Sustainable Financing of National HIV Responses - Social Protection

1. Christoph Hamelmann
UNDP RBEC Regional Team Leader
HIV, Health and Development
Sustainable Financing of
National HIV Responses
- Social Protection -c
c
Regional Consultation on HIV Sensitive Social Protection
Sharm Elsheikh, 4-6 August 2015

2. 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

3. 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)

4. Goals, Objectives, Targets
UNAIDS:
Getting to Zero Strategy
Get to Zero
• new infections
• AIDS related death
• Discrimination
National HIV Strategic Plans

5. (Key) Populations and Inequities
targeted
MSM
PWID
SW
Prisoners
Others
universal proportionate universal

6. Interventions and Services
UNAIDS/UNDP:
Critical Enablers and
Development Synergies for
Strategic Investment

7. Service Providers
Public Private
Not for profit
For profit
Social contracting
Contracting

8. Benefits / Entitlements / Rights
Social welfare Health

9. Investing for results. Results for people
UNAIDS:
Investing for results

10. Allocative Efficiency

11. Technical Efficiency
Reduction of unit costs under
defined quality standards

12. Financial Needs and (Re-)Sources
Social Welfare System Health System
PrivatePublicPublic Private
?
?
?
?
?
?
?
?
?
?
?
?
External
Domestic

13. 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 LEVEL
Sub-total: US $ 26.1 million
& US $2,192,073 would need to be allocated
additionally for transition from GF: 8.4%
MUNICIPALITY LEVEL
Sub-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 LEVEL
Sub-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

14. Thank You!
christoph.hamelmann@undp.org
Twitter: @cahamelmann
http://www.eurasia.undp.org/content/rbec/en/home/ourwork/hiv_aids/in_depth/sustainable-financing-of-hiv-responses/