“Whose Value Counts”: A community perspective on value for money

1. “Whose Value Counts”: A community perspective on value for money Liza Tong Programme Manager International HIV/AIDS Alliance

2. Presentation outline The Alliance Value for money – our approachso far Community mobilisation and growing trends Costing community mobilisation What next? Questions and Discussion

3. A global partnership of 36 independent linking organisations Secretariat ‘added value’ (as defined by Alliance linking organisations): - knowledge & capacity building, policy influence, resource mobilisation, credibility & prestige and protection

4. The Alliance model: Mission: supporting community action to prevent HIV infection, meet the challenges of AIDS & build healthier communities :

5. VFM evolution Costing studies West Africa Pilot SROI India/Zambia VFM definitions mid 2010 Nov 2010 2010-2012

6. VFM evolution Costing community mobilisation External engagement SROI Cambodia Nov 2011 Jul 2011 2012

7. Community mobilisation and growing trends

8. Important words of caution concerning community mobilisation and the drive for VFM • Critical to avoid cost savings for donors being achieved at the expense of increased costs for communities. • Community mobilisation should not equate to a reduction in state or donor responsibility, • Governments, donors, and international institutions should include costs and strategies for the remuneration of community members in budgets, programme plans, and technical guidance related to their role • It is vitally important that we understand VFM from a community perspective – in other words better understanding the meaning of whose value (and costs) count

9. Costing community mobilisation • IHAA lead investigator UNAIDS funded study • To generate more information about the methods to capture and understand cost data for CM within the HIV AIDS response – Little out there exists! • Audience for study : IHAA network, national LOs and their CBO implementing partners, UNAIDS secretariat and COs

11. What did we do? • Used a common approach (UNAIDS costing toolkit on HIV/AIDS facility level services) adapted for community services • Priced CM within PMTCT, prevention with key populations, Behaviour change • Defined service chain for each area and unit cost /person reached

12. Cost components measured

13. Community cost results

14. Community cost results

15. Community cost data

16. Top line results of the study • The development of a comparatively low cost methodology for costing community mobilisation that civil society organizations and planners are able to test and apply in other settings • A structure for pricing community mobilisationas it relates to three specific types of HIV programme activities. These included prevention to mother to child transmission (PMTCT); focused prevention with key populations; and behavior change communication (BCC). • Pricing (unit costs per person reached + sample activity costs) of community mobilisationfor PMTCT in Zambia, focus prevention activities with key populations in Cambodia, and BCC in Kenya.

17. What’s next? • Focus efforts on building capacity for this work in partner organisations • Capturing examples of countries that will integrate costing/cost benefit work into their systems for year on year cost efficiency • Working with countries to maximise the use of this work i.e. KHANA VFM policy brief, Thogomelo SA. SROI research and advocacy

18. THANK YOU!