NASA Classification April2013 AM FINAL

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    NASA: Classification

    Pelatihan NASA

    1-3 Juli 2009

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    To describe the AIDS health and non-health financial flows

    and expenditures according to three dimensions and six

    vectors:

    FINANCING:1) Sources; 2) AgentsPROVISION:

    3) Providers; 4) Production Factors

    USE:5) AIDS Spending categories;

    6) Intended Beneficiary Populations

    NASA Dimensions and vectors:

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    National AIDS Spending

    Assessments Resource Tracking

    Financing Sources

    Financing AgentsProviders

    Production Factors

    AIDS Spending CategoriesIntended Beneficiary Populations

    FINANCING:

    PROVISION:

    USE:

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    National AIDS Spending

    Assessments Resource Tracking

    Financing Sources

    Financing AgentsProviders

    Production Factors

    AIDS Spending CategoriesIntended Beneficiary Populations

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    Financing Sources are entities that provideresources to the Financing Agents to be pooledand distributed

    NASA Financing Sources are aligned with NHAFinancing Sources

    Sources: Public (MOF APBN, APBD, Private

    (Households, Corporations, NGOs, etc) andInternational (Multilateral, Bilateral, NGOs,Foundations, etc).

    Financing Sources:

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    Origin of Resources

    + MoH

    Where does themoney come from?

    $ MoF

    $ MoF

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    Financing Source (Example)

    + MoH$ MoF

    $ MoF

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    Financing Sources:

    FS.1 Public FundsFS.1.1 Territorial Government FundsFS.1.1.1 Central orFederal authorities

    FS.1.1.1 Central Government Revenue

    FS.1.1.2 State / Provincial Government Revenue

    FS.2 Private Funds

    FS.3 International Funds

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    National AIDS Spending

    Assessments

    Resource Tracking

    Financing Sources

    Financing AgentsProviders

    Production Factors

    AIDS Spending CategoriesIntended Beneficiary Populations

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    Financing Agents:

    The Financing Agents are entities thatconcentrate financing resources fromdifferent sources and transfer them tofinance a program or as a payment to buygood and services, such as healthtreatment, prevention activities, etc.

    This entities make programmatic

    decisions on the use of the resources theyreceive from the Financing Sources.

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    Programmatic decisions:

    What to buy? (selecting ASC)

    For who? (selecting Beneficiary Populations)

    Produced by whom? (selecting the Provider)

    OVCOVC

    Hospital

    NGONAP-

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    NAC-

    NGO A

    (Revenue / Loans / External Aid Budget Support)

    Financing Agent example: NAC

    -ASC 1.01Communicationfor social and behavioral

    change

    -ASC 1.13 Public and commercial sector

    condom provision

    + MoF

    Which is the

    financing

    agent?

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    Financing Agents:

    FA.1 Public Sector

    FA.1.1 Territorial governmentFA.1.1.1 Central or Federal authoritiesFA.1.1.1.1 Ministry (or equivalent sector entity) of Health

    FA.1.1.1.2 Ministry (or equivalent sector entity) of Education

    FA.1.1.2 State / provincial / regional authorities

    FA.1.1.3 Local / Municipal authorities

    FA.1.2 Public Social Security

    FA.1.3 Government employee insurance programs.

    FA.1.4 Parastatal organizations

    FA.2 Private SectorFA.3 International Purchasing Organizations

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    National AIDS Spending

    Assessments

    Resource Tracking

    Financing Sources

    Financing AgentsProviders

    Production Factors

    AIDS Spending CategoriesIntended Beneficiary Populations

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    Providers:

    Entities that participate in the production of good and servicesfor the response to HIV.

    To identify the provider, first identify the type of service and the

    final product (ASC)

    The provider is responsible for the delivery, provision and

    quality of the good and services.

    The provider is responsible for the final product, but can either

    subcontract services or personal or the delivery of the product,

    or buy the inputs necessary for producing it itself.

    The providers consume the resources of different productionfactors to produce good and services (programmatic

    interventions/ASC) for a particular beneficiary population.

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    Provider Example: Hospital

    Opportunistic infections(OI) treatment

    Production Factors (Input)AIDS Spending

    Categories (Outputs)

    Salaries

    Drugs, Materi als

    Energy

    BeneficiaryPopulation

    Equipment, Capital

    Antiretroviral therapy

    Specific HIV-relatedlaboratory monitoring

    BP.1 People livingwith HIV

    Provider: Hospital

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    Restaurant

    Happy

    Chicken

    OVCOVC

    NGO A

    -ASC.3.3 Family / Home support(OVC)

    A) NGO A

    B) Restaurant Happy

    Chicken

    Providers

    -(e.g.:) PS2.1.1.16 Community Based

    Organizations

    -PF.1.1.2.10 Meals and drinks

    (Services) Who is the

    provider?

