The document discusses sustainable financing of national HIV responses. It defines social protection as preventing, managing, and overcoming situations that negatively impact well-being, taking into account inequities. Goals include getting to zero new infections, AIDS-related deaths, and discrimination according to UNAIDS strategies. Key populations targeted include men who have sex with men, people who inject drugs, sex workers, and prisoners. Interventions and services should follow UNAIDS and UNDP frameworks. Service providers can be public, private, non-profit, or for-profit. Benefits may include social welfare and health. Financial needs and sources must consider social welfare systems, health systems, public and private funding, and external and domestic resources.

1. Christoph Hamelmann
UNDP RBEC Regional Team Leader
HIV, Health and Development
Sustainable Financing of
National HIV Responses
- Social Protection -c
c
Regional Consultation on HIV Sensitive Social Protection
Sharm Elsheikh, 4-6 August 2015

2. Dimensions of Sustainable Financing of
National HIV Responses
• Goals, objectives, targets
• Populations to be covered, taking into inequities and
special needs of key populations
• Interventions, services and providers
• Benefits / entitlements / rights
• Efficiencies
• Financial needs and (re-)sources

3. Working Definition Social Protection
Social protection is concerned with
preventing, managing, and overcoming
situations that adversely affect people’s
well-being and takes into account inequities
between people and populations
UN Research Institute for Social Development (UNRISD)

4. Goals, Objectives, Targets
UNAIDS:
Getting to Zero Strategy
Get to Zero
• new infections
• AIDS related death
• Discrimination
National HIV Strategic Plans

5. (Key) Populations and Inequities
targeted
MSM
PWID
SW
Prisoners
Others
universal proportionate universal

6. Interventions and Services
UNAIDS/UNDP:
Critical Enablers and
Development Synergies for
Strategic Investment

7. Service Providers
Public Private
Not for profit
For profit
Social contracting
Contracting

8. Benefits / Entitlements / Rights
Social welfare Health

9. Investing for results. Results for people
UNAIDS:
Investing for results

10. Allocative Efficiency

11. Technical Efficiency
Reduction of unit costs under
defined quality standards

12. Financial Needs and (Re-)Sources
Social Welfare System Health System
PrivatePublicPublic Private
?
?
?
?
?
?
?
?
?
?
?
?
External
Domestic

13. Objective 1: To reduce high-risk sexual and
injecting behaviors among populations most
vulnerable to HIV infection including injecting
drug users; sex workers; and men who have sex
with men.
Sub-total: US $ 2,310,337
Objective 2: To reduce high-risk behaviors
among other populations at-risk of HIV infection
including migrants and their wives; and young
people by scaling up their coverage by
comprehensive quality prevention.
Sub-total: US $ 1,174,124
Objective X...
CENTRAL LEVEL
Sub-total: US $ 26.1 million
& US $2,192,073 would need to be allocated
additionally for transition from GF: 8.4%
MUNICIPALITY LEVEL
Sub-total: US $ 58.7million
& US $ 2,446,512 would need to be allocated
additionally for transition from: 4.2%
Objectives of GF HIV grant State budget for health
Grand total: US $ 143.5 million
& US $ 7,084,098 would need to be allocated
additionally for transition from GF: 4.9%
Grant total: US $ 7,084,098
US $ 462,067 (20%)
US $ 924,125 (40%)
US $ 234,824(20%)
US $ 469,650 (40%)
REGIONAL LEVEL
Sub-total: US $ 58.7 million
& US $2,1446,512 would need to be allocated
additionally for transition from GF: 4.2%US $ 469,650 (40%)
US $ 924,125 (40%)
Example: Transition to Domestic Financing

14. Thank You!
christoph.hamelmann@undp.org
Twitter: @cahamelmann
http://www.eurasia.undp.org/content/rbec/en/home/ourwork/hiv_aids/in_depth/sustainable-financing-of-hiv-responses/