Today’s Presentation

1.1. Building Blocks for Resource Mobilisation Building Blocks for Resource Mobilisation 2. Critical Success Factors2. Critical Success Factors

3. Summarising the Costing Scenarios3. Summarising the Costing Scenarios

4. Financing gap for full scale and modified Model4. Financing gap for full scale and modified Model

5. Sustainability5. Sustainability

Building blocks for Resource Mobilization

Partners’ Commitment

Clear Management/

IntegratedManagementGuidelines

Clear Management/

IntegratedManagementGuidelines

Planning Foundation built onPublic Health Principles & regional Priorities

Sound Implementation

strategy

Future Expectations: Stakeholder Involvement

Future Expectations: Stakeholder Involvement

Strategy for Achieving Cost Effectiveness

Strategy for Achieving Cost Effectiveness

CARPHA Strategic ProcessResultsManagement

PlanningFoundation

Mission

BaselineCosting

PlanningAssumptions

Where areWhere arewe now?we now?

FutureExpectations

Vision

Values

StrategicPriorities

What do weWhat do wewant to be?want to be?

Implementation

ProgramObjectives

Activity/ResourceLinkages

Who mustWho mustdo what?do what?

Integrated Management

PerformanceMeasurement

Audit

Evaluation

How well areHow well arewe doing?we doing?

ProgramPlansCARPHA Strategic Direction

Strategy

Transition Strategy

How will weHow will weachieve ourachieve ourexpectations?expectations?

4Slide

Critical Success Factors

5Slide

Engagement of RHI Directors for

DecommissioningRHIs

Stakeholder Engagement &Contribution

Establishing CARPHAGovernance Structure &

Implementationteam

Trinidad & TobagoTo host CARPHA

Resource Mobilisation

Success Factors

Costing Overview – 2007-08 Current Resource Levels (USD)Current Resource Levels (USD)

RHI MC Quota

Quota Expend.

Other Income

Other Expend.

TotalIncome

Total Expend.

CAREC 2,436,028

2,273,434

2,062,765

1,815,589

4,498,793

4,089,023

CFNI 373,933 292,446 1,638,449

1,634,413

2,012,382

1,926,859

CEHI 473,340 473,341 262,311 398,861 735,651 872,202

CHRC 355,000 445,664 242,946 27,964 597,946 473,628

CRDTL 289,455 183,721 3,456 - 292,911 183,721

Total 3,927,756

3,668,606

4,209,927

3,876,827

8,137,683

7,545,433

% 48% 52% 100%Notes: Notes: 1) CRDTL data April 07 to March 08, CAREC, CFNI, and CHRC data Jan .to Dec. 08, CEHI data Jan to Dec. 072) CHRC Other Income includes quota arrears income of $214,982

6Slide

CARPHA Operating Costs Projections

7Slide

Year 1 Year 2 Year 3 Year 4 Year 5Establishment Collocation April 2010 April 2014

Salaries and Benefits 2,919,614 4,844,741 5,467,637 6,055,927 6,921,059 Professional Fees 224,698 224,698 187,248 149,798 112,349 Workshops and Conferences 943,336 1,084,836 1,247,562 1,660,583 1,660,583 Health Program Delivery & Info. Materials 607,944 668,738 769,049 884,406 1,177,200 Research 100,000 150,000 150,000 175,000 250,000 Technology Licensing 55,000 60,500 69,575 80,011 106,500 Facility/Lab Operating and Maintenance 486,845 545,266 610,698 714,000 714,000 Computer and Lab Equip. Replacement 712,669 721,566 656,444 662,168 781,853 Amortization of Facility - - - - 990,000 Total CARPHA Operating 6,050,105 8,300,345 9,158,212 10,381,893 12,713,544 Less: Quota Income 3,927,756 3,927,756 3,927,756 3,927,756 3,927,756

Ops. Resource Mobilisation Needs 2,122,349- 4,372,589- 5,230,456- 6,454,137- 8,785,788-

ConsolidationApril 2011 to March 2014

Year 1 Year 2 Year 3 Year 4 Year 5Establishment Collocation April 2010 April 2014 Staff

BASIC SERVICES MODEL 5,455,866 6,083,352 6,510,252 6,668,961 7,800,268 139 MID-LEVEL SERVICES MODEL 5,767,360 6,685,657 7,309,464 8,164,022 10,017,295 170 FULL SERVICES MODEL 6,050,105 8,300,345 9,158,212 10,381,893 12,713,544 213

