1. Supporting community action on AIDS in developing countries Costing Community Mobilization: An NGO Perspective Jason Taylor Wright, MSFS, MA U.S. Director International HIV/AIDS Alliance

2. Supporting community action on AIDS in developing countries AIDS Alliance – Vision and Mission Vision A world in which people do not die of AIDS Mission To support community action to prevent HIV infection, meet the challenges of AIDS, and build healthier communities

3. Supporting community action on AIDS in developing countries AIDS Alliance – Structure International Secretariat 7 Technical Support Hubs 38 Linking Organizations

4. Supporting community action on AIDS in developing countries AIDS Alliance – Strategic Responses Scale up integrated HIV programming Support well-functioning community- based organizations (CBOs) Help form engaged, inclusive societies Create a learning Alliance

5. Supporting community action on AIDS in developing countries AIDS Alliance – 2011 Results 2,763,262 people reached through services 3,660,516 people reached with IEC 50,734,531 condoms distributed 11,826 leaders reached through advocacy 1,488 organizations supported financially

6. Supporting community action on AIDS in developing countries AIDS Alliance – Previous Satellite Session Community Mobilization: A ‘Critical Enabler’ for Better Investment in HIV Programming AIDS Alliance Executive Director Alvaro Bermejo UNAIDS Director for Evidence, Strategy, and Results Bernhard Schwartländer AIDS Alliance Associate Director, Best Practice Unit Christine Stegling

8. Supporting community action on AIDS in developing countries Value for Money (VfM) – Evolution Definition (2010) Pilot studies in India and Zambia (2010) Costing studies in Côte d’Ivoire (2010-2012) External engagement (mid-2011) Pilot study in Cambodia (late 2011) Costing of community mobilization (2012)

9. Supporting community action on AIDS in developing countries VfM – Definition VfM seeks to judge the value of particular outputs, outcomes, or results against the cost of achieving them VfM can be increased in two main ways: Increasing value Reducing costs

10. Supporting community action on AIDS in developing countries VfM – Practices Good practice standards and guides Tools and guidelines More analysis of unit costs

11. Supporting community action on AIDS in developing countries Social Return on Investment (SROI) Adjusted form of cost-benefit analysis Adaptation of UNAIDS costing toolkit on HIV/AIDS facility-level services to community (Positive and negative outcomes)/costs Cost components measured: Organizational costs Community costs

12. Supporting community action on AIDS in developing countries SROI – Top-Line Results SROI is a relatively low-cost methodology for costing community mobilization We have structures for pricing community mobilization for 3 of the 6 basic program activities in the Investment Framework: PMTCT (Zambia) Key populations (Cambodia) Behavior change programs (Kenya)

13. Supporting community action on AIDS in developing countries SROI – Lessons Learned We were able to value what matters most to beneficiaries The SROI methodology can also be used in forecast studies for program planning There is a need to continuously adapt and improve the robustness of the methodology There are data challenges

14. Supporting community action on AIDS in developing countries VfM – Words of Caution It is critical to avoid cost savings being achieved at the expense of increased costs for communities Community mobilization should not equate to a reduction in state or donor responsibility

15. Supporting community action on AIDS in developing countries VfM – Words of Caution (cont.) The remuneration of community members should be included in program plans and budgets and technical guidance related to their roles We must understand VfM from a community perspective, i.e., we must better understand the meaning of whose value (and costs) count

16. Supporting community action on AIDS in developing countries AIDS Alliance – Future Priorities We will continue to improve our efficiency We will attempt to influence the VfM debate with bilateral donors (DFID and PEPFAR), the Global Fund, and U.N. agencies (UNAIDS and the World Bank) We will conduct further studies using the SROI methodology

17. Supporting community action on AIDS in developing countries AIDS Alliance – Resources Measuring and Improving the Value for Money of HIV Programming (December 2010) www.aidsalliance.org/publicationsdetails.aspx?id=505 SROI: CHAHA (Children Affected by HIV/AIDS) Programme (March 2011) www.aidsalliance.org/publicationsdetails.aspx?id=90518 “Doing More with Less:” SROI: Evidence Based Operational Research on KHANA Integrated Care and Prevention Program in Cambodia (April 2012) www.aidsalliance.org/publicationsdetails.aspx?id=90580