ASAP / TSF Costing Workshop Overview of the ASAP Costing Tool AN ACTIVITY-BASED COSTING TOOL
1. Review the chart of accounts data sheet in your group. Identify where you would find the required input data Report to plenary on up to 5 cost items where you would like the opinion of the plenary on how best to source or generate the data.
Objective Discuss when the ASAP costing tool should be used Describe the process of using the ASAP costing tool Present the key elements of the ASAP costing tool
When Should the ASAP Costing Tool be Used? ASAP Costing Tool can be used any time there is a need for a detailed budget for HIV and AIDS programs. For example: Costing an HIV and AIDS national operational plan (e.g., annual action plan) Designing a local budget (e.g., district HIV and AIDS budget proposal) Developing a proposal for HIV and AIDS programs (e.g., Global Fund application)
Approach to Use the ASAP Costing Tool 1. Collect basic data 2. Identify key services and population groups 3. Enter current and projected levels of coverage 4. Map the operational plan to the list of services & population groups 5. Collect unit cost data 6. Cost individual activities
Basic Data Required Period of the operational plan (e.g., 1, 2 or 3 years) Demographic information (e.g., male/female population size) Epidemiologic indicators (e.g., HIV prevalence) Impact data (e.g., # of OVC)
Key Services and Population Groups Prevention SW MSM IDU Youth Workplace programs Condom provision STI management VCT PMTCT Mass media Male circumcision Blood safety PEP Safe medical injections Universal precautions Treatment Antiretrovirals Prophylaxis for opportunistic infections Treatment for opportunistic infections Palliative care Psychological support Dental care Nutritional supplements Other out-patient and in-patient care Support to Orphans & Vulnerable Children Policy/Administration/ Management/M&E
Current & Projected Levels of Coverage Prevention Baseline 40% Youth 20% CSW Target 60% Youth 50% CSW Treatment 20% ART 50% OI Tx 60% ART 70% OI Tx OVC 10% OVC 30% OVC Policy/Administration/ Management/M&E
Map the Operational Plan Activity to the Function Group (from NASA) Operational Plan Activities Function Group Provide technical assistance with the development of workplace programs for prevention, care and support. Prevention: VCT Develop and implement peer education programs among sex workers. Treatment: ART Increase the use of VCT services and early treatment-seeking. Prevention: Sex Worker Activities for family-based orphan support Prevention: Workplace Strengthen the capacity to deliver ART and increase the number of treatment sites. Orphans & Vulnerable Children
Enter Unit Cost Data Account Units Unit Cost Local consultants Person month $2,100 Laboratory tests Person tested $6.34 CD4 Billboard rental Billboard months $100 Printing costs Leaflet $0.10 leaflets Counseling visit Visit $2.11 Condom male Male condom $0.05 Condom female Female condom $0.50 STI drugs Per person treated $5.00
Types of Cost Analysis Cost by strategic priority Cost of reducing the risk and vulnerability to HIV infection. Cost by activity Cost of increasing the number of non-traditional outlets targeting high risk populations with condom social marketing Cost by function Cost of condom social marketing program Cost by expenditure type
Results Costs of Operational Plan
Conclusions ASAP Costing Tool can be used for: 1) Estimating resource needs for HIV and AIDS operational/action plans; 2) Costing proposals; ASAP Costing Tool requires general data (e.g., demographics, epidemiologic information, etc.), coverage (baseline and target) and unit costs. Variables can be modified to meet budget targets The results of the ASAP costing tool is a budget disaggregated by strategic priority, activity, function and/or expenditure type. Costing tool can be used to monitor actual activity and expenditures against original plans.