kingdom 25.0 13.3 53%7 Asian Development Bank 24.4 11.0 45%8 Russia 24.0 17.0 71%9 Australia 13.9 3.4 25%

10 Sweden 12.7 12.6 99%11 Norway 10.5 10.5 100%12 Switzerland 5.0 5.0 100%13 Italy 4.5 0.0 0%14 Spain 3.6 3.0 84%15 Belgium 2.9 2.6 91%

$ million as of June 30, 2007

Main recipients: WHO ($178.5m), FAO ($89.9m), OIE ($28.5m) and UNICEF ($68.5m)

Assistance to countriesTop 15 donors

Donor Commitments Disbursements %disbursed1 World Bank 299.4 44.2 15%2 United States 152.5 145.7 96%3 European Commission 89.6 60.2 67%4 Australia 48.9 26.1 53%5 Asian Development Bank 41.0 1.7 4%6 Germany 16.3 7.0 43%7 Netherlands 14.5 3.8 26%8 Japan 8.8 8.8 100%9 Finland 8.1 8.1 100%

10 Russia 7.9 3.0 38%11 United Kingdom 6.6 6.6 100%12 African Development Bank 6.5 4.1 62%13 Korea, Republic of 2.1 1.1 52%14 China 2.0 2.0 100%15 France 0.9 0.6 71%

$ million as of June 30, 2007

Assistance to countriesRegional distribution

Figure 2.3. Asian Countries and Eastern Europe Received Bulk of Commitments

($ million)

9814%

29542%

8812%172

24%

416%

122%

Africa East Asia & Pacific

South Asia Eastern Europe & Central Asia

Middle East & North Africa Latin America & Caribbean

Figure 2.4. Countries Become More

Dependent on Loans as Grants Decline

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Up to April '06 May-Oct. '06 Nov. '06-June '07

Reporting Period

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In Kind Grant Loans

Assistance to countriesCumulative commitments as of June 30, 2007

In Kind: $108 m (15% of total)

Grants: $259 m (37% of total) - of which $76m from AHIF&PHRD

Loans/credits: $339 m (48% of total)

Total: $706 m

Status of financing for countries

* grants & in-kind assistance cover 17% of needs* loans and government contributions cover 39% of needs* 44% remains as financing gap

Region

Bamako Needs

Estimate 2006-2008

Government Contributions

Grants & In-kind

Loans

Remaining Financing Gap

July 2007 - December 2008

A. B. C. D. A.-B.-C.-D.

SUB-SAHARAN AFRICA 589 29 48 50 462

EAST ASIA AND PACIFIC 935 298 227 69 341

EUROPE AND CENTRAL ASIA 247 44 51 120 32

LATIN AMERICA AND CARIBBEAN 15 2 10 2 1

MIDDLE EAST AND N. AFRICA 233 102 18 23 90

SOUTH ASIA 149 28 13 75 34

ALL REGIONS 2,168 503 367 339 960

As % of needs estimate 100% 23% 17% 16% 44%

US$ million, as of June 30, 2007

Decline in pledges relative to gaps poses risks for sustainability of global response to avian flu threat

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gFinancing gap Pledges Number of donors pledging

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Risks Example of a gap that will remain if resources are unavailable: compensation for culling

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Africa and the Americas Lag Other Regions in Establishing Compensation Schemes and Many Schemes Are Not Ready for Implementation

Need for a global strategic framework for 2008-

In addition to reducing financing gap for needs identified in Bamako for 2006-2008 (especially grants for developing countries) also re-visit approach to global response to HPAI by

Improving pandemic preparedness Increasing focus on sustainable medium-term

programs of strengthening animal and human health systems, within a 10-year vision of Eliminating threat posed by HPAI Improved capacity in developing countries to

prevent and control zoonotic diseases more broadly

www.worldbank.org/avianflu

Gerardo Bravo GarciaAvian Flu Series, 2006

Oil & Gold Leaf on CanvasCourtesy of the World Bank Art Program