The Fragmentation of Humanitarian Aid: Market failure leads to planning and broken networks.

Is Fragmentation a solution or a problem?
One of the main reasons the donor community pushes for reform in the humanitarian aid sector is the fragmentation of the services. As an antidote for fragmentation, coordination is proposed. The conventional narrative says that small interventions and fragmented approaches are inefficient. If this is the case, a market approach to the allocation of funds, where efficiency is rewarded, would create incentives to consolidate, as it would be more efficient to have less actors. Currently the system seems to fragment even further, even while high level declarations are signed to vowing to stop the fragmented service delivery.Making the system work as a market, with incentives to make it more responsive to efficiency gains would improving the results of the system as a whole. Self regulating systems of incentives normally work better for complex systems than crude top down regulation by decree.

In this blog I will try to determine whether the current humanitarian system can be defined as a market geared towards better results, and identify possible incentives to make it respond better.

Competitive markets and market concentration

A normal market has a few market leaders and a long tail. The redundancy of the market (more providers providing the same service) is not seen as a problem, but as an assurance for getting best value for money. The long tail is for practical purposes irrelevant, but it guarantees that special niches can be covered, and the big actors are kept on their toes, because the small firms could always challenge them if they manage to innovate or produce better.

An example of such a market is the one for PCs: The top 4 manufacturers produce 60 % of the PCs, the 6th a meagre 5.3 %, and all the thousands of others combined master 1/3rd of the market.

Computers are of a decent quality, and there is innovation leading to better, and cheaper computers.

Table 1
Preliminary Worldwide PC Vendor Unit Shipment Estimates for 3Q10 (Units)

Company 3Q10 Shipments 3Q10 Market Share (%) 3Q09 Shipments 3Q09 Market Share (%) 3Q09-3Q10 Growth (%)
HP 15,431,749 17.5 15,513,420 18.9 -0.5
Acer 11,527,716 13.1 11,726,586 14.3 -1.7
Dell 10,816,474 12.2 9,908,099 12.1 9.2
Lenovo 9,140,778 10.4 6,871,379 8.4 33.0
Asus 4,793,186 5.4 3,911,263 4.8 22.5
Toshiba 4,695,600 5.3 4,014,945 4.9 17.0
Others 31,896,091 36.1 30,106,333 36.7 5.9
Total 88,301,595 100.0 82,052,026 100.0 7.6

Note: Data includes desk-based PCs and mobile PCs.
Source: Gartner (October 2010)

However, fragmentation in the development world seems not to deliver this kind of expected results. Why?

The humanitarian market: perceptions of fragmentation and of competition
Looking at Humanitarian Assistance funding , which is (imperfectly) documented through the FTS system managed by OCHA, we find for 2010 a total funding of USD 7 billion.

Appealing Organisation Funding 2010 (million USD) % of total funding
All others (636 organisations) 1.507 22 %
WHO 127 2 %
UNRWA 163 2 %
IOM 219 3 %
FAO 229 3 %
UNHCR 574 8 %
UNICEF 740 11 %
WFP 3.403 49 %
Total 6,963

100 %

Data: FTS, Summary of requirements and contributions – per Appealing Organisation in 2010, dd. 9/02/2011. Note: the data don’t show all the contributions to MSF nor ICRC, 2 important actors in the field. It is possible that some NGO-funding is not reported through FTS, however, at least donor government contributions are well reported, as donors want all their contributions to show for international forums.

On first sight, this distribution looks wrongly like a normal market, with some market leaders and a long tail. There would be some risks for monopoly abuse by WF. The top 7 organisations deliver 78 % of the assistance. The Herfindahl-Index (HHI) is 26.2, which hints to an extremely concentrated market. The PC-market has only a HHI of about 8.

  • A HHI index below 10 % indicates a highly competitive index.
  • A HHI index between 10 to 18 % (or 1,000 to 1,800) indicates moderate concentration.
  • A HHI index above 18 % indicates high concentration

On closer inspection however, the humanitarian system is not one market at all.

Indeed, WFP is dealing only with food security and logistics. UNICEF with water and Children, UNHCR with refugee camps. The next organisation dealing with food security (as only one of its activities) would be Oxfam UK recieving only 0.8 % of the total contributions. Less than 1/50th of WFP. The top 7 organisations are all UN-entities focusing on a UN-given mandate, in theory not competing with each other. For execution those UN-entities rely partly on the other actors at the bottom of the pile.

