Philippe Douste-Blazy

Les financements innovants pour atteindre les Objectifs du Millénaire

G8 Development Ministers’ Meeting - Chair’s Summary (Rome, 11-12 June 2009)

12 June 2009

Chair’s Summary

G8 Development Ministers and senior officials, including from the EU Presidency and the European Commission, met in Rome on June 11 and 12, 2009, together with representatives from Brazil, China, India, Mexico, South Africa and Egypt, from the Presidency and the Commission of the African Union, from the Presidency and the Steering Committee of NEPAD, from the OECD, the UN, the FAO, the IFAD, the WFP, the WHO, the World Bank, CGIAR-Bioversity and the African Development Bank. The meeting focused on the impact of the economic and financial crisis on the developing world and was aimed at giving political input and support to development policies worldwide, with a specific view to the achievement of the MDGs and in preparation of the G8 L’Aquila Summit.
The need for a strong, coherent and coordinated response to the crisis

As we face an unprecedented economic crisis, growth in developing countries is seriously threatened, jeopardizing progress achieved towards the MDGs. The global economic slowdown, adding on the negative effects of energy and food crises, has severely disrupted economic growth worldwide with lasting effects on present and future generations. We must therefore act in a coordinated manner to prevent the economic crisis from turning into a deeper social crisis with all its possible consequences in terms of political instability and conflicts. Responding to the needs of the most vulnerable communities around the world is essential to the prosperity and security of us all. We will therefore work for the success of the forthcoming UN High Level Conference on the World Financial and Economic Crisis and its Impact on Development.

According to the OECD/DAC latest statistics, global ODA levels in 2008 increased by around 10% to approximately US$ 120 billion. Greater effort is needed. We therefore reaffirm our commitments on ODA and international assistance made at Gleneagles and confirmed at Heiligendamm and Toyako (1), our engagement on aid effectiveness principles, as well as our intention to enhance our partnership in development cooperation. In this regard, we agreed to improve the effectiveness of our actions and to strengthen our accountability, showing progress towards meeting existing pledges, in order to demonstrate our ongoing commitment to achieve the MDGs.
Economic growth must be at the core of any successful strategy for overcoming the crisis. We will therefore strengthen our joint action in support of developing countries’ response to the economic crisis, with a particular focus on their vulnerabilities. We encourage and support the development, as part of a comprehensive policy response, of social protection mechanisms and safety nets to address vulnerable population groups who are hardest hit by the crisis.

Counter-cyclical measures to balance the negative effects of the crisis on income levels and growth rates highlight the importance of coordination of the fiscal measures undertaken by national governments, in order to enhance their multiplier effects on the global economy.

We welcomed the International Financial Institutions’ swift response to the crisis and of the G20 commitment to increase resources available to the IMF. Resources available to developing countries through multilateral development banks should be adequate, in order to address the crisis in a coordinated and comprehensive manner. This requires additional work on concessional loans and grants, in order to prevent unsustainable debt situations, particularly for low income countries.

Building on the Monterrey Consensus, and on the outcomes of Accra and Doha, in preparation of the L’Aquila Summit we have examined with interest a comprehensive, “whole of country” approach to development, which will be explored further by the OECD. In addition to ODA commitments, including the continued effort in providing debt relief, there is a need to leverage other sources of financing and to mobilize all stakeholders that can contribute to the sustainable development of partner countries. Beyond aid effectiveness, we have to aim at development effectiveness.

We will therefore work with partner countries to maximize the impact of development assistance, investment, trade, innovative sources of financing, debt relief, microfinance, small and medium enterprise financing, remittances and domestic resources, optimizing the mix of all available financial inflows, resulting into a more coordinated allocation of resources towards established policy areas. To this aim, we will promote stronger coherence across all relevant national and international policies, as well as the involvement of our private sector and civil society for the common goal of supporting the achievement of the MDGs.

