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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
www.unmillenniumproject.org3
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
www.unmillenniumproject.org4
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
www.unmillenniumproject.org5
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
www.unmillenniumproject.org6
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
www.unmillenniumproject.org7
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
www.unmillenniumproject.org8
Agenda
1. Review of needs assessment tools
2. Adapting tools to assess MDG needs
3. Country examples
www.unmillenniumproject.org9
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
www.unmillenniumproject.org10
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
www.unmillenniumproject.org11
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
www.unmillenniumproject.org12
Agenda
1. Review of needs assessment tools
2. Adapting tools to assess MDG needs
3. Country examples
www.unmillenniumproject.org13
Some Country Examples
EFA model from Yemen
Education sector costing from Ethiopia
Marginal Budgeting for Bottlenecks