Fragmentation within the sector: on what basis are NGOs selected by donors?
Humanitarian aid is organised per sector, with a UN-agency (sometimes assisted by an NGO) as “cluster lead”. The cluster lead has “only” the power of its mandate, its financial means and capacity.

Within the main sectors dominated by the UN-agencies, there is little fragmentation. There is domination by the big players and not enough competition to have a real market. The humanitarian field the cluster leads, such as UNICEF, WFP and UNHCR, receive five to ten times the amount of funding of the main NGOs competing in the same field. In the food sector this phenomenon is the most striking, with 3/4 of the funding through WFP, and an extremely concentrated market with an HHI of 70. In the Water and Sanitation sector were actors in essence do the same job, there were 162 actors in 2010 (data of 09/02/2011), the cluster lead, UNICEF, gets 39% of the resources, followed on a distance by Oxfam GB (6.7%), Solidarités (2.9 %). This leads to a HHI of 16.4, still highly concentrated.

However, the cluster cannot be seen as one market: The UN-agencies get often their funding through core resources or separate funds. This means we should split the data in 2: The UN-agencies are a separate market from “the others”.
When excluding UNICEF from this health sector analysis, the HHI drops to an unheard of 2.98. This means the market is splintered. This is a sign of little return to size. The market does not reward any possible economies of scale. For the other sectors (health, protection, shelter, coordination) the relative weight of the UN-cluster lead is lower, but the NGO-field is as fragmented.

More analysis is needed to explain this phenomenon, as it is evident that there are economies of scale in the sector, but apparently they are not rewarded by the market.

Looking at the water-data per donor, the level where the market operates seems to be the donor level. For most donors, 4 sets of partners can be identified:

  1. the UN-agencies and the Red cross
  2. Some international NGOs probably with a local presence in the donor country.
  3. Donor country specific NGOs
  4. Possibly, some crisis specific NGOs.

Each donor has its own specific funding pattern. Sometimes there is a high weight of UN-agencies and i-NGOs, sometimes the sectors with most needs prevail, more often than not, at least part of the money is spread over donor country NGOs.

The water market for NGOs apparently is not a single market, but a set of unrelated markets per donor and per set of partners.

This means that the market push towards more quality and efficiency work only within the small donor specific markets. However, at this level, the “partnership” approach could lead to an approach where the allocation is rather spread on basis of negotiation than on selection. The market model would be a cartel.

The role of the UN-cluster leads
From the data, it seems that the NGO-funding and the UN must be considered as separate markets, even with different funding sources. Indeed, there is little evidence that the donors in general (except perhaps for some exceptions, like the CRF, or ECHO) have the wherewithal to allocate funds on basis of quality and results alone.

One hypothesis that the donor governments de facto consider the services delivered by the main UN-entities as a “utility”, a service that is part of “global governance”, a near natural monopoly. The reasons why they continue to fund the small fry are unclear from the data. It could be that they need the visibility possibly through national NGOs for internal reasons, or they might want to keep the UN-entities on their toes by providing some competition and variety of actors. If they want to deliver competition for results, the system does not seem to reward the better organisations by letting them grow. If they want to keep variety of actors, they would strengthen the hand of the NGOs better if they did not fragment them so much.
With the overwhelming part of the funding for the crucial sectors going to the UN-cluster leads, it is notable that coördination, the elimination of overlaps and filling of gaps, is still perceived as a major problem. The impact of other players in areas dominated by the big entities should be limited at best. Especially in the “life saving”sectors.

However, it is possible that the small outfits are many times as efficient as the UN-entities, showing an impact that is way more important than their share of the funding. It might also be possible that there is a perceived lack of coördination, as the visibility of the small NGOs tends to be bigger than the visibility per unit of funding of the juggernauts.

The selection of NGOs by the donors
A visit to the website of ECHO (the Humanitarian Office of the European Commission) on their partnerships is revealing. On the 8th of February 2011, ECHO worked with 191 partners. On first sight, this looks like a crowded field. However, looking per member state, there are only on average 7 partners per member state. The UK alone fields some 40 NGOs, but most member states have only a few ECHO-accredited NGOs.
Within the NGO-group a hopeful tendency shows up: Most national NGOs are local branches of international outfits, with a good reputation and internal quality control systems. This means that the perceived field fragmentation might be partly a ploy from the NGOs to deliver their quality work as one, while authorizing the individual donors to shine. They “game” the system by obtaining funds thanks to their national identity and results through their global organisation.

