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Haiti

While Haiti receives significant funding for HIV/AIDS prevention, care, and treatment services, domestic financial contributions remain low. To effectively address the sustainability of the national HIV/AIDS program and maintain services with respect to estimated financing levels, stakeholders need analytical tools and strategic information to estimate present and future recurrent costs and resources required. These data enable PEPFAR and the Ministère de la Santé Publique et de la Population (MSPP) to effectively weigh the implications of current policy decisions on the overall sustainability of services.

To assist in estimating program costs and resources, Health Systems 20/20 has undertaken the following two activities in Haiti:

HIV/AIDS Sustainability Analysis

Using the Microsoft Excel-based HIV/AIDS Sustainability Analysis Tool (HAPSAT) to carry out a sustainability analysis of the Haitian HIV/AIDS program. HAPSAT synthesizes detailed epidemiological, demographic, and economic data to generate a country-specific HIV policy model which can be used to simulate alternative policy scenarios. Data were used to:

• Determine the average cost of providing anti-retroviral treatment (ART) and other services (prevention of mother-to-child-transmission, orphans and vulnerable children care, etc.)
• Determine what level of human resources is required to provide those services
• Compare the current cost and level of human resources with the funding and human resources known to be available over the next five years in order to produce a 'gap' or sustainability analysis

The HAPSAT analysis was reviewed and discussed with in-country stakeholders during a workshop with the MSPP, USAID, and the Global Fund. Participants worked together to determine what different scenarios they would like to see costed, such as scaling up the number of patients, increasing the number of OVCs receiving care, etc. Read the report

HIV Services Costing

USAID supports five implementing partner networks that provide different packages of care to their ART patients with some being more resource intensive than others. Health Systems 20/20 costed services at each network, giving USAID a clear and detailed understanding of what care is being provided by its implementing partners, how much it costs to provide that care, and whether costs vary with different patient/population groups (i.e., sicker, indigent, rural versus urban, etc.) or outcomes (treatment drop-out rates.) This analysis will utilize HAPSAT costing data as well.

Media

Listen to a clip of 'Haiti Pap Kraze' by Haitian musician 'T-Vice' and view Health Systems 20/20's photos from a December 2009 trip to Haiti.

Photo Credit: Asha Sharma