CHAPS: HOW FUNDING MODELS IMPACTED OUR SUSTAINABILITY

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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

Moving NGO’s from the Public to the Private:

Being Competitive!!!

Public

Private

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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

Questions

Thank you

This Presentation was developed by Dr Dino Rech and CHAPS Research assistant, Genevieve N Dean