We conclude from the FTS data that the donors don’t base their selection procedures for NGOs only on the GHD indicators (needs based, capacity of executing agency, effectiveness), but add to it, sometimes even as a prerequisite, the nationality of the provider. Different choices of partners could be acceptable if each donor would focus on a different market: a sub-sector where it takes on its responsibility in the framework of division of labour. This seems not to be the case: donor nationality is not a result area in humanitarian assistance.

The fragmentation per nationality is a concern for the quality of the humanitarian assistance. Donors don’t play their role in the oversight of the funding, as they observe only a narrow slice of the market. If the prerequisite for the allocation of resources is the geographic location of the branch in the north, the importance of other parameters, such as services to the beneficiaries, quality, transparency and efficiency goes down.

The pressure for consolidation in order to get to optimum scale is stopped in favour of the pressure to stay fragmented to maximize national donor resources. Maintaining the status quo on the division of funding is an act of survival for the individual splinters: people can lose their job. In this environment a small NGO will rather seek rents and single sourced funding rather than risk its own survival by moving to a more competitive global environment. Results focus is not in the interest of most of the NGO-players in the sector.

When donors reserve 20 % to the NGO-sector, but every donor finances a different set of NGOs, while they finance the same group of UN-entities, Red cross and MSF, the NGO-sector will be too fragmented to play a relevant political role as it is difficult to project power as a splintered group.

The way forward
To improve the humanitarian results for the beneficiaries, the problem area is the NGO-sector.
The selection of NGOs should be aimed at the general principles for government spending: best value for money and transparency through competition. Selection should be rigorous on basis of criteria that are relevant for the beneficiaries. The market for NGOs must be widened, preferably to the global level, to make it possible for NGOs to reap economies of scale. The needs for national “visibility” could be addressed through the active promotion of national chapters of international NGOs. Such a system would not eliminate small, effective or specialized NGOs, but would lead to more consolidation where this would lead to more efficiency.

Some possible action points:

  • Assure that the funding to NGOs is based on criteria of efficiency, quality and value for money.
    1. Make projects, reports, data, evaluations comparable across donors by using standard forms and data.
    2. Consider support to national NGOs without competition from iNGOs as tied aid for OCDE/DAC
    3. Fund only interventions  you can actually monitor as a donor. with a minimal size, and leave it to flexible funds, or strong actors to fill the gaps. (Correction: some small interventions by niche specialists are crucial. I would not want to cause them to lose funding).
  • Abandon direct funding to NGOs by donor governments, and fund them only through needs based allocation systems, such as thematic funds, CERF or ERF.

In the short term, dealing with the UN-system seems to need rather an evolutionary approach than a revolutionary approach. In the long run, if NGOs become more competitive, the system will have to be reformed completely.

Possible ways forward for UN-funding :

  1. Accept the role of the UN-entities as humanitarian utilities and regulate them as such. Allocate them the near monopoly they already enjoy now, but assure the drive for more efficiency by e.g. a outcome and impact evaluation, outsourcing functions for more results at a lower cost.
  2. Separate the UN-monopoly from their operations outside of their UN-monopoly; fund the monopoly as an utility, and open the rest to global competition with the NGOs.
  3. Introduce competition on basis of quality and efficiency of the organisations. This should lead to a more diverse market, with less monopoly power of the UN-entities. Levers for maintaining coördination should be build in this system.
  4. Continue the same system, with a near monopoly of the cluster lead and limited direct funding to NGOs, but assure that the choice of the NGOs is based on criteria of efficiency and quality. This would lead to more innovation while keeping a good overall coördination through the UN.

In general, when funding a specific crisis, the best results for the beneficiaries should be obtained by considering the 4 sets of partners as one market. In the light of the limited donor capacity in most countries, it can be argued that the direct funding of local partners is not feasible for each donor.

Conclusion : the collapse of complex systems
The organisation of humanitarian assistance is for the moment not based on a global market. the market is fragmented on the donor level and per set of partners: UN-system, national NGOs, International NGOs, crisis specific partners.

