Dr Christoph Hamelmann

Regional Team Leader (Europe and Central Asia) and Senior Advisor (Arab States)

HIV, Health and DevelopmentGlobal Coordinator UN informal Interagency Task Team

on Sustainable Procurement in the Health Sector (SPHS)UNDP Istanbul Regional Hub

EECA Regional High-Level DialogueTbilisi, 29 September 2015

Sustainable Financing of National HIV Responses

Lessons Learnt

ScenariosScenario 1: ‘Maintaining status quo’• Continue with the current investment allocation and current

budget ceiling

Scenario 2: ‘optimizing efficiencies, maintaining current budget’ • Continue with optimized investment allocation and budget

ceiling

Scenario 3: ‘Achieving universal coverage – rights-based approach’• Building on scenario 2, but scaling-up to universal coverage for

prevention and treatment intervention for key populations: the rights-based investment case

Universal access: rights-based approach SDG 3 target and highest impact

DALYs averted

Scenario 3: optimized allocation + 25% investment increase

Allocative EfficiencyCurrent budget, current allocation Current budget, optimized allocation

Technical Efficiency

Factor costsHuman resources

Commodities

Others

Service delivery models

Central / de-central

Public / private

Others

Others

Infrastructure

Critical enablers

Others

Unit costs

Service output

Defined quality standard

In Focus:Access to Affordable Medicines

http://www.eurasia.undp.org/content/rbec/en/home/ourwork/hiv_aids/in_depth/sustainable-financing-of-hiv-responses/

In Focus:NGO Social Contracting

Country Fact Sheet Country Fact SheetCo

ming

up so

on

• Current NGO service provision and NGO landscape

• Legal and regulatory frameworks for NGO social contracting

• Prerequisites for service provision

• Quality control and assurance

• Best practices examples

Transition – Where to?

Prevention (P) ($)P A ($)

Pu ($)

F-P/NGO ($)

P B ($)Pu ($)

F-P/NGO ($)

P C ($)Pu ($)

F-P/NGO ($)

Treatment (T) ($)T A ($)

Pu ($)

F-P/NGO ($)

T B ($)Pu ($)

F-P/NGO ($)

T C ($)Pu ($)

F-P/NGO ($)

Others (O) ($)O A ($)

Pu ($)

F-P/NGO ($)

O B ($)Pu ($)

F-P/NGO ($)

Sub-national budgets

Annual total ($)

To absorb ($) (% of total)

National budgets

Annual total ($)

To absorb ($) (% of total)

Local budgets

Annual total ($)

To absorb ($) (% of total)

Resources: AB

D E AD

E

FC

External funds details

Domestic funds details

Know Your Rights, Use Your Laws

A Handbook for:

• People who live with HIV• Their families and friends• People at higher risk of HIV• Their families and friends• Activists, supporters• Service planers and providers

http://www.undp.org/content/dam/rbec/docs/UNDP%20HIV%20and%20Rights%20UK_web.pdf

http://tinyurl.com/q5ryv3c

1. INTRODCUTION2. METHODOLOGY3. SOCIO-ECONOMIC AND HEALTH SYSTEM

OVERVIEW4. KNOW YOUR EPIDEMIC5. KNOW YOUR RESPONSE6. THE ROLE OF NGOS IN THE NATIONAL HIV

RESPONSE6.1 The role of NGOs in concentrated epidemics6.2 The role for NGOs in the Croatian national

programme for HIV/AIDS prevention 2011-20156.3 The role of NGOs under the GF grants in Croatia

7. TRANSITIONING TO SUSTAINABLE NATIONAL HIV FINANCING: ACHIEVEMENTS AND CHALLENGES7.1 Transition of governance structures7.2 Transition of service provision through NGOs7.3 Transition of the HIV service components7.4 Scaling-up prevention, treatment, care and support

8. CONCLUSIONS

christoph.hamelmann@undp.org

Twitter: @cahamelmann

Timur Abdullaev, Predrag Duric, Boyan Konstantinov, John Macauley

Scaling-up to universal access