Co-financing: Costing structural interventions in the South African investment case

Drivers:

Read the full impact case study here

The HIV field has, by and large, acknowledged the necessity of addressing the structural barriers to effective HIV prevention and treatment. The question remains, however: how to pay for these efforts? 

Impact case study: Co-financing: Costing structural interventions in the South African investment case

The HIV field has, by and large, acknowledged the necessity of addressing the structural barriers to effective HIV prevention and treatment. The question remains, however: how to pay for these efforts? 

Examining synergies between the structural drivers of HIV and broader health and development goals, STRIVE researchers developed a co-financing mechanism to assess the cost-effectiveness of interventions that generate benefits across several sectors, and dividing the costs accordingly.

Inter-sectoral co-financing: Financing across sectors for universal health coverage in sub-Saharan Africa

This brief describes the lessons learnt from the piloting of an innovative approach developed by the United Nations Development Programme (UNDP) and STRIVE to support efficient resource allocation for integrated planning and budgeting for the Sustainable Development Goals (SDGs) as well as contribution towards universal health coverage (UHC).

Co-financing

What's the issue?

Upstream structural barriers undermine the potential of HIV programmes to deliver on ambitious targets to prevent new infections and save lives. Interventions addressing these upstream factors are considered beyond the remit of the HIV response and too expensive for the HIV budget. This reflects conventional priority-setting and financing frameworks that consider only HIV outcomes and budgets. 

Co-financing for UHC: Lessons from the UNDP-STRIVE pilot in seven Sub-Saharan Africa countries

Download a PDF of the presentation here

Background

Financing across sectors for sustainable development: guidance note

Recognizing the ambition, scope and integrated nature of the Sustainable Development Goals (SDGs), together with the need for more domestic funding to finance development, this note describes an innovative financing solution developed by the United Nations Development Programme (UNDP) and STRIVE with support from the Government of Japan.

Known as ‘cross-sectoral co-financing’ or simply ‘co-financing’, it offers a new and more efficient way to budget for high-value/impact interventions that deliver benefits across multiple sectors, SDGs and SDG targets simultaneously.

Technical brief: Co-financing for development synergies

Upstream structural barriers undermine the potential of HIV programmes to deliver on ambitious targets to prevent new infections and save lives. Interventions addressing these upstream factors are considered to be beyond the remit of the HIV response and too expensive for the HIV budget. This reflects conventional priority-setting and financing frameworks that consider only HIV outcomes and budgets.

Impact case study: Co-financing for HIV and development synergies

STRIVE researchers have concieved and applied an innovative way to estimate the economic value of structural interventions to reduce HIV vulnerability. The STRIVE approach, called 'co-financing' addresses a central concern: upstream interventions may prove effective in studies but how to finance them after that?

STRIVE's answer: share the cost between sectors in proportion to the benefits per sector.

The co-financing approach:

Co-financing for HIV and development synergies

Drivers:

Read the full impact case study here

Co-financing feasibility, barriers and enablers: the case of Tanzania - Michelle Remme

‘Co-financing’ refers to the pooling of HIV financing with other disease-specific programmes and other development sectors to implement upstream interventions with multiple benefits. It may offer an important way to optimise HIV financing and efficiency, without crowding out other programmes that may have spill-over HIV benefits. However, coordinating and budgeting between and across sectors can be institutionally challenging.

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