Within sectors calls for better regulation and a recognition of the role of the UN-entity as a “utility”delivering humanitarian assistance.

The funding of NGOs is problematic. There is a place for a competent NGO-sector, but the donor incentives create a lot of dead wood in this sector. The current system stands in the way of an evolution towards better learning, quality and efficiency. It is the funding by the donors, that leads to the current fragmentation in NGO-resources. The donors will have to reassess their funding model completely to work towards more efficiency and better results instead of against it. Otherwise the fragmentation of the NGO-sector can only increase, while the efficiency of the NGO-sector will diminish. The legitimacy of humanitarian aid itself will be under fire. Funding outside the UN-coordinated system, for ICRC and MSF as a more accountable option, could counterbalance this trend.

In order to move away from the current equilibrium, Donors should select their partners on basis of their results and not on basis of their nationality. They should be able to compare different actors with the same yardstick. A first step would be to introduce a level playing field for accepting, assessing, monitoring and evaluating interventions.

Energy efficiency is the way to go.

A new article in the New Scientist claims that efficiency gains alone could cut world energy demands by three-quarters.

This is, of course extremely relevant for everybody in the development sector, as we tend to be cought in the maelstrom of environmental innovation, while savings are probably the more efficient way forward. Especially for the poor we like to use as guinea pigs for technology that fails in the rich world.

It seems to me that the sectors with strong commercial interests, such as wind energy, or construction, do get a lot of airtime, while other techniques don’t get any airtime at all.

Bringing down the energy bill with about 20 % of an old house in an area with harsh winters can be done by any of the following investments:

  • New triple glazing and suppression of draughts
  • Roof or ceiling insulation
  • Wearing warm underwear (lowering the room temperature with 3 degrees)
  • Wall insulation
  • Heating only the rooms where you need higher temperature.
  • Getting rid of the draughts

I did not hear about a subsidy for underwear yet. However, this intervention is by large the most economical one.

We will not run out of oil, it will get more expensive as it runs scarce. Progressively more alternatives will become economical, but to overall the price of using energy will become higher. This upward trend will be slower than wat could be expected with only oil as a source, as new energy sources become available.

As the prices go up, we will not only have to consider using better technology, we will also have to consider to just stop doing the activity we were going to do, when other pathways are open to us.

Like putting on underwear when the temperature drops or not installing a heated jacuzzi in the bathroom.

Mainstreaming revisited

Bottom Up Thinking blogs about a “development effectiveness officer“, a person who walks around to incite people to do what they should do if they would be doing their job.
It is a recurrent problem with all “mainstreaming” issues. It is “a job well done” to taken environment, women , equity, drr, into account every time when it is relevant. NOT doing so is bad work. Taking it into account when it is NOT relevant is lack of focus and bad work. If there would be some weeding out of bad programs based on the results they get, people would learn fast to integrate everything that is needed to have a successful outcome .

When mainstreaming an issue, the focus moves from the success for the main goal of the project, to success in mainstreaming. The selection of successful interventions is not made based on the expected results for the objectives, but on “making the right noises”. A mainstreaming agenda is developed, with mainstreaming experts. This has a tendency to lead to “best practices” based on confirmation bias, and one size fits all projects.

However, mainstreaming issues are often serious problems needing attention. Just stopping the current approach will not make them go away. I don’t really have an answer to how to approach it, but like Bottom Up Thinking, I don’t feel comfortable by the steamroller political correctness the current approach seems to imply.

The Armdroids are coming

There is an interesting article at the Harvard Business review on ” The fall of Wintel and the rise of the Armdroids” .

It is interesting how history repeats itself. Only a few years ago, at the start of the PC-era, the Intel processor was not the only game in town, neither was the Microsoft Operating system. The Wintel combination won the PC wars, because they delivered a platform for innovation. They provided a reliable backdrop of operating system and processor, around which an evolving ecosystem of peripheral hardware and useful programs could be built.

Bad programs don’t get a chance, because someone else will come up with an alternative fast.

