chaps: how funding models impacted our sustainability follow us:
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Mission: To reduce the spread of HIV/AIDS in Southern Africa by providing innovative and preventative health solutions through evidence-based strategies, particularly the safe and efficient scale-up of voluntary medical male circumcision (VMMC) as part of a fully comprehensive HIV prevention package.
What We Do: CHAPS is structured under 4 Key Business Units:
Service Delivery
Technical Services/VMMC Training
Research
Technical Assistance/ VMMC Start-up
WHO WE ARE: CENTRE FOR HIV AND AIDS PREVENTIONS STUDIES
Our Journey- Operational Performance
Over its 5 years of operation, CHAPS has grown in strength providing innovative preventative health solutions
• CHAPS operates across 4 provinces and 12 districts in SA• Through the years 2010 – 2014, CHAPS has cumulatively prevented
approximately 61 545 cases of HIV/AIDS
1 clinicCHAPS pioneers the
MMC concept
Bill Gates visits the Orange Farm MC clinic
Number of VMMCs: 9 075Number of HIV/AIDS cases
prevented: 1 815
20102011
3 clinics
2013
2012
15 clinics
30 clinic
2014
59 clinics
CHAPS lead NDOH and Others in MMC Scale-Up
Number of VMMCs: 21 938
Improvement: 142%Number of HIV/AIDS cases
prevented: 4 388
Completion of Symmacs research
Number of VMMCs: 41 712
Improvement: 90%Number of HIV/AIDS cases
prevented: 8 342
CHAPS begins PrePex research
Number of VMMCs: 85 085
Improvement: 104%
Number of VMMCs: 45 700 – June 2014Projected 150 000
Improvement: 76%
Number of HIV/AIDS cases
prevented 30 000Number of HIV/AIDS cases
prevented: 17 000
CHAPS applies to Prime first
Co-op period
Fixed Price contract period
Funding Models
Co-Op Agreement
Pre-approved budget, work plan, intense over sight from funder
Funding received in advanced
Outcome measured against targets
Strict encumbrant compliance, administrative requirements
Rigid; little room for development/expansion
Fixed Price Contract Awarded contract, fixed price per
package delivered
Measured by: Quality of service and delivery of targets agreed upon
Less compliance and administrative requirements
More room to develop; expansion
Flexibility
Diversify investment to reduce operational costs to NGOs
1. National Institute of Statistics and Economics2. principlesandpractices.org
o RFA’s: Funding
o INGO’s: Loopholes
Ongoing Challenges
• Cost of applying for RFAs or RFPs
• Admin/bureaucratic hurdles
• Competition from INGOs with dedicated NBD
teams
- 7 -
Improved Operational Effectiveness
Input
Enhanced Relationship Management
Innovation
Maintaining and Growing Funding Base
Improved Capacity
Output
Sustained service delivery model
Differentiated Business Model
Key Objectives
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