1 / 11

Tackling the Decline in HIV Resources: Lessons Learned from HIV/AIDS Program Sustainability Analysis Tool (HAPSAT)

Tackling the Decline in HIV Resources: Lessons Learned from HIV/AIDS Program Sustainability Analysis Tool (HAPSAT) . 1 Abt Associates, Health Systems 20/20, International Health Division, Bethesda, United States 2 National AIDS Secretariat, Freetown, Sierra Leone

harmon
Download Presentation

Tackling the Decline in HIV Resources: Lessons Learned from HIV/AIDS Program Sustainability Analysis Tool (HAPSAT)

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Tackling the Decline in HIV Resources: Lessons Learned from HIV/AIDS Program Sustainability Analysis Tool (HAPSAT) 1 Abt Associates, Health Systems 20/20, International Health Division, Bethesda, United States 2 National AIDS Secretariat, Freetown, Sierra Leone 3 National AIDS Control Council, Nairobi, Kenya 4 National AIDS Programme Secretariat, Georgetown, Guyana Itamar Katz1, Wendy Wong1, Douglas Glandon1, Brima Kargbo2, Regina Ombam3, Shanti Singh4, John Osika1 Abt Associates Inc. In collaboration with:IAga Khan Foundation I Bitrán y Asociados I BRAC University I Broad Branch Associates I Deloitte Consulting, LLP I Forum One Communications I RTI International I Training Resources Group I Tulane University’s School of Public Health

  2. Background • Heavy dependence on donor funding • Expansion of HIV services beyond the levels that can be sustained

  3. HAPSAT: HIV/AIDS Program Sustainability Analysis Tool • Sustainability of HIV programs in limited-resource settings: • What should be prioritized? • What efficiency measures should be applied? • How should additional resources be mobilized?

  4. Objectives of the presentation • In relation to prioritization and resource mobilization: • HAPSAT framework • Interests of policy makers of HIV responses • Examples from Guyana, Kenya, Sierra Leone and South Sudan (conducted in additional 10 countries)

  5. Prioritization • Effectiveness of interventions: mainly for medical interventions • Capacity (versus universal access) • Cost • Contextual issues

  6. Prioritization South Sudan: HIV awareness through radio vs. billboards

  7. Prioritization among MARPs • South Sudan: Scaling up CSW outreach rather than constructing costly prevention centers • Sierra Leone: Under the program leadership and support from UNAIDS, Global Fund and USAID (the latter through HAPSAT) Inclusion of MSM in the national strategic plan

  8. Resource mobilization strategies • Increased govt. budgetary allocations to HIV/AIDS interventions • Earmarked taxation for HIV/AIDS • Concessionary loans for HIV/AIDS programs • Debt conversion (know also debt2health) • Risk-pooling schemes (e.g. insurance) and special social assistance programs covering HIV/AIDS services • Fundraising (special/endowment HIV/AIDS funds)

  9. Resource mobilization: Financing Kenya’s National HIV Response 2008/09 vs. 2012/13 2008/09 $687 million 2012/13 $1,003 million

  10. Lessons learned • Understanding the reality Need for prioritization • Need for diverse funding sources Resource mobilization • Need for sustainability plans • Sierra Leone: Govt. pledges to replace Global Fund financing once ends • Guyana: Preparing for PEPFAR gradual pull out

  11. Email: hapsat@abtassoc.com itamar_katz@abtassoc.com Visit: www.hs2020.org/hapsat: Country reports, the HAPSAT tool and document on target setting For more information… Thank you

More Related