SUSTAINABLE FINANCING INITIATIVE FOR HIV/AIDS (SFI) SUSANNA BAKER - - PowerPoint PPT Presentation

12/05/17`1 FOOTER GOES HERE 1

SUSTAINABLE FINANCING INITIATIVE FOR HIV/AIDS (SFI)

SUSANNA BAKER HEALTH FINANCE & ECONOMICS BRANCH CHIEF, OFFICE OF HIV/ AIDS, USAID

Changing the Landscape of Development Assistance

Total HIV/AIDS Spending by Source

Source: PEPFAR Sustainability Index and Dashboard

• With ramp up of “Test and Start,” the

resources required to meet the needs

• f the 36 million people living with HIV
• ver the next five years will exceed

donor commitments.

• Countries will require an investment of

around $26.2 billion by 2020 to meet demands for HIV/AIDS services, and 55 percent should come from domestic sources

• The current HIV/AIDS response is

highly donor dependent.

21 12 12 7 12 10 1 5 7 5 10 15 20 25 30 35 1995 2010 2020 Number of Countries UMIC LMIC LIC

Economic transition creates opportunities for health financing

3

Investments in the AIDS responses of low- and middle- income countries, by source of funding, 2000–2015

Source: UNAIDS estimates, June 2016 - UNAIDS-Kaiser Family Foundation. Financing the response to AIDS in low- and middle-income countries till 2015 - OECD CRS last accessed June 2016.

US$ (billion)

Creation of SFI

Purpose:

USAID’s PEPFAR-funded lead initiative to mobilize and organize host country financing for HIV/AIDS using economic transitions

• $48 million over 3 years

Total Investment:

• Cross-office collaboration between Office of HIV/AIDS,

Office of Health Systems, and E3 Bureau in USAID. Organization:

• To develop an initiative to help achieve an AIDS-free

generation with shared responsibility and enhancing domestic contribution to the HIV/AIDS response. Ask from OGAC:

3/14/2016 6

SFI Business Model and Metrics

Potential impact in three-year time frame

Willingness to say “no” to investments that will not yield results

Demonstrated return on investment

Metrics/ Benchmarks SFI

Metrics

Focus on domestic dollars leveraged for HIV as a measurable

• utcome

Develops methods to assess expected yield either as cost savings

• r increased

direct domestic contribution Aligns activities/ performance benchmarks with PEPFAR COPs Tailored to country context-no ‘one size fits all’

3/14/2016 7

SFI Central Activities and Interventions

Advocacy and Analytics

• Funding gaps
• Actuarial analyses

for insurance

• Feasibility of

contracting out

• NHA analyses
• Financial

sustainability analyses

Financial Management

• Program-based

budgeting

• Budget

execution

• Tax

administration Technical Efficiency

• Cost of service

delivery models

• Functional

procurement units

• Efficient drug

and commodity purchasing

Private Sector/ Innovative Financing

• Market

assessments for HIV services, willingness/ capacity to pay

• Increasing

coverage through private insurance schemes

• Increasing

access to competitively priced private sector commodities.

Today’s landscape of development finance is more fluid and nuanced. There exists a broad spectrum

• f capital that represents a diverse range of social

and financial interests…

Capitalizing on New Trends in Development Finance

USAID’s Non-TradiGonal Financing Tools

12/05/17 10

THANK YOU

FOOTER GOES HERE