Now the same is happening in the Mobile and tablet world: the platform combining the ARM processor and the Android operating system poised to win the mobile platform war because it leaves most room for innovation on hardware and software. This is the strength of standards and platforms: the platform itself might be static, but only when there is a level playing field you can compete of quality and cost. Without a platform and standards, there is a confusopoly. In a confusopoly, innovation is not necessary, because products cannot be compared. The market is shared, not competed for.

In development and humanitarian assistance, the lack of a common platform for evaluating results and impact is notorious. This is why fragmentation doesn’t lead to evolution and  division of labour, because the competition for resources is not based on measurable indicators such as the quality and cost/benefit analysis, but instead on “other” criteria, such as the nationality of the NGO, the domestic sensitivities of the donor, etc.

The more the focus moves to common platforms and results measurement, the more results and learning can be expected.

Data warehouse for project proposals in humanitarian assistance

I posted the following at Opendata, please, if you are a programmer, contribute:

Proof of concept: Data warehouse for project proposals in humanitarian assistance:

For the moment nearly every donor and every UN-agency requires project forms to be filled according to their own template. They are quite strict on this, and non-compliance leads to delays in approval or even refusal.

When analysing the requirements however, it is obvious that the content in most forms is for 90 % the same. It should be possible to use a common database, with 90 % common data, and the additional data depending on the needs of the donor.

The application would be a website, where the applicant chooses first the donor he wishes to apply for. The webpage will let him fill in the form for this donor, but save the data in a common database. In an official version, it would be possible to submit from the site electronically to the donor.

If the application is unsuccessful, the applicant would be able to choose in a new donor, and fill in only the missing fields, without the need to reformat everything.

When this application would be accepted by the donors and NGOs alike, the project data would authorize learning to a very high degree: most open data efforts only make metadata available, like budgets, and project title. With this data warehouse coördination and comparative evaluation would be much facilitated, as all data are in the same format.

The proof of concept would bring together the forms of the major humanitarian donors: ECHO (European Commission), USAID, DFID, Sida, Germany.

Cheers, Samwise.gardner@gmail.com

This effort could provide the ” hardware” (ok, technically software) of the “new accountability paradigm to reflect the reality of the Aid Industrial Complex“, and links up with the IATI effort for transparency.

A new year, a new donor budget and the fallacy of additional resources

Donor budgets are annual and modular. The legislation ruling these budgets covers normally all expenditures in all departments. This means expectations on donor flexibility are often unrealistic. While the role of parliaments in poor countries might be taken into account, often the role of donor legislation, parliaments in the donor countries and the limited importance of development in donor country political priority setting are often forgotten.

A budget in most countries is annual. This means a budget starting in January is normally proposed by the desk officer in March, April, balanced for priorities within the hierarchy and government and finally discussed, amended and approved by the parliament around November. The actual calendar depends on the donor. From that moment on, the allocation for departments, programmes, budget lines and even individual allocations is fixed for the rest of the year. Changes are still possible. However, the procedures can be difficult. In most countries, the legislation supports limiting expenditure and makes additional expenditure difficult. At the higher levels, there is a need to go back to the parliament, at the intermediate level, it might be necessary to go to the Chancellor of the Exchequer. At the lower levels, changes might be allowed within the department or even at the level of the desk officer.

Lessons learned:

  1. On the cabinet level, a government decides on the broad strokes. So the only cabinet level decision might be on the total Official Development Assistance budget for the year (allocation is annual, spending might be multi-annual). Within this budget, it is mostly the preserve of the Minister for development coöperation to make allocations.
  2. As most governments don’t allow the printing of money, additional funding for a development issue normally means savings within the same department. “Additional funding” for development is only possible if there is a disaster or other major event that convinces the parliament and the public to change its priorities, by reallocating e.g. national health service budget to disaster relief. There might be a constituency of potential health service clients who would oppose this move. International conferences, resolutions or best practices normally don’t qualify for getting this treatment. Real additional funding would e.g. mean that a government moves its benchmark for development spending up (e.g. from 0.7 % to 0.75 %).
  3. For all practical purposes, “Additional funding” for one development item, like climate change adaptation means to diminish the funding for less sexy development priorities, like primary education, health systems or democratic governance between elections. The call for additional funding is a call to diminish the funding for other development issues. The choices for savings are seldom explicit. How many people should we stop feeding to increase the funding for coördination?
  4. Who pays the piper calls it tune: If it is not on the budget, it is not important. If an item is recognized as a budget line or a programme in the official budget, it is ingrained in the DNA of the donor. Continuity is near guaranteed, even over the years. If there is only an agreement signed to give the item top priority, but there is no dedicated budget, allocation of scarce funding will be difficult. It will depend on the priority the desk officer can impose on his minister for actually paying up. However, being buried in the budget on a lower level might be useful to stay under the radar, e.g. when supporting innovative interventions with low political backing and public appeal.