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    Providers:

    PS.1 Government Organizations

    PS1.1 Public and Para-statal ProvidersPS1.1.01 Hospitals

    PS.2 Non-Governmental OrganizationsPS.3 Private For Profit Providers

    PS.2.1 Non-Profit ProvidersPS.2.1.1 Non-Profit Providers (except Faith Based Organizations)

    PS.2.1.2 Faith Based Organizations non-profit

    PS.2.2 For profit Private Providers (including for-profit FBO)

    PS.3 Bilateral and Multilateral entities in countryoffices

    PS.4 Rest-of-the world providers

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    National AIDS Spending

    Assessments

    Resource Tracking

    Financing Sources

    Financing AgentsProviders

    Production Factors

    AIDS Spending CategoriesIntended Beneficiary Populations

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    Production Factors:

    The ASC and the Providers classifications are focused in theoutputs (good & services). However it is also desirable toanalyze the inputs that are transformed into outputs: theproduction factors, which combined in a specific productionfunction of the Provider are transformed into good & services.

    The analysis of the resources consumed (human resources,materials, etc.) are crucial for doing efficiency analysis.

    The classification includes two categories:

    (1) Current expenditures &

    (2) Capital expenditures

    P d ti F t

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    Production Factors

    Opportunistic infections(OI) treatment

    Production Factors (Input)AIDS Spending Categories

    (Outputs)

    Salaries

    Drugs, Materi als

    Energy

    BeneficiaryPopulation

    Equipment, Capital

    Antiretroviral therapy

    Specific HIV-relatedlaboratory monitoring

    BP.1 People livingwith HIV

    d i

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    Restaurant

    Happy

    Chicken

    OVCOVC

    NGO A

    -ASC.3.3 Family / Home support(OVC)

    Production Factors

    -PS2.9 (e.g.:) PS2.1.1.16 Community

    Based Organizations

    -PF.1.1.2.10 Meals and drinks

    (Services)

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    Production Factors:

    PF.1 CURRENT EXPENDITURESPF.1.1 Labour income (Compensation of employees andowners)

    PF.1.2 Supplies and services

    PF.2 Capital investment, human capital andknowledge investment / Capital expenditure

    PF.2.1 Buildings

    PF.2.2 Equipment

    PF.2.3 Human capital

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    National AIDS Spending

    Assessments

    Resource Tracking

    Financing Sources

    Financing AgentsProviders

    Production Factors

    AIDS Spending CategoriesIntended Beneficiary Populations

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    AIDS Spending Categories (ASC):

    The ASC reflectprogrammatic interventions.

    From policy and programs to interventions: Condom

    use, for example, is an intervention that an individualcan take to reduce risk from a range of diseases;

    condom distribution is a preventive program to

    encourage this intervention; thus, the level of

    expenditure in this programme reflects governmentdecisions andpublic policies.

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    AIDS Spending Categories

    1. Prevention

    2. Care and Treatment3. Orphans and vulnerable children

    4. Program Management and Administration

    Strengthening

    5. Human Resources Recruitment & RetentionIncentives - Human Capital

    6. Social Protection and Social Services (Excluding

    OVC)

    7. Enabling Environment and Community Development

    8. HIV and AIDS-related Research (Excluding

    Operations Research)

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    National AIDS Spending

    Assessments

    Resource Tracking

    Financing Sources

    Financing AgentsProviders

    AIDS Spending Categories

    Production FactorsIntended Beneficiary Populations

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    -The Beneficiary Population represents

    resources allocated to a specific population as

    part of a programmatic intervention. The BP

    will be selected according the intention ortargetof the programmatic intervention

    Beneficiary Populations

    OVCSW

    Targeted / Intended -Beneficiary Population:

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    Assigning a Beneficiary PopulationBeneficiary Populations

    SW

    STI Clinic

    -TARV

    -STItreatment

    -Condoms purchased

    at a pharmacy-Condoms distributed

    by the NAP to SW.

    Which is the

    corresponding

    Beneficiary

    Population?

    BP.2.2 Sex workers

    and their clients?

    BP.1 People living

    with HIV?

    (Sex Work

    & PLWH)

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    Assigning a Beneficiary PopulationBeneficiary Populations

    SW

    STI Clinic

    -TARV

    -STItreatment

    -Condoms purchased

    at a pharmacy-Condoms distributed

    by the NAP to SW.

    (Sex Work

    & PLWH)

    -BP.1 People living with HIV

    -BP.2.2.1 Female sex workers and

    their clients

    -BP.4.01 People attending STI clinics

    -BP.5 General population

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    Assigning a Beneficiary PopulationBeneficiary Populations

    SW

    STI Clinic

    -STI treatment

    (Sex Work

    & PLWH)

    -BP.2.2.1 Female sex workers and their

    clients

    -BP.4.01 People attending STI clinics

    STI Clinic -

    SW

    -STI treatment as part of aprogram for SW

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    Beneficiary Populations:

    BP.1 People living with HIV

    BP.2 Most at risk populations and keypopulations at higher risk

    BP.3 Other key populations at high riskBP.4 Specific accessible populations

    BP.5 General population

    BP.6 Not targeted interventions

    BP.99 Beneficiary populations notelsewhere classified