Tools for Decision Making in Resource Allocation & Strategic Planning Introduction to the Resource Needs Model

Structure of Presentation What does the Resource Needs Model do? How was it developed? How does it work? What does it not do?

Resource Needs Model - What does it do? Calculates the total resources needed for prevention, care and orphan support for HIV/AIDS Components: –Prevention model: 12 interventions –Care and treatment model: 5 interventions –Orphan support model: 3 interventions

Resource Needs Model - How was it developed? Development: –Instituto Nacional de Salud Pública –The Futures Group International –> 1,000 studies from Africa, Latin America and Asia used as the basis for defaults included in model Applications: –2001: UNGASS estimates: $9.2 billion per year required by 2005

Resource Needs Model - What does it do? Estimates resource requirements for specified interventions in order to achieve: –a given level of coverage of a given target population at –The given unit costs Estimate the resource implications of … –expanding range of interventions –scaling up access/expanding coverage –change in unit costs Tool for: budgeting, strategic planning

Resource Needs Model How does it work? # people in target population for intervention # of people to be reached with the intervention Cost of intervention % coverage to be achieved cost of intervention per person reached For each intervention:

Resource Needs Model: How does it work? # centers providing intervention # of people to be reached with the intervention Cost of intervention # people per center to be reached cost of intervention per person reached

Spectrum Data Required Demographic summary Adult HIV summary Child summary Orphan summary by age Impact summary

Key Input Sheets Once Spectrum data has been entered, RNM uses 5 input sheets: Setup Prevention Care and treatment Mitigation Policy, Advocacy, Administration, Research

Resource Requirements ( )

Resource Gap Analysis (2004)

Resource Needs Model: What does it not do? Does not tell you how many infections will be averted Does not tell you the impact of interventions on prevalence → GOALS Model

Caveats Unit cost estimates in RNM do not change with the scale of the project

Conclusions RNM can be used to identify the need for HIV/AIDS resources using data regarding the size of target populations, levels of coverage and unit costs. If a country knows its existing HIV/AIDS resources, it will be able to identify resource gaps. RNM can be used to generate new resources and identify how additional scaling-up and changes in unit costs can influence the total resource requirements