sustainable financing of national hiv responses - social protection
TRANSCRIPT
Christoph HamelmannUNDP RBEC Regional Team Leader
HIV, Health and Development
Sustainable Financing of National HIV Responses
- Social Protection -cc
Regional Consultation on HIV Sensitive Social ProtectionSharm Elsheikh, 4-6 August 2015
Dimensions of Sustainable Financing of National HIV Responses
• Goals, objectives, targets
• Populations to be covered, taking into inequities and special needs of key populations
• Interventions, services and providers
• Benefits / entitlements / rights
• Efficiencies
• Financial needs and (re-)sources
Working Definition Social Protection
Social protection is concerned with preventing, managing, and overcoming situations that adversely affect people’s
well-being and takes into account inequities between people and populations
UN Research Institute for Social Development (UNRISD)
Goals, Objectives, Targets
UNAIDS:Getting to Zero Strategy
Get to Zero
• new infections
• AIDS related death
• Discrimination
National HIV Strategic Plans
(Key) Populations and Inequities
targeted
MSM
PWID
SWPrisoners
Others
universal proportionate universal
Interventions and Services
UNAIDS/UNDP:Critical Enablers and Development Synergies for Strategic Investment
Service Providers
Public Private
Not for profit
For profit
Social contracting
Contracting
Benefits / Entitlements / Rights
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Social welfare Health
Investing for results. Results for people
UNAIDS:Investing for results
Allocative Efficiency
Technical Efficiency
Reduction of unit costs under defined quality standards
Financial Needs and (Re-)Sources
Social Welfare System Health System
PrivatePublicPublic Private
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External
Domestic
Objective 1: To reduce high-risk sexual and injecting behaviors among populations most vulnerable to HIV infection including injecting drug users; sex workers; and men who have sex with men.
Sub-total: US $ 2,310,337
Objective 2: To reduce high-risk behaviors among other populations at-risk of HIV infection including migrants and their wives; and young people by scaling up their coverage by comprehensive quality prevention.
Sub-total: US $ 1,174,124
Objective X...
CENTRAL LEVELSub-total: US $ 26.1 million & US $2,192,073 would need to be allocated
additionally for transition from GF: 8.4%
MUNICIPALITY LEVELSub-total: US $ 58.7million& US $ 2,446,512 would need to be allocated
additionally for transition from: 4.2%
Objectives of GF HIV grant State budget for health
Grand total: US $ 143.5 million& US $ 7,084,098 would need to be allocated
additionally for transition from GF: 4.9%
Grant total: US $ 7,084,098
US $ 462,067 (20%)
US $ 924,125 (40%)
US $ 234,824(20%)
US $ 469,650 (40%)
REGIONAL LEVELSub-total: US $ 58.7 million & US $2,1446,512 would need to be allocated
additionally for transition from GF: 4.2%US $ 469,650 (40%)US $ 924,125 (40%)
Example: Transition to Domestic Financing
Thank You!
[email protected]: @cahamelmann
http://www.eurasia.undp.org/content/rbec/en/home/ourwork/hiv_aids/in_depth/sustainable-financing-of-hiv-responses/