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Costing Community Mobilization: An NGO Perspective

Costing Community Mobilization: An NGO Perspective. Jason Taylor Wright, MSFS, MA U.S. Director International HIV/AIDS Alliance. AIDS Alliance – Vision and Mission. Vision A world in which people do not die of AIDS. Mission

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Costing Community Mobilization: An NGO Perspective

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  1. Costing Community Mobilization: An NGO Perspective Jason Taylor Wright, MSFS, MA U.S. Director International HIV/AIDS Alliance

  2. AIDS Alliance – Vision and Mission • Vision • A world in which people do not die of AIDS • Mission To support community action to prevent HIV infection, meet the challenges of AIDS, and build healthier communities

  3. AIDS Alliance – Structure • International Secretariat • 7 Technical Support Hubs • 38 Linking Organizations

  4. AIDS Alliance – Strategic Responses • Scale up integrated HIV programming • Support well-functioning community-based organizations (CBOs) • Help form engaged, inclusive societies • Create a learning Alliance

  5. AIDS Alliance – 2011 Results • 2,763,262 people reached through services • 3,660,516 people reached with IEC • 50,734,531 condoms distributed • 11,826 leaders reached through advocacy • 1,488 organizations supported financially

  6. AIDS Alliance – Previous Satellite Session • Community Mobilization: A ‘Critical Enabler’ for Better Investment in HIV Programming • AIDS Alliance Executive Director Alvaro Bermejo • UNAIDS Director for Evidence, Strategy, and Results Bernhard Schwartländer • AIDS Alliance Associate Director, Best Practice Unit Christine Stegling

  7. Value for Money (VfM) – Evolution • Definition (2010) • Pilot studies in India and Zambia (2010) • Costing studies in Côte d’Ivoire (2010-2012) • External engagement (mid-2011) • Pilot study in Cambodia (late 2011) • Costing of community mobilization (2012)

  8. VfM – Definition • VfM seeks to judge the value of particular outputs, outcomes, or results against the cost of achieving them • VfM can be increased in two main ways: • Increasing value • Reducing costs

  9. VfM – Practices • Good practice standards and guides • Tools and guidelines • More analysis of unit costs

  10. Social Return on Investment (SROI) • Adjusted form of cost-benefit analysis • Adaptation of UNAIDS costing toolkit on HIV/AIDS facility-level services to community • (Positive and negative outcomes)/costs • Cost components measured: • Organizational costs • Community costs

  11. SROI – Top-Line Results • SROI is a relatively low-cost methodology for costing community mobilization • We have structures for pricing community mobilization for 3 of the 6 basic program activities in the Investment Framework: • PMTCT (Zambia) • Key populations (Cambodia) • Behavior change programs (Kenya)

  12. SROI – Lessons Learned • We were able to value what matters most to beneficiaries • The SROI methodology can also be used in forecast studies for program planning • There is a need to continuously adapt and improve the robustness of the methodology • There are data challenges

  13. VfM – Words of Caution • It is critical to avoid cost savings being achieved at the expense of increased costs for communities • Community mobilization should not equate to a reduction in state or donor responsibility

  14. VfM – Words of Caution (cont.) • The remuneration of community members should be included in program plans and budgets and technical guidance related to their roles • We must understand VfM from a community perspective, i.e., we must better understand the meaning of whose value (and costs) count

  15. AIDS Alliance – Future Priorities • We will continue to improve our efficiency • We will attempt to influence the VfM debate with bilateral donors (DFID and PEPFAR), the Global Fund, and U.N. agencies (UNAIDS and the World Bank) • We will conduct further studies using the SROI methodology

  16. AIDS Alliance – Resources • Measuring and Improving the Value for Money of HIV Programming (December 2010) www.aidsalliance.org/publicationsdetails.aspx?id=505 • SROI: CHAHA (Children Affected by HIV/AIDS) Programme (March 2011) www.aidsalliance.org/publicationsdetails.aspx?id=90518 • “Doing More with Less:” SROI: Evidence Based Operational Research on KHANA Integrated Care and Prevention Program in Cambodia (April 2012) www.aidsalliance.org/publicationsdetails.aspx?id=90580

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