A thriving and competitive private sector is critical to inclusive growth, and the current credit crunch calls for international measures to support access to finance for investment and trade, both of which have contracted sharply. We encourage and support developing countries to pursue reform programs and further their efforts to provide regulatory frameworks conducive to financial markets development, investments within the private sector, as well as to employment generation, in order to boost inclusive and equitable growth. In this context, we welcomed and encouraged the efforts made by developing countries in strengthening their public-finance sector and emphasized the importance for development of strengthening tax systems.

In this context, we stressed in particular the need to address the problem of mobilizing private capital in Africa for infrastructure financing. It is crucial to enhance capacity building efforts in the areas of risk evaluation, risk mitigation and brokerage services for infrastructure projects. We took note of the initiatives taken by the African Development Bank in this field – including the launch of an African Risk Mitigation Initiative for Infrastructure Financing – and encouraged their early implementation.

We supported the role of regional integration, essential in bolstering economic growth and development, as it reduces vulnerability to shocks, all the more in the light of the economic crisis.
Innovative financing for development

We shared the view that innovative financing is a critical element in contributing, along with traditional ODA, to raising the resources needed to tackle the challenges of the economic crisis and to mitigate its impact on development. In this difficult context, a change of scale and speed in the implementation of innovative financing mechanisms for development is most needed.

To maximize effectiveness of innovative financing mechanisms, their functioning should be consistent with principles agreed in the Rome - Paris - Accra Declarations. In this regard, we encouraged the work of the Leading Group on Innovative Financing for Development, the High Level Task Force on Innovative Financing for Health Systems as well as the United Nations and the I-8/LIFE group, which encompasses the already existing innovative financing mechanisms. On this basis, we will work together to mobilize additional resources and activate innovative instruments, such as, for instance, AMCs and IFFIm, air-tickets solidarity levy and using the proceeds from emissions trading, including the promotion of public-private partnerships and new forms of voluntary contributions by citizens and private companies.

We welcomed the initiative of the “Global Remittances Working Group”, that was launched by the G8 Presidency in 2009 and coordinated by the World Bank with the purpose of ensuring more reliable data on remittances, favouring more transparent and safer flows, as well as enhancing their impact on development. We will work together with other partners in the field of remittances with a view to collectively reducing the global average costs of transferring remittances, e.g. from the present 10% to 5% in 5 years. We invite all interested countries and stakeholders to join us in this effort.
Monitoring vulnerability

Existing mechanisms for assessing global economic and social vulnerability need to be improved and better integrated, so to reach an effective monitoring, serving as an early warning system, monitoring resources spent to enhance responses to vulnerability, assessing the effectiveness of measures taken. Close collaboration with international organisations appears fundamental in this regard.
A greener future

We have reiterated the importance of taking rapid and effective action to combat climate change, as science clearly indicates, and of reaching a global, ambitious and comprehensive agreement in Copenhagen in December 2009. We cannot afford to miss this decisive opportunity to achieve a truly ambitious global consensus, which will set the basis for the future climate regime, based on the principle of common but differentiated responsibilities and respective capabilities.

Climate change adaptation and mitigation policies are inextricably linked to development. There is great concern for the consequences of climate change on development, human mobility, ecosystem services, food security, agricultural output, forests, health, water and sanitation, above all for the poor and most vulnerable in all countries, in particular in the least developed countries and small islands developing states, and for the risks posed by the potential for increased conflicts over scarcer resources and by growing migration. We support the mainstreaming of effective adaptation and mitigation strategies and risk assessments into international cooperation programmes as well as the integration of adaptation into national development plans and policies. Financing mitigation and adaptation to climate change shall be consistent with the broader framework of financing for development and the aid effectiveness agenda.

We acknowledged the fundamental role of the G8 in promoting investments in the development and deployment of technologies and know-how in developed and developing countries, in particular in energy efficiency, renewable energies and low carbon technologies. We recognise that access to modern energy services is closely interlinked with the improvement of living conditions and is essential for human and social development, and for the achievement of the MDGs. In this context, we welcomed the inclusion of Africa in the G8 Program of Action to address energy poverty.