Sunday Paper – New Years’ edition

  • “Sunshine: at the IMF, of all Places”Economist’s View; A new paper argues that the best solution to a financial crisis like the one we just experienced is to increase the share of income going to labor: Sunshine: at the IMF, of all places, by Alex…
  • Where Does Hate Come From?Economist’s View; Daniel Little has a question: Hate as a social demographic : Every democracy I can think of has a meaningful (though usually small) proportion of citizens who fall on the extreme right by any standard: racist, White supremacist, hateful, anti-immigrant, anti-Semitic, anti-Muslim, nativist, nationalist, or violently anti-government individuals and groups. In the United States we have many, man…
  • Palestinians Must Be Free – By Ambassador Maen Rashid AreikatForeign Policy; Ignore the smoke screen thrown up by Israel and its apologists. The real reason for the lack of an enduring Mideast peace deal is the Israeli occupation.
  • The march of freedomAid Watch; All men are created equal. Except blacks. Except women. Except gays. American history shows the erosion of the Excepts, although never complete. Yesterday’s repeal of Don’t Ask, Don’t Tell was another small victory for freedom. Let’s celebrate, while never losing resolve to keep moving towards complete equality and liberty for All. Why even homophobes should celebrate gay rights victoriesAid Watch; One of my favorite Abraham Lincoln quotes: As I would not be a slave, so I would not be a master. This expresses my idea of democracy.If I claim the right to deny you rights, that sets the precedent…
  • Freedom from fear: Protecting people from one of the world’s most brutal rebel groupsFrom Poverty to Power by Duncan Green; Maya Mailer, Humanitarian and Conflict Policy Advisor Across central Africa, men, women and children live in fear of the Lord’s Resistance Army. This predatory group attacks women as they perform their daily tasks – fetching water or tending to their fields – and children returning from school. It abducts, mutilates, rapes and kills, using extreme violence against the most vulnerable. Surviv…
  • Assessing Humanitarian AidGlobal Development: Views from the Center; A lot can be said against the methodology DARA uses, and even against the results they publish (honestly, New Zealand doing better than the Netherlands?). However, the index is necessary and useful. Subscribing to principles, without creating a cost to the non-compliance is moot. DARA makes it worthwhile for a donor to comply, as non-compliance leads to dismal scores. Countries should get more detailed feedback, as they need to be able to explain the problems caused by the methodological issues, and address those that are caused by the lack of motivation to comply with the undersigned principles.
  • Local politics a tough nut to crackChris Blattman; Donors push “community driven development” programs largely to strengthen local institutional capacity, democracy, and inclusiveness. (Sometimes overlooking the fact that these three goals are not…
  • Development Policy Review, Theme Issue: Aid, Institutions and Governance – What Have We Learned – Resources – Overseas Development Institute (ODI)www.odi.org.uk; As part of ODI’s 50th anniversary celebrations, DPR has republished nine key articles in the field of aid, institutions and governance, with an introductory essay by former Editor David Booth.

Darwin awards for international organisations and treaties

Chatting with a friend over lunch on what is real work and what is just unproductive time-filler, we touched upon the Food Aid Convention. If this international treaty would just vaporise without leaving a trace, the overall effect on food security would probably be positive, as this treaty promotes a one-size-fits-all supply driven approach to food assistance, and its renegotiating takes up a lot of time of food security professionals.

Wouldn’t a “Darwin Award for Development Treaties and Organisations” be useful, to bestow an award on those development organisations and treaties who, by simply obliterating themselves, would contribute more to the development goals they promote then by dragging on. Different from the Darwin award for humans, where the prize is only awarded posthumously, the prize will honor the laureates with the best potential for improvement of the development gene-pool, as, you know, international organisation never die.

