Transcript Tools for Decision Making in Resource Allocation

Tools for Decision Making in
Resource Allocation &
Strategic Planning
Introduction to the
Resource Needs Model
Structure of Presentation
• What does the Resource Needs Model
do?
• How was it developed?
• How does it work?
• What does it not do?
Resource Needs Model - What
does it do?
• Calculates the total resources needed for
prevention, care and orphan support for
HIV/AIDS
• Components:
– Prevention model: 12 interventions
– Care and treatment model: 5 interventions
– Orphan support model: 3 interventions
Resource Needs Model - How
was it developed?
• Development:
– Instituto Nacional de Salud Pública
– The Futures Group International
– > 1,000 studies from Africa, Latin America and
Asia used as the basis for defaults included in
model
• Applications:
– 2001: UNGASS estimates: $9.2 billion per
year required by 2005
Resource Needs Model - What
does it do?
• Estimates resource requirements for
specified interventions in order to achieve:
– a given level of coverage of
• a given target population at
– The given unit costs
• Estimate the resource implications of …
– expanding range of interventions
– scaling up access/expanding coverage
– change in unit costs
• Tool for: budgeting, strategic planning
Resource Needs Model
How does it work?
For each intervention:
# people in target
population for
intervention
% coverage to be
achieved
# of people to be
reached with the
intervention
cost of
intervention per
person reached
Cost of
intervention
Resource Needs Model:
How does it work?
# centers
providing
intervention
# people per
center to be
reached
# of people to be
reached with the
intervention
cost of
intervention per
person reached
Cost of
intervention
Spectrum Data Required
•
•
•
•
•
Demographic summary
Adult HIV summary
Child summary
Orphan summary by age
Impact summary
Key Input Sheets
•
•
•
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•
Once Spectrum data has been entered,
RNM uses 5 input sheets:
Setup
Prevention
Care and treatment
Mitigation
Policy, Advocacy, Administration,
Research
Resource Requirements
(2004-2007)
Millions
Allocation (2004-2007)
$800
$700
$600
$500
$400
$300
$200
$100
$0
2004
2005
2006
2007
Prevention
$137,812,639
$219,719,734
$369,282,900
$651,844,247
Care and treatment services
$11,400,722
$15,202,451
$18,567,009
$22,224,681
Mitigation
$19,294,493
$26,146,438
$34,261,029
$43,832,250
Policy, advocacy, admin and
research
$8,425,393
$13,053,431
$21,105,547
$35,895,059
$176,933,247
$274,122,054
$443,216,485
$753,796,237
TOTAL
Resource Gap Analysis (2004)
Resource Gap Analysis (2004)
Resource Gap,
$(66,325,626), 34%
Resource Available,
$130,642,000 , 66%
Resource Gap Analysis
(2004)
$200
$150
$100
% Gap
Millions US$
Resource Gap Analysis by Category (2004)
$50
$$(50)
$(100)
Mitigation
Policy,
advocacy,
administration
Total
Prevention
Care and
Treatment
Resources Needed
$177,309,355
$137,812,639
$11,758,921
$19,294,493
$8,443,303
Resource Available
$130,642,000
$107,254,000
$6,265,000
$1,400,000
$15,723,000
Resource Gap
$(46,667,355)
$(30,558,639)
$(5,493,921)
$(17,894,493)
$7,279,697
-26%
-22%
-47%
-93%
86%
% Gap
Resources Needed
Resource Available
Resource Gap
% Gap
Resource Needs Model: What
does it not do?
• Does not tell you how many infections will be
averted
• Does not tell you the impact of interventions on
prevalence
→ GOALS Model
Caveats
• Unit cost estimates in RNM do not change
with the scale of the project
Conclusions
• RNM can be used to identify the need for
HIV/AIDS resources using data regarding the
size of target populations, levels of coverage
and unit costs.
• If a country knows its existing HIV/AIDS
resources, it will be able to identify resource
gaps.
• RNM can be used to generate new resources
and identify how additional scaling-up and
changes in unit costs can influence the total
resource requirements