2009. 38 p.
Hester, Vaughn
McGreevey, William
Hecht, Robert
Avila, Carlos
Gaillard, Eric
Results for Development Institute
Draft working paper
This background paper examines costing practices, cost-effectiveness data and prioritization processes in national HIV/AIDS strategic plans. The first section is a literature review on costing and prioritization in the first generation of national strategic plans (NSPs). The second section uses the World Bank AIDS Strategy and Action Plan's Self-Assessment Tool Guidelines for costing and prioritization to provide a detailed assessment of seven current-generation NSP documents. Through a simple scoring scale, patterns across these documents become evident. The third section examines global financing data availability and compares per capita and per infection costs based on three data sources. A minority of countries report any expenditure towards most- at-risk populations to UNAIDS. Section 4 presents a discussion of challenges to the strategic planning process as well as the need for systematic assessment tools. The paper closes with seven key messages to improve national strategic plans: - Develop functional and transparent national financial systems; - Track, report and share full cost and financing data; - Conduct self-assessment and impact studies at the country level; - Propose and deliver funding for most-at-risk populations; - Develop more specific ASAP guidelines for NSPs; - Create a refined, integrated system for assessment; - Set and achieve rigorous targets for improved NSPs.
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