How Can Civil Society Measure Value for Money and Prove Its Worth? Amanda Glassman Center for Global...
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How Can Civil Society Measure Value for Money and Prove Its Worth? Amanda Glassman Center for Global Development July 26, 2012
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Transcript of How Can Civil Society Measure Value for Money and Prove Its Worth? Amanda Glassman Center for Global...
How Can Civil Society Measure Value for Money and Prove Its Worth?
Amanda GlassmanCenter for Global Development
July 26, 2012
Outline Investment Framework
Current Spending Levels
Cost-Effectiveness: What Do We Know?
Going Forward
Community Mobilization
Community
Centered Design
and Delivery
Community Systems
Source: Schwartlander et al. “Towards an improved investment approach for an effective response to HIV/AIDS” Lancet 2011: 377:2031-41
Conceptual Framework
MANAGEMENT INFORMATION
SYSTEMS• Quality of care
EFFICIENCY• Cost/Output
EFFICACY• Cost/Outcome
“in the lab”EFFECTIVENESS• Cost/Outcome
in practice
IMPACT
Current Spending Levels
Community Services Strengthening; 634674190;
5%
All other spending, $12,068,503,508, 95%
Global Fund Round 10 Proposals, Requested Disbursements
Source: Round 10 Call for Proposals: Community Systems Strengthening, 2011
What CSS Entails for the GF
Source: Round 10 Call for Proposals: Community Systems Strengthening, 2011
Investment Framework
Source: Schwartlander et al. “Towards an improved investment approach for an effective response to HIV/AIDS” Lancet 2011: 377:2031-41
…but is it cost-effective?Type of Intervention
HIV Prevention EfficacyTOTALPositive
EffectAdverse
EffectNo
Effect
Behavioral --- --- 7 7
Structural: Microfinance, CCT 1 --- 2 3
Diaphragm --- --- 1 1
Topical Agents (microbicides) Non-ARV based ARV-based PrEP
---1
1---
11---
121
Systemic, oral PrEP 3 --- 3 6
Treatment for prevention 1 --- --- 1
Male circumcision 3 --- 1 4
STI Treatment 1 --- 8 9
Vaccines 1 --- 3 4
Total 11 1 36 48
Source: Padian, McCoy, Karim, et al. Lancet 2011;378:269-78 and updated with latest trial results.
Quality Poor Fair Good
Impact
Largest impact
Some impact
Potential impact
No evidence of impact
Counseling and Testing24%
Prevention with Positives 1%Tx as Prevention ?
Male Circumcision5%
MSM – 1%
Abstinence 8%
Peer Ed.7%
STI TX 1%
Inj. and non-Inj. Drug Use0.3%
Female SexWorkers5%
PMTCT25%
Mass Media9%
Small impact of CSS interventions
Source: Padian, McCoy, Karim, et al. Lancet 2011;378:269-78 and updated with latest trial results.
Issues: Going Forward No impact evaluation; not enough data
