FGU “Central Research Institute of Public Health Management and Information”, Federal Agency for Public Health and Human Services (Roszdrav) Financial and Economic Monitoring of HIV/AIDS Programs and Activities in the Russian Federation O.V.Obukhova 1
Major monitoring components Regulatory and legal framework Program/subprogram and project interventions Developed and approved indicators Approved recording and reporting forms Identified information flows Computerized Information System Data collection. Analysis. Forecasting. Recommendations for the governing entities O.V.Obukhova, , A.V.Dergachev A.V.Dergachev FGU “ “Institute of Public Health Institute of Public Health” ” O.V.Obukhova FGU 2
Form # 62 62 Form # Form # 62 DEPARTMENTAL STATISTICAL REPORTING «INFORMATION ON IMPLEMENTING THE STATE PROGRAM OF GUARANTEED FREE MEDICAL TREATMENT OF CITIZENS OF THE RUSSIAN FEDERATION» 3
Form # 62 62 Form # Form # 62 (1000) Health care facilities involved in the implementation of the Regional Program of the State Guarantees (as of 31.12. of the reporting year) 4
Form # 62 62 Form # Form # 62 (2000) Development and implementation of the Regional Program of the State Guarantees 5
Form # 62 62 Form # Form # 62 ( 3000) Target-oriented Programs 6
Форма № № 62 62 Форма Форма № 62 (4000) Fee-for-service medicine and Voluntary Health Insurance (VHI) 7
Form # 62 62 Form # Form # 62 Financing Sources Public extrabudgetary Public (all levels) Extrabudgetary funds 8
REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS IN SUB IN SUB- -NATIONAL BODIES OF THE RF NATIONAL BODIES OF THE RF IN SUB-NATIONAL BODIES OF THE RF Sub-National Body of the RF________________________ Program (Subprogram)/Project Profile Program (Subprogram)/Project Name ___________________________ Program (Subprogram)/Project Goal ___________________ Program (Subprogram)/Project Objectives _______________ 1. 2. 3. 4. Duration: Reporting period: Total budget (thousand rubles): Table 1 Information on the Program (Subprogram) / Project 9
REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS IN SUB- -NATIONAL BODIES OF THE RF NATIONAL BODIES OF THE RF IN SUB IN SUB-NATIONAL BODIES OF THE RF Table 2. Classification of interventions and types of activities. Activity indicators. 10
REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS IN IN SUB SUB- -NATIONAL NATIONAL BODIES BODIES OF THE RF OF THE RF IN SUB-NATIONAL BODIES OF THE RF 11
REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS IN SUB- -NATIONAL BODIES OF THE RF NATIONAL BODIES OF THE RF IN SUB IN SUB-NATIONAL BODIES OF THE RF Table 3. Financing Sources: 12
REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS IN SUB- -NATIONAL BODIES OF THE RF NATIONAL BODIES OF THE RF IN SUB IN SUB-NATIONAL BODIES OF THE RF Table 4. Financing Agents 13
REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS REPORT ON ONGOING HIV/AIDS PROGRAMS AND PROJECTS IN SUB- -NATIONAL BODIES OF THE RF NATIONAL BODIES OF THE RF IN SUB IN SUB-NATIONAL BODIES OF THE RF Table 5. Providers of Services 14
National System of HIV/AIDS Monitoring Regional level District level Federal level «Medstat» Information users ALL LEVELS Financing Logistics Laboratory Personnel service Drugs Resource availability Programs Epidmonitoring Interventions O.V.Obukhova, O.V.Obukhova , A.V.Dergachev A.V.Dergachev FGU FGU “ “Institute of Public Health Institute of Public Health” ” 15
The purpose of developing a Program Management Information The purpose of developing a Program Management Information System (PMIS) “EVA” consists in the provision of information on System (PMIS) “EVA” consists in the provision of information on the basis of current Internet technologies to monitor, assess and the basis of current Internet technologies to monitor, assess and manage the Global Fund Program “Promoting a Strategic Response manage the Global Fund Program “Promoting a Strategic Response to HIV/AIDS Treatment and Care for Vulnerable Populations in the to HIV/AIDS Treatment and Care for Vulnerable Populations in the Russian Federation”. Russian Federation”. PMIS “EVA” objectives: � on-line communication with all actors of the Program � on-line communication with all actors of the Program � on-line collection, processing and availablity of the � on-line collection, processing and availablity of the information information � ongoing monitoring of the Program by means of indicators � ongoing monitoring of the Program by means of indicators � documentation of the progress made by the Program � documentation of the progress made by the Program � development of reports � development of reports � assessment of the Program implementation � assessment of the Program implementation � managerial decision-making � managerial decision-making O.V.Obukhova O.V.Obukhova, , A.V.Dergachev A.V.Dergachev FGU “ FGU “Institute of Public Health Institute of Public Health” ” 16
