CHAPS: HOW FUNDING MODELS IMPACTED OUR SUSTAINABILITY Follow Us: WHO WE ARE: CENTRE FOR HIV AND AIDS PREVENTIONS STUDIES 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 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 2014 2013 2012 15 clinics 2011 2010 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 30 clinic 3 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 CHAPS begins PrePex research 59 clinics CHAPS applies to Prime first Number of VMMCs: Number of VMMCs: 41 712 Number of VMMCs: 85 085 45 700 – June 2014 Projected 150 000 Improvement: 90% Improvement: 104% Improvement: 76% Number of HIV/AIDS cases Number of HIV/AIDS cases Number of HIV/AIDS cases prevented: 8 342 prevented: 17 000 prevented 30 000 Funding Models Fixed Price Contract Co-Op Agreement Awarded contract, fixed price per package delivered Pre-approved budget, work plan, intense over sight from funder Measured by: Quality of service and delivery of targets agreed upon Funding received in advanced Less compliance and administrative requirements More room to develop; expansion Flexibility Diversify investment to reduce operational costs to NGOs Outcome measured against targets Strict encumbrant compliance, administrative requirements Rigid; little room for development/expansion 1. National Institute of Statistics and Economics 2. principlesandpractices.org Ongoing Challenges o RFA’s: Funding o INGO’s: Loopholes • Cost of applying for RFAs or RFPs • Admin/bureaucratic hurdles • Competition from INGOs with dedicated NBD teams Moving NGO’s from the Public to the Private: Being Competitive!!! Key Objectives Input Output Improved Operational Effectiveness Improved Capacity Enhanced Relationship Management Innovation Maintaining and Growing Funding Base Sustained service delivery model Differentiated Business Model -7- Questions Thank you This Presentation was developed by Dr Dino Rech and CHAPS Research assistant, Genevieve N Dean