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 Kenya, Haiti , Guyana, Sierra Leone, South Sudan, and Vietnam and it is currently being finalized in Ethiopia, Benin and the Democratic Republic of Congo.

Download Related Resources

• HAPSAT brief
• HAPSAT presentation

Tools and Manuals

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

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

HAPSAT Sustainability

• Target Setting of HIV Services
• Estimating Human Resources Needs for ART Patients

Presentations

• Tackling the Decline in HIV Resources: Lessons Learned from HAPSAT

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

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.