PMIS “EVA” information flows PMIS “EVA” information flows • Program goals and subgoals • Program goals and subgoals • Program Action Plan and its deadlines • Program Action Plan and its deadlines • Program activities • Program activities • Standardized information on every activity • Standardized information on every activity • Core and complementary indicators • Core and complementary indicators • Recording and reporting documentation • Recording and reporting documentation • Library documentation • Library documentation • Contact information for all actors participating in PMIS • Contact information for all actors participating in PMIS O.V.Obukhova O.V.Obukhova, , A.V.Dergachev A.V.Dergachev FGU “ FGU “Institute of Public Health Institute of Public Health” ” 17
Financial information flows for PMIS “EVA” Financial information flows for PMIS “EVA” • Detailed proposed quarterly budget of the Program • Detailed proposed quarterly budget of the Program • Actual expenditure broken down by quarters and months • Actual expenditure broken down by quarters and months • Planned and actual expenses against agreements • Planned and actual expenses against agreements • Quarterly financial reports • Quarterly financial reports • Financial analysis of spending categories • Financial analysis of spending categories O.V.Obukhova O.V.Obukhova, , A.V.Dergachev A.V.Dergachev FGU “ FGU “Institute of Public Health Institute of Public Health” ” 18
www.srhiv.mednet.ru www.srhiv.mednet.ru PROGRAM “PROMOTING A STRATEGIC RESPONSE TO HIV/AIDS TREATMENT AND CARE FOR VULNERABLE POPULATIONS IN THE RUSSIAN FEDERATION” About the Program РУССКИЙ ENGLISH The Country Coordinating Mechanism developed and submitted a proposal for implementing the Program of "Promoting a Strategic Response to HIV/AIDS Treatment and Care for Vulnerable Populations in the Russian Federation" . The proposal for a five-year program of US$120.5M worth was approved by the Global Fund to Fight AIDS, Tuberculosis and Malaria. The Country Coordinating Mechanism approved the Russian Health Care Foundation as a principal recipient of the grant and an executive agency for the Program implementation accordingly. The Program's goal is to reduce the HIV-related morbidity and mortality by expanding the access to HIV prevention, treatment, care and support for people living with HIV/AIDS, with a particular focus on poor and marginalized populations. The Program is based on a comprehensive evidence-based approach and aimed at fulfilling the following six key tasks: • Increase the identification and referral of people living with HIV/AIDS who require treatment and care, with a special focus on vulnerable populations. • Expand access to quality HIV-related treatment for people with advanced HIV/AIDS and/or those exposed to HIV, with a special focus on vulnerable populations. • Strengthen palliative care and psychological and social support for people living with HIV/AIDS and support to those affected by HIV/AIDS, with a special focus on vulnerable populations, including orphans. • Strengthen the capacity of the Russian health system at the federal and regional levels to provide effective HIV/AIDS treatment, care and support to people living with HIV/AIDS. • Promote a supportive environment for the delivery of programs and services related to HIV treatment and care, particularly for marginalized and vulnerable populations. • Strengthen national and regional capacity to conduct monitoring and surveillance of treatment and care of people living with HIV/AIDS and conduct operational research regarding key aspects of treatment, care and support. O.V.Obukhova O.V.Obukhova, , A.V.Dergachev A.V.Dergachev FGU “ FGU “Institute of Public Health Institute of Public Health” ” 19
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