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Tools for Decision Making in Resource Allocation & Strategic Planning

Tools for Decision Making in Resource Allocation & Strategic Planning. Introduction to the Resource Needs Model. Structure of Presentation. What does the Resource Needs Model do? How was it developed? How does it work? What does it not do?. Resource Needs Model - What does it do?.

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Tools for Decision Making in Resource Allocation & Strategic Planning

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  1. Tools for Decision Making in Resource Allocation & Strategic Planning Introduction to the Resource Needs Model

  2. Structure of Presentation • What does the Resource Needs Model do? • How was it developed? • How does it work? • What does it not do?

  3. Resource Needs Model - What does it do? • Calculates the total resources needed for prevention, care and orphan support for HIV/AIDS • Components: • Prevention model: 12 interventions • Care and treatment model: 5 interventions • Orphan support model: 3 interventions

  4. Resource Needs Model - How was it developed? • Development: • Instituto Nacional de Salud Pública • The Futures Group International • > 1,000 studies from Africa, Latin America and Asia used as the basis for defaults included in model • Applications: • 2001: UNGASS estimates: $9.2 billion per year required by 2005

  5. Resource Needs Model - What does it do? • Estimates resource requirements for specified interventions in order to achieve: • a given level of coverage of • a given target population at • The given unit costs • Estimate the resource implications of … • expanding range of interventions • scaling up access/expanding coverage • change in unit costs • Tool for: budgeting, strategic planning

  6. Resource Needs ModelHow does it work? For each intervention: # people in target population for intervention % coverage to be achieved # of people to be reached with the intervention cost of intervention per person reached Cost of intervention

  7. Resource Needs Model:How does it work? # centers providing intervention # people per center to be reached # of people to be reached with the intervention cost of intervention per person reached Cost of intervention

  8. Spectrum Data Required • Demographic summary • Adult HIV summary • Child summary • Orphan summary by age • Impact summary

  9. Key Input Sheets Once Spectrum data has been entered, RNM uses 5 input sheets: • Setup • Prevention • Care and treatment • Mitigation • Policy, Advocacy, Administration, Research

  10. Resource Requirements (2004-2007)

  11. Resource Gap Analysis (2004)

  12. Resource Gap Analysis (2004)

  13. Resource Needs Model: What does it not do? • Does not tell you how many infections will be averted • Does not tell you the impact of interventions on prevalence → GOALS Model

  14. Caveats • Unit cost estimates in RNM do not change with the scale of the project

  15. Conclusions • RNM can be used to identify the need for HIV/AIDS resources using data regarding the size of target populations, levels of coverage and unit costs. • If a country knows its existing HIV/AIDS resources, it will be able to identify resource gaps. • RNM can be used to generate new resources and identify how additional scaling-up and changes in unit costs can influence the total resource requirements

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