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How Can Civil Society Measure Value for Money and Prove Its Worth ?

How Can Civil Society Measure Value for Money and Prove Its Worth ?. Amanda Glassman Center for Global Development July 26, 2012. Outline. Investment Framework Current Spending Levels Cost-Effectiveness: What Do We Know? Going Forward. Community Mobilization. Community Systems.

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How Can Civil Society Measure Value for Money and Prove Its Worth ?

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  1. How Can Civil Society Measure Value for Money and Prove Its Worth? Amanda GlassmanCenter for Global DevelopmentJuly 26, 2012

  2. Outline • Investment Framework • Current Spending Levels • Cost-Effectiveness: What Do We Know? • Going Forward

  3. Community Mobilization Community Systems Community Centered Design and Delivery Source: Schwartlander et al. “Towards an improved investment approach for an effective response to HIV/AIDS” Lancet 2011: 377:2031-41

  4. Conceptual Framework • MANAGEMENT INFORMATION SYSTEMS • Quality of care • EFFICIENCY • Cost/Output • EFFICACY • Cost/Outcome “in the lab” • EFFECTIVENESS • Cost/Outcome in practice IMPACT

  5. Current Spending Levels Global Fund Round 10 Proposals, Requested Disbursements Source: Round 10 Call for Proposals: Community Systems Strengthening, 2011

  6. What CSS Entails for the GF Source: Round 10 Call for Proposals: Community Systems Strengthening, 2011

  7. Investment Framework Source: Schwartlander et al. “Towards an improved investment approach for an effective response to HIV/AIDS” Lancet 2011: 377:2031-41

  8. …but is it cost-effective? Source: Padian, McCoy, Karim, et al. Lancet 2011;378:269-78 and updated with latest trial results.

  9. Small impact of CSS interventions Male Circumcision 5% PMTCT 25% Prevention with Positives 1% Tx as Prevention ? Female Sex Workers 5% STI TX 1% Counseling and Testing 24% Inj. and non-Inj. Drug Use 0.3% Peer Ed. 7% MSM –1% Mass Media 9% Abstinence 8% Source: Padian, McCoy, Karim, et al. Lancet 2011;378:269-78 and updated with latest trial results.

  10. Issues: Going Forward • No impact evaluation; not enough data

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