We commend and express our strong support to constructive national efforts taken by many developing countries in addressing climate change.
Towards a cross-sector approach to sustainable development

As stated at Toyako, we acknowledge the importance of achieving human security, providing individuals with freedom from threats such as poverty and infectious diseases and empowering them to fulfill their potential, in particular in fragile states and for the most vulnerable people and communities.

In this regard, we underscored the importance of policy coordination and policy coherence, identifying the most urgent priorities, with a view to make progress towards a cross-sector approach to development policies. More than ever, efficiency may be increased through commonalities, avoiding duplication and preventing potentially contradictory actions.

The crisis is having the greatest impact on already weak sectors, rooted in structural fragilities of developing countries. All the policy areas identified by the G8 (health, water and sanitation, food security and education) are closely connected and need  to be tackled with an integral and comprehensive approach, aimed at sustainable development.

In this framework, priority is to be attached to maintaining social safety nets, to basic health coverage, particularly as far as accelerating action this year on maternal, newborn and child health is concerned, and continue to campaign for education into 2010 and beyond. Social protection standards should be established, focusing on ensuring universal access to basic social services. Uneven access to education, health, safe drinking water and basic sanitation impedes sustainable development and the eradication of poverty.

Coordinated and inclusive efforts are also required for achieving a sustainable solution to global food security. The impact of the global financial crisis and last year’s spike in world food prices on the most vulnerable countries have led to increasing hunger and poverty and require continued attention and the consolidation of a true global partnership. Its main features should be coherent and science-based policies aimed at fostering balanced, inclusive and environmentally sound agricultural growth, managed through an enhanced cooperation at the international, regional and local levels.

Required actions stretch well beyond the mere adequacy of resource transfers to the poorest countries and require progress in the area of aid effectiveness and policy coherence. At the same time, we welcome efforts made by partner countries to further improve their Poverty Reduction Strategies, by adopting country specific approaches balancing short term gains with the need for sustained improvement in budget, procurement and planning systems over a longer period of time. In this view, donors’ support to national budgets should be coupled with country-specific capacity building.
(1) For Africa, this will include increasing our ODA by US$ 25 billion a year, compared to 2004, together with other donors. The OECD/DAC estimated that the combined commitments of G8 and other donors would increase overall ODA by around US$50 billion a year by 2010 compared to 2004

Le Figaro, jeudi 11 juin 2009

Au G8, Douste-Blazy fait la promotion des financements innovants

DEVELOPPEMENT

L’ancien ministre français de la Santé veut élargir le principe de la « taxe Chirac ».

Rome

« EN TROIS ANS, on a pu lever 2,6 milliards de dollars en faveur du secteur de la santé dans les pays en développement », explique Philippe Douste-Blazy. L’ancien ministre français de la Santé est responsable auprès du secrétaire général des Nations Unies d’identifier des formes innovantes de financement au développement. Il fera le point de ses travaux devant le G8 des ministres de la Coopération qui se tient à Rome ce soir et demain.

Son intervention est très attendue : les huit mécanismes déjà mis en place sous le sigle Life génèrent de grands espoirs. « Un milliard et demi d’êtres humains gagnent moins de 1,5 dollar par jour. La crise actuelle menace d’avoir des conséquences effrayantes dans le tiers-monde. Il est urgent de trouver de nouvelles formes de financement pour renforcer une aide publique au développement (APD) qui ne fait que stagner », dit-il.

Certains mécanismes sont déjà rôdés. C’est le cas du prélèvement automatique sur les billets d’avion Unitaid (lire encadré). C’est aussi le cas des campagnes de vaccination de l’alliance Gavi financées par des prélèvements sur les emprunts internationaux garantis par les Etats : plus d’un milliard de dollars ont déjà été affectés. L’objectif est de réunir 4 milliards en dix ans. « Cela a déjà permis de vacciner 550 millions d’enfants », déclare Philippe Douste-Blazy au Figaro.

