SUSTAINABLE FINANCING INITIATIVE FOR HIV/AIDS (SFI) SUSANNA BAKER HEALTH FINANCE & ECONOMICS BRANCH CHIEF, OFFICE OF HIV/ AIDS, USAID 12/05/17`1 FOOTER GOES HERE 1
Changing the Landscape of Development Assistance Total HIV/AIDS Spending by Source • With ramp up of “Test and Start,” the resources required to meet the needs of the 36 million people living with HIV over the next five years will exceed donor commitments. • Countries will require an investment of around $26.2 billion by 2020 to meet demands for HIV/AIDS services, and 55 percent should come from domestic sources • The current HIV/AIDS response is highly donor dependent. Source: PEPFAR Sustainability Index and Dashboard
Economic transition creates opportunities for health financing 35 30 1 Number of Countries 5 7 25 7 20 UMIC 12 10 LMIC 15 LIC 21 10 12 12 5 0 1995 2010 2020 3
Investments in the AIDS responses of low- and middle- income countries, by source of funding, 2000–2015 US$ (billion) 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.
Creation of SFI Purpose: USAID’s PEPFAR-funded lead initiative to mobilize and organize host country financing for HIV/AIDS using economic transitions Total Investment: • $48 million over 3 years Organization: • Cross-office collaboration between Office of HIV/AIDS, Office of Health Systems, and E3 Bureau in USAID. Ask from OGAC: • To develop an initiative to help achieve an AIDS-free generation with shared responsibility and enhancing domestic contribution to the HIV/AIDS response.
SFI Business Model and Metrics Willingness to say Potential impact “no” to investments in three-year time that will not yield results frame SFI Demonstrated Metrics/ return on Benchmarks investment Metrics Develops methods to Focus on assess Aligns domestic Tailored to expected activities/ dollars country yield either as performance leveraged for context-no cost savings benchmarks HIV as a ‘one size fits or increased with PEPFAR measurable all’ direct COPs outcome domestic contribution 3/14/2016 6
SFI Central Activities and Interventions Private Sector/ Advocacy and Financial Technical Innovative Analytics Management Efficiency Financing • Funding gaps • Program-based • Cost of service • Market • Actuarial analyses budgeting delivery models assessments for for insurance HIV services, • Budget • Functional • Feasibility of willingness/ execution procurement contracting out capacity to pay units • Tax • NHA analyses • Increasing administration • Efficient drug • Financial coverage and commodity sustainability through private purchasing analyses insurance schemes • Increasing access to competitively priced private sector commodities. 3/14/2016 7
Capitalizing on New Trends in Development Finance Today’s landscape of development finance is more fluid and nuanced. There exists a broad spectrum of capital that represents a diverse range of social and financial interests …
USAID’s Non-TradiGonal Financing Tools
THANK YOU 12/05/17 FOOTER GOES HERE 10
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