When assessing the list of international treaties and organisations however, most of them seem, at least on first sight, to have a potential contribution to development. However, it is only as an insider you notice the disfunctionality of an institution. Probably some more informal get-togethers qualify, like the MOPAN group. The multilateral aid effectiveness exercise by the new government in the UK happening for the moment at DFID might provide some good data for awarding the price.

For my part, I would grant the Food Aid Convention this prize, any more takers?

Results in HIV/AIDS interventions: Considerations on the need for a vertical approach in an horizontal world, and vice versa

Aids day
During Aids-day, the blogs proved that the debate between the believers in a vertical approach and the believers in a geographical approach rages on. I did not write on it before, because it is an issue with ramifications in all directions, and wonderful opportunities for tangents and meandering digressions. Most thinking is black and white: HIV/AIDS needs advocacy and a vertical approach otherwise it does not get the priority it deserves, or all development must be locally generated, and advocates should stay out.
I will try to be brief and as provocative as I can to highlight the need for a more instinctive and competitive approach on this divisive issue.
Conferences
I was working in the HIV/AIDS sector in South Africa, before Mbeki got internet-shavvy, and before the Global Fund For AIDS, TB and Malaria existed. It was a very frustrating experience. The South African government was hailed as one of the few Sub-Saharan governments with a decent policy, but rates of HIV-positive cases kept going up. Donors and the government were subsidizing mostly advocacy and awareness programs, and the responsible officials were often found in international conferences. In short, everything was politically correct, and nothing worked. Until GFATM was created. They had exotic ideas such as “evidence based” interventions. Things were falling into place when the price for drugs dropped too. Alternative reading: until Brazil and MSF got their way and cheap drugs.

Lesson 1: If there is an internationally recognized crisis, focused forceful global action can be useful.
Lesson 2: “Evidence based” interventions might have a bigger chance for success than doing whatever seems right when you are at it.
Lesson 3: Advocates can make a difference. Sometimes for the better.

Reform
Since the UN was created, there have been calls for reform, but here I am talking about 2004, with a donor drive for more streamlining amongst agencies. Smaller agencies should be integrated in the bigger ones. This would lead to more efficiency, as we all know that big bureaucracies, thanks to economies of scale, are more efficient than nimble organisations fighting for their survival. One of the agencies under fire was UNIFEM, The organisation that “provides financial and technical assistance to innovative programmes and strategies that promote women’s human rights, political participation and economic security.” It should have been merged with UNDP. One of the delegates of the G77 berated: all UN-agencies have been created because there was a good reason. So good a reason, that all MS in unanimity decided to create this organisation. Are you really sure that the situation of women has changed to such a degree that we don need this organisation any more?

Indeed only 6 years later, the same donors managed to create a bigger UN-women organisation, that should strengthen the original mandate of UNIFEM, and bring it to a larger scale.

Lesson 4: never thrust a donor (or anyone) that is sure about the next silver bullet
Lesson 5: Sometimes, if something is very important, you need to create a special tasks force to make it happen.
Lesson 6: Development fads come in tides, tides rolling in and out, a new tide rolling in…

Localizing
In the early years when I was working on HIV/AIDS in South Africa, it was amazing how many of the “good practices” were just copy paste from the interventions that were used in the HIV/AIDS communities on the West Coast. A group threatened by exclusion dominated by homosexuality and intravenous drug use, while in Africa victims were often heterosexual middle class. It was only when results were required that the programs got adapted.

Lesson 7: local actors seeking locally adapted solutions based on global knowledge works better than local solutions transplanted to a different ecosystem. Without good knowledge to start with, chances are good nothing will happen at all.
Lesson 8: never thrust donors or iNGOs that they are open for local input. If they think they have a silver bullet, they will push it, claiming it is localised.

Conclusions:

Lesson 9: global institutions should offer global knowledge and try to adapt catalytic operations to local circumstances. Acceptance and rolling out should be up to the local owners of the problem (if they find it is a problem).
Lesson 10: vertical and localized horizontal programs must coexist, and fight for attention. Having a dynamic of competition, where global, vertical programs must prove their mettle, and local horizontal programs are constantly challenged is a good thing.

Lesson 11: as a donor, you invest your money best where it delivers the most. Depending of the situation and the “maturity” of the issue, this can be a global vertical program, or a local operation, or anything in between. You should have thematic and geographical programmes with different goals competing for resources and attention.

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