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HIV/AIDS Program Sustainability Analysis Tool (HAPSAT)

 

The HIV/AIDS Program Sustainability Analysis Tool (HAPSAT) was developed by Health Systems 20/20 to assist governments and donors with the development of HIV/AIDS policies and implementation plans. HAPSAT utilizes a computer-based model for forecasting and analyzing the sustainability of HIV/AIDS programs during periods of service delivery scale-up and/or when facing limited or unknown future resource levels.

Learn more in our HAPSAT brief or HAPSAT presentation.

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

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HAPSAT Country Reports

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HAPSAT Sustainability

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HAPSAT Presentations

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HAPSAT in the Press

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

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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Cost and Efficiency of ART Regimens

Christina Juan, Itamar Katz, and James White
Sep 2012 | Health Systems 20/20  | Brief 

Analyse de la Pérennité de la Réponse Nationale au VIH et au Sida du Bénin

Anta Tal Dia, Ibrahima Seck, Franck M’boussou, Konan Christian Yao, Itamar Katz, Sayaka Koseki, Wendy Wong, et Douglas Glandon
Apr 2012 | Health Systems 20/20  | Report 
Benin 

Resource Tracking and Sustainability Analysis to Inform Vietnam’s HIV Response (Pre-Publication Version)

Health Systems 20/20 and Health Policy Initiative Vietnam Projects
Dec 2011 | Health Systems 20/20  | Report 
Vietnam 

HIV/AIDS Program Sustainability Analysis Tool (HAPSAT)

Jul 2012 | Health Systems 20/20  | Brief 

Dominica Health Systems and Private Sector Assessment

Sara Sulzbach, Kylie Ingerson, Michael Rodriguez, Taylor Williamson, Michael Hainsworth, Alan Fairbank, Shirley Augustine, and James White
Mar 2012 | Health Systems 20/20  | Report 
Dominica 

New Perspectives in Health Systems Strengthening Executive Summary

Jul 2012 | Health Systems 20/20  | Brief 

Cost Analysis of Services at Victoria Hospital, St. Lucia

Stephen Musau and Abigail Vogus
Apr 2012 | Health Systems 20/20  | Report 
Saint Lucia 

Building Sustainability into HIV/ AIDS Programs

Deborah Dangay, Itamar Katz, Wendy Wong and Megan Meline
Jun 2012 | Health Systems 20/20  | Better Health Systems Briefs, Brief 
Benin, Cote d'Ivoire, Democratic Republic of Congo, Ethiopia, Guyana, Haiti, Kenya, Lesotho, Nigeria, Sierra Leone, South Sudan, Swaziland, Vietnam, Zambia 

HAPSAT 2.0 Software: Hands-on Exercise

Itamar Katz, and Wendy Wong
Jan 2012 | Health Systems 20/20  | Tool 

Target Setting of HIV Services

Itamar Katz, Wendy Wong, and Danielle Altman
Jan 2012 | Health Systems 20/20  | Report 
Nigeria, Sierra Leone, Swaziland, Zambia 

HIV/AIDS Program Sustainability Analysis Tool (HAPSAT) 2

Health Systems 20/20
Aug 2011 | Health Systems 20/20  | Tool 

HAPSAT HAITI: The Sustainability of OVC Programs

Elaine Baruwa, Darwin Young, Asha Sharma, and Rachelle Cassagnol
Mar 2011 | Health Systems 20/20  | Report 
Haiti 

Sustainability Analysis of HIV/AIDS Services, HAPSAT Sierra Leone

Itamar Katz, Wendy Wong, Sam Wehbe, and John Osika
Mar 2011 | Health Systems 20/20  | Report 
Sierra Leone 

Costing and Sustainability of OVC Programs in Haiti

Rachelle Cassagnol, Elaine Baruwa, Asha Sharma, Darwin Young
Jan 2011 | Health Systems 20/20  | Presentation 
Haiti 

HAPSAT Non-Clinical Service Provider Questionnaire

May 2010 | Health Systems 20/20  | Tool 

HAPSAT Data Collection Planning Questionnaire

May 2010 | Health Systems 20/20  | Tool 

HAPSAT Health Facility Questionnaire

May 2010 | Health Systems 20/20  | Tool 

HAPSAT Ministry of Health Questionnaire

May 2010 | Health Systems 20/20  | Tool 

HAPSAT Principal Recipients Questionnaire

May 2010 | Health Systems 20/20  | Tool 

HAPSAT Donor Questionnaire

May 2010 | Health Systems 20/20  | Tool 

An Introduction to the HIV/AIDS Program Sustainability Analysis Tool (HAPSAT)

May 2010 | Health Systems 20/20  | Presentation 

New Perspectives in Health Systems Strengthening: Lessons Learned for Building Stronger, Smarter Systems

Aug 2 2012
Health Systems 20/20 has conducted more than 250 health systems strengthening activities in 51 countries since 2006, helping to eliminate barriers to the delivery and use of priority health care, including HIV/AIDS services, tuberculosis treatment, and reproductive health services. More...

