1. CHAPS: HOW FUNDING MODELS IMPACTED OUR SUSTAINABILITY Follow Us:

2. Mission: To reduce the spread of HIV/AIDS in Southern Africa by providing innovative and preventative health solutions through evidence-based strategies, particularly the safe and efficient scale-up of voluntary medical male circumcision (VMMC) as part of a fully comprehensive HIV prevention package. What We Do: CHAPS is structured under 4 Key Business Units : Service Delivery Technical Services/VMMC Training Research Technical Assistance/ VMMC Start-up WHO WE ARE: CENTRE FOR HIV AND AIDS PREVENTIONS STUDIES

3. Our Journey- Operational Performance  Over its 5 years of operation, CHAPS has grown in strength providing innovative preventative health solutions CHAPS operates across 4 provinces and 12 districts in SA Through the years 2010 – 2014, CHAPS has cumulatively prevented approximately 61 545 cases of HIV/AIDS CHAPS operates across 4 provinces and 12 districts in SA Through the years 2010 – 2014, CHAPS has cumulatively prevented approximately 61 545 cases of HIV/AIDS 1 clinic CHAPS pioneers the MMC concept Bill Gates visits the Orange Farm MC clinic Number of VMMCs: 9 075 Number of HIV/AIDS cases prevented: 1 815 2010 2011 3 clinics 2013 2012 15 clinics 30 clinic 2014 59 clinics CHAPS lead NDOH and Others in MMC Scale-Up Number of VMMCs: 21 938 Improvement: 142% Number of HIV/AIDS cases prevented: 4 388 Completion of Symmacs research Number of VMMCs: 41 712 Improvement: 90% Number of HIV/AIDS cases prevented: 8 342 CHAPS begins PrePex research Number of VMMCs: 85 085 Improvement: 104% Number of VMMCs: 45 700 – June 2014 Projected 150 000 Improvement: 76% Number of HIV/AIDS cases prevented 30 000 Number of HIV/AIDS cases prevented: 17 000 CHAPS applies to Prime first

4. Funding Models Co-Op Agreement  Pre-approved budget, work plan, intense over sight from funder  Funding received in advanced  Outcome measured against targets  Strict encumbrant compliance, administrative requirements  Rigid; little room for development/expansion Fixed Price Contract  Awarded contract, fixed price per package delivered  Measured by: Quality of service and delivery of targets agreed upon  Less compliance and administrative requirements  More room to develop; expansion  Flexibility  Diversify investment to reduce operational costs to NGOs 1.National Institute of Statistics and Economics 2.principlesandpractices.org

5. o RFA’s: Funding o INGO’s: Loopholes Ongoing Challenges Cost of applying for RFAs or RFPs Admin/bureaucratic hurdles Competition from INGOs with dedicated NBD teams

6. Moving NGO’s from the Public to the Private: Being Competitive!!!

7. - 7 - Improved Operational Effectiveness Input Enhanced Relationship Management Innovation Maintaining and Growing Funding Base Improved Capacity Output Sustained service delivery model Differentiated Business Model Key Objectives

8. Questions Thank you This Presentation was developed by Dr Dino Rech and CHAPS Research assistant, Genevieve N Dean