supporting community action on aids in developing countries mrs training - secretariat value for...
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Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
Value for Money in HIV/AIDS
BOND meeting 3rd Feb 2011
Liza TongInternational HIV/AIDS
Alliance
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
Summary
• Why value for money? • One approach to VfM,
piloting SROI• What worked well• Challenges faced• Learning from the
process • Recommendations
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
3
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
US
$ m
illio
n
2921623
8.3 billion
Signing of Declaration of Commitment on
HIV/AIDS,UNGASS
1995
2000 20051987 1990
Less than US$ 1 million
59212
World BankMAP
launch
Global Fund
PEPFAR
257
UNAIDS Gates
Foundation
10 0008.9 billion
10 billion
13 billion
2008
TIME
MO
NE
Y
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - SecretariatTotal available resources for AIDS 1986-2008
4
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
US
$ m
illio
n
2921623
8.3 billion
Signing of Declaration of Commitment on
HIV/AIDS,UNGASS
1995
2000 20051987 1990
Less than US$ 1 million
59212
World BankMAP
launch
Global Fund
PEPFAR
257
UNAIDS Gates
Foundation
10 0008.9 billion
10 billion
13 billion
2008
TIME
MO
NE
Y
MONEY
VA
LUE
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
0
50
100
150
200
Hea
lth B
enefi
t
Global AIDS Expenditures
Health benefit from investing in HIV prevention, care and treatment
ARV becomes available in developing countries
MONEY
VA
LUE
Source: Stafano Bertozzi presentation at 5th IAS conference Cape Town June 2009
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
0
50
100
150
200
Hea
lth B
enefi
t
Global AIDS Expenditures
ECONOMIC CRISIS
??
ARV becomes available in developing countries
Two obvious responses:
1. Strategies to maintain/increase funding levels
2. Improve efficiency
Health benefit from investing in HIV prevention, care and treatment
Source: Stafano Bertozzi presentation at 5th IAS conference Cape Town June 2009
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
0
50
100
150
200
Hea
lth B
enefi
t
Global AIDS Expenditures
Two obvious responses:
1. Strategies to maintain/increase funding levels
2. Improve efficiency and effectivenss
Health benefit from investing in HIV prevention, care and treatment
Source: Stafano Bertozzi presentation at 5th IAS conference Cape Town June 2009
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
• VfM in the field- Social return on investment
• Alliance has adapted this framework to attempt to measure and account for value created by a programme, beyond financial value
•
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
So what is it ?
• A way of assigning a value to social, environmental and economic value created by your programme
• SROI is a framework for measuring and accounting for this broader concept of value
• Describes changes are happening through measuring social, environmental and economic outcomes, using monetary values to represent these.
• SROI = Value of benefits £1 of investment delivers £3 of social return
Investment
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
Stages of SROIReporting, using and embedding
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
CHAHA
Started 2007Global Fund Round 6, 41 districts in the states of Maharashtra, Andhra Pradesh, Tamil Nadu and Manipur. Target 64,000 children by the end of January 2011
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
Example – selected financial proxies and direct costs
Stakeholder Outcome Proxy/direct cost description
Source
Children Affected by AIDS (younger age group)
Improved health status through better nutrition
Avoided costs of travel for health support and medicine
Beneficiary consultation Cost of living India city comparison
Parents/caregivers Improved livelihood status
Increase in earnings through income generating projects
Programme MIS Beneficiary consultation
Parents/caregivers Reduction in community/societal stigma towards PLHIV
Average working days and salary gained from return to work
Beneficiary consultation
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
Drop off in value created over a 5 year period
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
Challenges/limitations
• The most common question we get asked at conferences these days is ‘Should I do a SROI?’. People are attracted to the number at the end: £2.50 of value created for every £1 put in. But they often don’t realise how big an undertaking a SROI is. For SROI to work the whole organisation needs to be bought into the process and be prepared to set up robust measurement systems.'New Philanthropy Capital April 2010
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
Lessons learned about the method
• Participatory, end user perspective on VfM • Dispelled fear and misconceptions cost effectiveness=cost
cutting• Need simplified brief approach to use with end-beneficiaries• Pilot SROI study conducted internally costs about $25 - $35k• Minimum systems of M&E to be in place to do an evaluative study• Use of focus groups and additional research, questionnaires and
interviews• Requires broader research of potential financial proxies
(databank of financial proxies!)
•
Supporting community action on AIDS in developing countries Supporting community action on AIDS in developing countries
MRS Training - Secretariat
Recommendations• Compliments other
evaluative studies• Best use: programme
management tool• Robust M&E systems, SROI
built into at outset • Forecast + Evaluative SROI • Adapted M&E training• Subjectivity and
assumptions clearly documented