Who Will Pay - HAPSAT Results Widely Discussed at AIDS 2012

Jul 30 2012

Health Systems 20/20’s HIV/AIDS Program Sustainability Analysis Tool (HAPSAT) has been used in 14 countries to examine HIV/AIDS program sustainability issues related to efficiency, prioritization, and resource mobilization. Lessons learned from HAPSATs were discussed at several sessions at the recent AIDS Conference 2012.

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Health Systems 20/20 Event Marks Progress in Health Systems Strengthening

Jul 20 2012
Approximately 200 global health professionals gathered in Washington, DC on July 18 to discuss the future of health systems strengthening and lessons learned during the six years of Health Systems 20/20. More...

Sustaining the HIV/AIDS Response: Health Systems 20/20 at AIDS 2012

Jun 29 2012

Health Systems 20/20 hosted a satellite event on July 22 at the International AIDS Conference.  The Sustainability of Resources for HIV/AIDS Response in a Challenging Economic Climate session, moderated by John Osika, Senior HIV/AIDS Advisor for Health Systems 20/20, featured panelists representing the donor, NGO/PLWH,  government, and human rights perspective.

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Using Data to Inform HIV Planning

Jun 27 2012

When he first finished medical school in 1987, Dr. Saidou Hangadoumbo wanted to become a pediatrician. But upon completing his degree, he was appointed in a remote area as a district medical officer, and grew to enjoy working in public health. Dr. Hangadoumbo tells us about his recent experience working with Health Systems 20/20 to complete the HIV/AIDS Program Sustainability Analysis Tool (HAPSAT), an approach for providing evidence-based recommendations to improve the sustainability of HIV programs, implemented in 14 countries to date, including in Sierra Leone.

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Building Sustainability into HIV/AIDS Programs

Jun 20 2012

Health Systems 20/20 is pleased to release the tenth brief in its Better Health Systems – Strategies that Work series. Over the last decade, institutions such as the President’s Emergency Plan for AIDS Relief, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the World Bank have ramped up their funding to fight HIV/AIDS. Many hard-hit countries have also found ways to contribute their own scarce resources. As a result, there has been an extraordinary global scale-up of HIV/AIDS prevention, treatment, and care services.

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What Does it Mean to Be a Woman and Mother in South Sudan?

May 10 2012

It’s tough being a woman in South Sudan. A woman has little economic mobility, may be forced into marriage by the age of 14, and, should she become pregnant, she has a one in seven chance of dying due to pregnancy-related causes. As South Soudan edges towards war with Sudan, life for women will likely get more difficult. Joy Mukaire of the Christian Health Association of Sudan (CHAS), a Health Systems 20/20 collaborator, tells us how despite the setbacks she’s helping other women access quality health care.

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Q&A: Costing HIV Programs Provides Evidence for Funding in Benin

May 7 2012
Measuring the real cost and potential benefits of HIV interventions is essential for mobilizing financial resources, says health management expert Dr. Ibrahima Seck. More...

Costing Informs HIV Planning in Suriname

Apr 27 2012

Thousands of Surinamese and Brazilian miners are heading to Suriname’s isolated interior in search of work and commercial sex workers are following them. Since almost one-third of people living with HIV/AIDS in Latin America reside in Brazil, the migration is creating a serious public health threat.

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Preparing South Sudan for Global Shortfall in HIV Funding

Oct 19 2011
South Sudan’s HIV response will soon see its major funding sources dry up. Uncertainty exists regarding new funding—funding allocated for all proposals to be approved in Global Fund’s Round 11 is expected to be less than half of the funding available for last year’s Round 10, and a quarter of what was available for Round 8. More...

Kenya Proposes Airline Levy to Raise HIV/AIDS Funds

May 10 2011
Based on a recommendation from Health Systems 20/20’s HIV/AIDS Program Sustainability Tool (HAPSAT) assessment the Kenyan National AIDS Control Council prepared a cabinet memorandum in March 2011 that proposes various options of raising funds for HIV/AIDS programming. One method is though a small levy on airline traffic that is not expected to negatively influence air travel. More...

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

Apr 22 2011
Health Systems 20/20 facilitated a stakeholder engagement meeting in Georgetown, Guyana where the Minister of Health Dr. Leslie Ramsammy expressed the government’s commitment to reducing HIV/AIDS transmission and deaths. The meeting on April 20 discussed the findings from the HIV/AIDS Program Sustainability Analysis Tool (HAPSAT), developed by Health Systems 20/20 to assist governments and donors with the development of HIV/AIDS policies and implementation plans. More...

Working to Improve OVC Services in Haiti

Feb 14 2011
In Haiti, the impact of HIV further debilitates children beyond their already challenged circumstances. The devastating 2010 earthquake exacerbated an already harsh situation for children in the country. More...

Barbados Calls for Urgent HIV/AIDS Response

Dec 9 2010
Participating in a health systems strengthening workshop in Barbados, the Chief Medical Officer, Dr. Joy St. John, called for a coordinated response to HIV/AIDS in the Caribbean. More...