ConsolidationApril 2011 to March 2014

The 3 Scenarios:

The Full Services Model:

Resource mobilisation US$8.8m

Implementation Costs

8Slide

Year 1 Year 2 Year 3 Year 4 Year 5Preparation (1) Establishment Collocation

March 2010 April 2010 April 2014 TOTAL

OperatingPeople 1,425,590 133,540 780,000 250,000 2,589,130 Process 431,840 25,000 25,000 25,000 25,000 531,840 Technology - 340,000 200,000 185,000 100,000 10,000 835,000 sub-total Operating - 2,197,430 358,540 990,000 125,000 285,000 3,955,970

Capital Facility (5) - 631,809 1,263,619 15,226,606 31,274,564 1,137,257 49,533,855 Laboratory Equipment - 2,500,000 2,500,000 sub-total Capital - 631,809 1,263,619 15,226,606 31,274,564 3,637,257 52,033,855 Total Implementation Costs - 2,829,239 1,622,159 16,216,606 31,399,564 3,922,257 55,989,825 Less: Quota Income - - - 780,000 - 250,000 1,030,000 Impl: Resource Mobilisation Needs - 2,829,239- 1,622,159- 15,436,606- 31,399,564- 3,672,257- 54,959,825-

Consolidation

CARPHA Implementation Cost Estimates

April 2011 to March 2014

Resource mobilisation need: $US55m

Facility Cost of a new facility for 213 peopleCost of a new facility for 213 people Total capital cost is estimated at Total capital cost is estimated at US $49.5 millionUS $49.5 million – for – for

BSL1,2 and 3BSL1,2 and 3 Additional allocation for laboratory equipment of Additional allocation for laboratory equipment of

US $2.5 millionUS $2.5 million above the FFE above the FFE

9Slide

Total Costs Facility Building/Construction $ 25,272,375 Architectural and Engineering Design Costs (10% ) $ 2,527,238 Architectural and Engineering On-site (2%) $ 505,448 Site Infrastructure and Parking (20%) $ 5,054,475 Construction Contingency (15%) $ 3,790,856 FFE (40%) $ 10,108,950 QA and Commissioning (9%) $ 2,274,514 TOTAL $ 49,533,855

Resource Mobilisation US$0

CARPHA Laboratory Network

CARPHA

International Cooperation

Country A

Country B Country C

CARPHA Laboratory Network

Summary

11Slide

Year 1 Year 2 Year 3 Year 4 Year 5Establishment Collocation April 2010 April 2014 5 Year Total

Forecast Staff Levels 110 121 139 160 213 n/a

OperatingSalaries and Benefits 2,919,614 4,844,741 5,467,637 6,055,927 6,921,059 26,208,978 Professional Fees 224,698 224,698 187,248 149,798 112,349 898,790 Workshops and Conferences 943,336 1,084,836 1,247,562 1,660,583 1,660,583 6,596,900 Health Program Delivery & Info. Materials 607,944 668,738 769,049 884,406 1,177,200 4,107,336 Research 100,000 150,000 150,000 175,000 250,000 825,000 Technology Licensing 55,000 60,500 69,575 80,011 106,500 371,586 Facility/Lab Operating and Maintenance 486,845 545,266 610,698 714,000 714,000 3,070,809 Computer and Lab Equip. Replacement 712,669 721,566 656,444 662,168 781,853 3,534,699 Amortization of Facility - - - - 990,000 990,000

Total CARPHA Operating 6,050,105 8,300,345 9,158,212 10,381,893 12,713,544 46,604,099 Less: Quota Income 3,927,756 3,927,756 3,927,756 3,927,756 3,927,756 19,638,780

Ops. Resource Mobilisation Needs 2,122,349 4,372,589 5,230,456 6,454,137 8,785,788 26,965,319

OperatingPeople 1,425,590 133,540 780,000 250,000 2,589,130 Process 431,840 25,000 25,000 25,000 25,000 531,840 Technology 340,000 200,000 185,000 100,000 10,000 835,000

sub-total Operating 2,197,430 358,540 990,000 125,000 285,000 3,955,970 Capital

Facility 631,809 1,263,619 15,226,606 31,274,564 1,137,257 49,533,855 Laboratory Equipment - - - - 2,500,000 2,500,000

sub-total Capital 631,809 1,263,619 15,226,606 31,274,564 3,637,257 52,033,855 Total CARPHA Implementation 2,829,239 1,622,159 16,216,606 31,399,564 3,922,257 55,989,825