Les projets innovants sont multiformes. Ils permettent d’aider les laboratoires à commercialiser les vaccins pour le tiers-monde à des prix rémunérateurs. Un exemple parmi d’autres : le logo commercial « RED » créé par le chanteur de rock irlandais Bono et apposé sur des articles de luxe et de mode a déjà rapporté 250 millions de dollars.

Projets à succès

Fort de ces projets à succès, Douste-Blazy défend l’idée d’investissements « socialement responsables » auxquels les individus pourraient participer grâce à des prélèvements volontaires – de 1 ou 2 euros – effectués sur des secteurs à définir : le marché du charbon, du tourisme, de la téléphonie mobile, voire d’Internet. « Je voudrais faire de Life l’équivalent pour le développement du Giec (Groupe intergouvernemental sur le climat) », insiste M. Douste-Blazy. Les projets retenus à Rome seront soumis au sommet du G8 en juillet afin d’être adoptés et traduits en initiatives concrètes dans les six prochains mois.

Richard Heuzé

Le succès de la « taxe Chirac » : 1 milliard de dollars pour soigner les bébés malades du sida

Mis en place à l’initiative de Jacques Chirac et du président brésilien Luiz Inacio da Silva, Unitaid est un prélèvement automatique sur les billets d’avion, à raison d’un ou deux dollars sur les billets de classe économique jusqu’à vingt dollars sur ceux de classe affaires. Raillé quand il fut proposé, ce mécanisme rencontre un vrai succès aujourd’hui.

Douze pays l’ont déjà adopté. Une dizaine d’autres sont en train de le faire et, fin 2010, trente pays l’auront mis en place. En trois ans, il rapportera un milliard de dollars, entièrement affectés à la lutte du sida des nouveaux-nés dans le tiers-monde. Quelque 2 200 enfants naissent chaque jour avec cette infection. « On ne sait pas assez que les trois quarts de ces enfants sont soignés grâce à ce mécanisme », insiste Philippe Douste-Blazy.

La régularité de financement à permis de diminuer de 50% le prix des médicaments. « A l’inverse des budgets nationaux qui sont reconduits d’année en années, ce mécanisme a des effets pérennes. Ce qui permet de négocier au meilleur prix avec les laboratoires pharmaceutiques », souligne l’ancien chef de la diplomatie française.

De plus, ce mécanisme incite les laboratoires à mettre au point des médicaments pédiatriques spécifiques pour le tiers-monde, alors qu’ils n’existaient pas dans les pays riches, le sida étant traité chez les mères enceintes.

R.H.

The New York Times, May 21, 2009, By DOREEN CARVAJAL

PARIS — Former President Bill Clinton, newly appointed as the United Nations special envoy for Haiti, announced Wednesday that he was joining a new international initiative to raise money for Third World medical aid through a unique financing campaign that harnesses the power of unlikely philanthropists: air travelers who buy electronic tickets.

“If we get broad-based support, there is no telling what we can do,” Mr. Clinton said at a small news conference at the Four Seasons George V Hotel in Paris, alongside Philippe Douste-Blazy, a development-financing adviser to the U.N. secretary general, Ban Ki-moon.

“If you provide a user-friendly, efficient way of giving, the contributors will use this system. There’s no question that large numbers of people will contribute if they know how little it costs and how many lives are saved.”

The U.N. is trying to tap new sources of revenue during the global economic crisis, turning to travelers who are willing to check off a $2 donation added to their ticket prices. The aim is to increase government aid for projects combating malaria, tuberculosis and AIDS, according to both men, who are working with a newly formed group — Leading Innovative Financing for Equity, or LIFE — made up of eight different groups that are raising money to finance health aid.

One of those organizations is Unitaid, a Geneva-based organization that was founded in 2006 on the initiative of Brazil and France and that is financed by airline ticket taxes in 7 of its 35 member nations. Since it emerged, the group has raised and committed more than $900 million for treatment. Its aim is to buy medications in high volume in order to negotiate low prices.

