UNDP RBA Workshop On MDG-Based National Development Strategies Module 8: Adapting Models for MDG...

UNDP RBA WorkshopOn MDG-Based

National Development Strategies

Module 8:Adapting Models for MDG Needs

Assessments

UN Millennium ProjectFebruary 27-March 3, 2006

www.unmillenniumproject.org2

Agenda

1. Review of needs assessment tools

2. Adapting tools to assess MDG needs

3. Country examples


Alternative Needs Assessment Tools

Education for All (UNESCO)

Cape Town model for HIV/AIDS

Mother Baby package (WHO)

Marginal Budgeting for Bottlenecks (WB/UNICEF/WHO)

Planning frameworks developed by governments


Education for All (UNESCO)

Created for assessing resource needs for EFA (and especially Fast Track Initiative)

Focused on the six EFA goals1. Early childhood development2. Universal completion3. Appropriate learning4. Adult literacy5. Gender parity6. Quality education

Typically used by education line ministries

Calculates annual, incremental costs covering both capital and recurrent expenditures


Cape Town Model

Developed to cost anti-retroviral AIDS treatment by estimating the number of people in need of antiretroviral therapy each year

Required inputs:– epidemiological data– antiretroviral drug regimens– laboratory testing schedules– cost of antiretroviral drugs– cost of laboratory tests – cost of primary care

Tool can be adapted to countries’ needs, but requires modification

Tool does not estimate investment needs for prevention or human resource development


WHO Mother-Baby Package

Original WHO model has been adapted for MDGs by UN Millennium Project (available on website)

Detailed interventions-based costing tool for maternal health and antenatal care interventions

Calculates the cost of all inputs (infrastructure, drugs, equipment) needed to reach specified coverage targets

Part of broader set of needs assessment tools to support the scaling up of health systems


Marginal Budgeting for Bottlenecks (MBB)

Developed by UNICEF and World Bank

Based on incremental (instead of goal-based) approach to assesses how best to spend additional health funding based on cost-effectiveness of interventions

Focuses on bottlenecks to service delivery (availability, accessibility, utilization, continuity, and quality)

Uses three levels of service delivery (community/family, outreach, clinical care) always starting with the lowest level of service

Can be used for MDG needs assessment, but assumptions have to be carefully reviewed

Implementation requires many weeks


Agenda



3. Country examples


Adapting Tools to Quantify MDG Needs

Can the costing methodology be used

for MDG-based planning?

Are the interventions and coverage targets ambitious enough to achieve the MDGs?

Use the costing methodology

Revise the model to build in the intervention and coverage target assumptions necessary to achieve

the MDGs

YES

Select different methodology


Features of Models That Can Be Used for MDG Needs Assessments

1. Intervention based approach

2. Estimation of annual costs

3. Inclusion of capital and recurrent costs

4. Explicit specification of outcome targets and link to input coverage targets

5. Possible to aggregate results across multiple sectors covering the MDGs


Revising Assumptions to Make Tools MDG Consistent

Ambition: Long-term and intermediate targets in line with MDGs

Scope: All relevant sectors covered in the analysis

Rigor: All costs derived from interventions-based, outcome driven needs assessment

Timeframe: Analysis extended through to 2015

Financing: Consolidated financing analysis


Agenda



3. Country examples


Some Country Examples

EFA model from Yemen

Education sector costing from Ethiopia

Marginal Budgeting for Bottlenecks

UNDP RBA Workshop On MDG-Based National Development Strategies Module 8: Adapting Models for MDG...

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