Brief overview of UNDP’s work to support national partners (governments, civil society and others) with efforts to ensure sustainable financing of HIV responses with a strong focus on lessons learnt. Specific areas of interventions presented included work on the review of legal and regulatory frameworks for ARV medicines and treatment, modelling optimized investment approaches and NGO social contracting to provide HIV-related services to key populations at higher risk of HIV. Presenter: Dr. Christoph Hamelmann, Regional Team Leader (Europe and Central Asia) and Senior Advisor (Arab States) HIV, Health and Development, Global Coordinator UN informal Interagency Task Team on Sustainable Procurement in the Health Sector (SPHS), UNDP Istanbul Regional Hub Venue: Regional High-Level Dialogues on Sustainable Financing of HIV Responses, Tbilisi, Georgia, 29 September 2015

1. Dr Christoph Hamelmann
Regional Team Leader (Europe and Central Asia)
and Senior Advisor (Arab States)
HIV, Health and Development
Global Coordinator UN informal Interagency Task Team
on Sustainable Procurement in the Health Sector (SPHS)
UNDP Istanbul Regional Hub
EECA Regional High-Level Dialogue
Tbilisi, 29 September 2015
Sustainable Financing of
National HIV Responses
Lessons Learnt

2. Scenarios
Scenario 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

3. Universal access: rights-based approach
SDG 3 target and highest impact
DALYs averted
Scenario 3:
optimized allocation + 25% investment increase

4. Allocative Efficiency
Current budget, current allocation Current budget, optimized allocation

5. Technical Efficiency
Factor costs
Human resources
Commodities
Others
Service delivery
models
Central / de-central
Public / private
Others
Others
Infrastructure
Critical enablers
Others
Unit costs
Service output
Defined quality standard

6. 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/

7. In Focus:
NGO Social Contracting
Country Fact Sheet Country Fact Sheet
• 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

8. 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: A
B
D E A
D
E
FC
External funds details
Domestic funds details

9. 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

10. http://tinyurl.com/q5ryv3c
1. INTRODCUTION
2. METHODOLOGY
3. SOCIO-ECONOMIC AND HEALTH SYSTEM
OVERVIEW
4. KNOW YOUR EPIDEMIC
5. KNOW YOUR RESPONSE
6. THE ROLE OF NGOS IN THE NATIONAL HIV
RESPONSE
6.1 The role of NGOs in concentrated epidemics
6.2 The role for NGOs in the Croatian national
programme for HIV/AIDS prevention 2011-2015
6.3 The role of NGOs under the GF grants in Croatia
7. TRANSITIONING TO SUSTAINABLE NATIONAL HIV
FINANCING: ACHIEVEMENTS AND CHALLENGES
7.1 Transition of governance structures
7.2 Transition of service provision through NGOs
7.3 Transition of the HIV service components
7.4 Scaling-up prevention, treatment, care and support
8. CONCLUSIONS

13. christoph.hamelmann@undp.org
Twitter: @cahamelmann
Timur Abdullaev, Predrag Duric,
Boyan Konstantinov, John Macauley
Scaling-up to universal access