HIV/AIDS Program Sustainability Analysis Tool (HAPSAT)

Comprehensive

HAPSAT produces estimates of the financial and human resources required to sustain and/or scale up a comprehensive portfolio of quality HIV/AIDS services. A comprehensive sustainability analysis is possible with HAPSAT because it covers the core areas of HIV/AIDS resourcing.

• Costing and Gap Analysis
• Programmatic Sustainability Analysis
• Resource Generation/Innovative Financing

Flexible

Various parts of the HAPSAT analysis have been customized to serve country needs. In Zambia, it was used to inform an application to the Global Fund, in Nigeria it supported a World Bank MAP application and in Côte d'Ivoire it informed the development of USAID's country operational plan. HAPSAT was further successfully implemented in Ethiopia, Kenya, Haiti , Guyana, Sierra Leone, South Sudan, and Vietnam and it is currently being finalized in , the Democratic Republic of Congo, Lesotho and Swaziland.

Overview

• Background Information
• Tools and Manuals
• HAPSAT Country Reports
• Information Notes on Sustainability of HIV Response
  
• HAPSAT Presentations
• HAPSAT in the Press
• HAPSAT in Health Systems 20/20 News
• HAPSAT FAQs

Background Information

• HAPSAT Brief

 
Tools and Manuals

• HAPSAT 2 Software
• HAPSAT Software brief
• HAPSAT 2.0 Software: Hands-on Exercise

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HAPSAT Country Reports

• Cote d'Ivoire HAPSAT
• Guyana HAPSAT
• Haiti HAPSAT
• Kenya HAPSAT
• Nigeria HAPSAT Report
• Nigeria HAPSAT Brief
• Sierra Leone HAPSAT
• South Sudan HAPSAT
• Zambia HAPSAT
• Vietnam HAPSAT (draft)
• Benin HAPSAT

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HAPSAT Sustainability

• Cost and Efficiency of ART Regimens
• Target Setting of HIV Services

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HAPSAT Presentations

• Tackling the Decline in HIV Resources: Lessons Learned from HAPSAT (AIDS 2012)
• Tackling the Decline in HIV Resources: Lessons Learned from HAPSAT (Global Health Council)
• Assessing and Planning for Human Resources for Health Toward More Sustainable Antiretroviral Therapy Treatment and HIV Counseling and Testing Services
• Integration of HIV services: Lessons Learned from HIV/AIDS Program Sustainability Analysis Tool (HAPSAT)

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HAPSAT in the Press

• USAID Impact Blog
• Abt Associates News: HSS Event
• NAM AIDS Map
• GMHC News Blog
• AIDS 2012 Evidence Blog
• Lesotho Local News
• Abt Associates AIDS 2012 News
• USAID Global Health Retweets:

• The Guyana HAPSAT was mentioned in the publications below.

  Health Systems 20/20 HIV Report Leads to Minister's Call to Action, Health Systems 20/20

  Accounting for AIDS: A Look at the HIV/AIDS Programmes in Guyana, Kaiteur News

  MOH, USAID Engage Stakeholders to Examine Guyana HIV/AIDS Response, Kaiteur News

  Health Sector Demands More for the Dollar - Health Minister, Kaiteur News

  Guyana Unequivocally Committed to UNAIDS Target of Zero New HIV/AIDS Transmission, Guyana Chronicle

  Capital Investments Key in HIV Fight - Report, Guyana Times International

  Guyana First to Implement HIV Drug Resistance Monitoring, Carribean News Now

  Make HIV Part of Mainstream Health System - Study, Demerara Waves

  Accounting for AIDS: A look at the HIV/AIDS programmes in Guyana

Let us know how you're using the HAPSAT tool. Email us at hapsat@abtassoc.com.

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HAPSAT in Health Systems 20/20 News

• Who Will Pay - HAPSAT Results Widely Discussed at AIDS 2012
• Building Sustainability into HIV/AIDS Programs
• Sierra Leone HAPSAT: Using Data to Inform HIV Planning
• South Sudan HAPSAT: What Does it Mean to Be a Woman and Mother in South Sudan?
• Preparing South Sudan for Global Shortfall in HIV Funding
• Benin HAPSAT: Q&A: Costing HIV Programs Provides Evidence for Funding in Benin
• Kenya HAPSAT: Seeking a Sustainable Solution for HIV Funding in Kenya
• Kenya Proposes Airline Levy to Raise HIV/AIDS Funds
• Vietnam HAPSAT: Financial Data Informs Transition to Sustainable HIV/AIDS Programming in Vietnam
• Guyana HAPSAT: Health Systems 20/20 HIV Report Leads to Minister’s Call to Action
• Haiti HAPSAT: Working to Improve OVC Services in Haiti 

HAPSAT FAQs

1. How can HAPSAT-Plus help countries design sustainable HIV programs?
2. Extensive costing of the HIV program is already underway– is a HAPSAT still appropriate?
3. All of our planning processes are complete, and our new national HIV strategy just took effect – is HAPSAT still useful?
4. What’s the difference between the HAPSAT and other costing activities?
5. How is HAPSAT different from other tools out there? What is its added value?

1. How can HAPSAT-Plus help countries design sustainable HIV programs?

    

   The HAPSAT-Plus uses an intensive stakeholder engagement process, which allows the analysis to be driven by country context, needs, and priorities. Unlike similar tools, the HAPSAT-Plus software is flexible. It can examine and compare a range of policy scenarios developed with stakeholders. In addition, the stakeholder engagement methodology ensures that HAPSAT analyses do not duplicate efforts.

2. Extensive costing of the HIV program is already underway– is a HAPSAT still appropriate?

    

   Yes. Costing is just one step in a sustainability analysis. For example, if unit costs are already determined within all programmatic areas, HAPSAT-Plus can apply the unit costs in order to analyze the gap between available resources and various policy scenarios. HAPSAT-Plus can further be used to inform the development of a sustainability plan to address the gap. In other cases – when a country needs unit costs – the HAPSAT-Plus can calculate them.

3. All of our planning processes are complete, and our new national HIV strategy just took effect – is HAPSAT still useful?

    

   Yes. National strategies and operational planning processes may be built around targets for universal access. In some countries, there may not be enough resources to achieve universal access. Depending on the needs of the country, HAPSAT-Plus may involve working with stakeholders to set achievable targets for specific program areas, and will assist countries in developing and/or implementing programs that are dependent on performance-based financing.

4. What's the difference between the HAPSAT and other costing activities?

    

   Costing activities may not incorporate a gap analysis or a sustainability analysis. HAPSAT-Plus does.

5. How is HAPSAT different from other tools out there? What is its added value?

    

   HAPSAT is unique in its ability to compare the feasibility of various scaleup scenarios based on a range of achievable targets, taking into account not only the financial aspects of HIV programs, but also human resources. Moreover, HAPSAT uses intensive stakeholder engagement and action planning to ensure stakeholder-owned sustainability of HIV programs.

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