TOTAL: Operating and Implementation 8,879,344 9,922,504 25,374,818 41,781,457 16,635,801 102,593,924 Total Resource Mobilisation Needs 4,951,588 5,994,748 21,447,062 37,853,701 12,708,045 82,955,144

Full Service Operating Costs Estimate

Implementation Cost Estimates

ConsolidationApril 2011 to March 2014

Figures in US$

Modified Summary

12Slide

Year 1 Year 2 Year 3 Year 4 Year 5Establishment Collocation April 2010 April 2014 5 Year Total

Forecast Staff Levels 110 121 139 160 213 n/a

OperatingSalaries and Benefits 2,919,614 4,844,741 5,467,637 6,055,927 6,921,059 26,208,978 Professional Fees 224,698 224,698 187,248 149,798 112,349 898,790 Workshops and Conferences 943,336 1,084,836 1,247,562 1,660,583 1,660,583 6,596,900 Health Program Delivery & Info. Materials 607,944 668,738 769,049 884,406 1,177,200 4,107,336 Research 100,000 150,000 150,000 175,000 250,000 825,000 Technology Licensing 55,000 60,500 69,575 80,011 106,500 371,586 Facility/Lab Operating and Maintenance 486,845 545,266 610,698 714,000 714,000 3,070,809 Computer and Lab Equip. Replacement 712,669 721,566 656,444 662,168 781,853 3,534,699 Amortization of Facility - - - - 990,000 990,000

Total CARPHA Operating 6,050,105 8,300,345 9,158,212 10,381,893 12,713,544 46,604,099 Less: Quota Income 3,927,756 3,927,756 3,927,756 3,927,756 3,927,756 19,638,780

Ops. Resource Mobilisation Needs 2,122,349 4,372,589 5,230,456 6,454,137 8,785,788 26,965,319

OperatingPeople 1,425,590 133,540 780,000 250,000 2,589,130 Process 431,840 25,000 25,000 25,000 25,000 531,840 Technology 340,000 200,000 185,000 100,000 10,000 835,000

sub-total Operating 2,197,430 358,540 990,000 125,000 285,000 3,955,970 Capital

Facility 631,809 1,263,619 15,226,606 31,274,564 1,137,257 49,533,855 Laboratory Equipment - - - - 2,500,000 2,500,000

sub-total Capital 631,809 1,263,619 15,226,606 31,274,564 3,637,257 52,033,855 Total CARPHA Implementation 2,829,239 1,622,159 16,216,606 31,399,564 3,922,257 55,989,825

TOTAL: Operating and Implementation 8,879,344 9,922,504 25,374,818 41,781,457 16,635,801 102,593,924 Total Resource Mobilisation Needs 4,951,588 5,994,748 21,447,062 37,853,701 12,708,045 82,955,144

Full Service Operating Costs Estimate

Implementation Cost Estimates

ConsolidationApril 2011 to March 2014

Figures in US$

CARPHA Financing GapImplementation costs:

US$ 55.9M overall costUS$ 52M Raised___________________________________US$ 3.9M Required

Operating Costs (over 5 yrs):US$ 46.6M overall costUS$ 19.6M Raised___________________________________US$ 26.96M Required

Sustainability of CARPHA

Component

Staff

Political Will

Guaranteed Financing

Management

&

governance

SustainabilityOf CARPHA

Integrated Management

Context

Assumptions

Costing

Implementation

Integration

15Slide

Integrated Management System (IMS)Integrated Management System (IMS)

DecisionSupport

OrganizationalManagement

BusinessPlanning

Resources

Activities

PerformanceMeasurement

Results &

Outputs

Strategic Direction

Mission/Vision

Priorities

Reports toStakeholders

StakeholderExpectations

Change Plan

Re-engineerProcessReview

Priorities

Implementation

Modiified

TechnicalAssistance

Automaticity

Harmonization of Donor

Resources

Traditional

CARICOM Contribution

Formula +Grants

Preferred

CARPHA TRUSTFUND Investment

Services

Analytic and Advisory services

Partnerships &

CapacityBuilding

Development policy

operationsTechnical Assistance

El

Harmonization of Donor Resources