Policy-makers need to stop taking a ‘silo’ approach to budgeting, where one sector’s gain is another sector’s loss. An investment such as paying for girls’ schooling can benefit education and health more broadly.
Breaking down financing silos: the potential of co-financing - Michelle Remme
Standard cost-effectiveness analyses compare the investment made in a programme to its HIV benefit alone. But by intervening “upstream”, structural programmes are likely to have multiple other health and development objectives and benefits. Evaluating the value-for-money of this kind of intervention therefore requires a broad cross-sectoral perspective. The HIV sector could, for example, co-finance such interventions with other benefiting sectors. In this scenario, value-for-money would be assessed on the contribution of each sector, rather than on the full cost of the intervention.