The campaign to tap small donors will not be operating until January 2010, said Mr. Douste-Blazy, who explained that “the idea is that the citizens of the world are connected by the Internet and credit cards and can show their solidarity.” In the meantime, the groups have set broader goals to reach even more small donors — customers renting cars, booking hotels or buying train tickets.

Such measures will be coordinated by the group, LIFE, along with other financing arrangements like the sale of child vaccine bonds. The International Finance Facility for Immunization — backed by Britain, Italy, France, Spain, Sweden, Norway and South Africa — has already raised more than $2 billion since 2006 by selling vaccine bonds on the capital markets.

PARIS - L’ex-président américain Bill Clinton a apporté mercredi son soutien à Paris au lancement début 2010 aux Etats-Unis d’une “contribution volontaire” sur les billets d’avion pour financer l’organisation Unitaid chargée de favoriser l’accès aux médicaments à bas coûts.

“Il ne fait aucun doute qu’un grand nombre de personnes va y participer. Ils savent que ça ne coûte pas grand chose et que 100% va servir à sauver des vies”, a affirmé Bill Clinton, lors d’un point de presse commun avec le président d’Unitaid, l’ex-ministre des Affaires étrangères Philippe Douste-Blazy.

“Nous allons lancer au début de l’année prochaine une contribution de solidarité citoyenne mondiale volontaire”, a expliqué M. Douste-Blazy. “Nous allons proposer à tous les voyageurs du monde de payer 2 euros ou 2 dollars de plus”, a-t-il ajouté, précisant que le voyageur pourra décocher la case où figure le montant ajouté s’il ne veut pas payer.

“L’idée c’est une micro-taxe mondiale sur les billets d’avion” pour les pays qui n’ont pas voulu adopter la taxe obligatoire de solidarité sur les billets d’avion lancée en 2006 par la France, a dit M. Douste-Blazy.

Cette taxe obligatoire, aujourd’hui appliquée par une douzaine de pays, finance environ 70% des besoins d’Unitaid.

“Je crois que la contribution volontaire peut avoir un très grand succès aux Etats-Unis. C’est là où nous le lancerons au début de l’année 2010″, a précisé le président d’Unitaid.

Dressant un bilan de l’action d’Unitaid, MM. Clinton et Douste-Blazy ont souligné que fin 2008, Unitaid et ses partenaires, essentiellement la fondation Clinton, avaient permis notamment de soigner 170.000 enfants atteints du sida.

“Nous visons 100.000 de plus en 2009 et encore 100.000 en 2010″, a précisé M. Douste-Blazy, ajoutant que d’ici la fin 2009, Unitaid aura réuni un total d’un milliard de dollars, à raison d’environ 350 millions de dollars par an.

29 pays soutiennent Unitaid qui lutte contre le sida ainsi que le paludisme et la tuberculose.

(©AFP / 20 mai 2009 23h28)

19 mai 2009 – Le Secrétaire général de l’ONU, Ban Ki-moon, a annoncé mardi la création d’un réseau entre les mécanismes novateurs de financement pour le développement, qui sera animé par son Conseiller spécial sur le financement novateur pour le développement, l’ancien ministre français Philippe Douste-Blazy.« La crise économique rend le financement novateur encore plus important. Les formes traditionnelles de financement pour le développement sont menacées. Les économies se contractent », a souligné M. Ban lors d’une réunion sur cette question à Genève.

Huit mécanismes de financement novateur pour le développement ont été présentés lors de la réunion.

« Nous devons rapidement renforcer et augmenter les mécanismes novateurs existants et en envisager de nouveaux », a ajouté le Secrétaire général. « Cette réunion va créer un réseau de consultation, de coordination et de renforcement mutuel entre les efforts de financement novateurs à travers le monde. Ce réseau sera soutenu par un mécanisme de coordination, facilité par M. Douste-Blazy. »

« Philippe Douste-Blazy et moi-même avons fait la promotion du financement novateur depuis que nous étions tous les deux ministres des affaires étrangères », a précisé le Secrétaire général.

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