NASA: Classification

Pelatihan NASA 1-3 Juli 2009

NASA Dimensions and vectors:

To describe the AIDS health and non-health financial flows and expenditures according to three dimensions and six vectors:

FINANCING:
1) Sources; 2) Agents

PROVISION:
3) Providers; 4) Production Factors

USE:
5) AIDS Spending categories; 6) Intended Beneficiary Populations

National AIDS Spending Assessments Resource Tracking

FINANCING:

PROVISION:

USE:

Financing Sources Financing Agents Providers Production Factors AIDS Spending Categories Intended Beneficiary Populations

National AIDS Spending Assessments Resource Tracking Financing Sources Financing Agents Providers Production Factors AIDS Spending Categories Intended Beneficiary Populations

Financing Sources: Financing Sources are entities that provide resources to the Financing Agents to be pooled and distributed
NASA Financing Sources are aligned with NHA Financing Sources

Sources: Public (MOF APBN, APBD, Private (Households, Corporations, NGOs, etc) and International (Multilateral, Bilateral, NGOs, Foundations, etc).

Origin of Resources

Where does the money come from?

$ MoF + MoH

$ MoF

Financing Source (Example)

$ MoF

+ MoH

$ MoF

Financing Sources: FS.1 Public Funds

FS.1.1 Territorial Government Funds FS.1.1.1 Central or Federal authorities
FS.1.1.1 Central Government Revenue FS.1.1.2 State / Provincial Government Revenue

FS.2 Private Funds FS.3 International Funds

National AIDS Spending Assessments Resource Tracking Financing Sources Financing Agents Providers Production Factors AIDS Spending Categories Intended Beneficiary Populations

Financing Agents: The Financing Agents are entities that concentrate financing resources from different sources and transfer them to finance a program or as a payment to buy good and services, such as health treatment, prevention activities, etc. This entities make programmatic decisions on the use of the resources they receive from the Financing Sources.

Programmatic decisions:

What to buy? (selecting ASC)

For who? (selecting Beneficiary Populations)

OVC OVC

Produced by whom? (selecting the Provider)

NAPNGO
Hospital

Financing Agent example: NAC

(Revenue / Loans / External Aid Budget Support)
+ MoF

Which is the financing agent?

NAC-

NGO A

-ASC 1.01Communication for social and behavioral change -ASC 1.13 Public and commercial sector condom provision

Financing Agents:

FA.1 Public Sector

FA.1.1 Territorial government
FA.1.1.1 Central or Federal authorities
FA.1.1.1.1 Ministry (or equivalent sector entity) of Health FA.1.1.1.2 Ministry (or equivalent sector entity) of Education

FA.1.1.2 State / provincial / regional authorities

FA.1.1.3 Local / Municipal authorities

FA.1.2 Public Social Security FA.1.3 Government employee insurance programs. FA.1.4 Parastatal organizations

FA.2 Private Sector FA.3 International Purchasing Organizations

National AIDS Spending Assessments Resource Tracking Financing Sources Financing Agents Providers Production Factors AIDS Spending Categories Intended Beneficiary Populations

Providers:
Entities that participate in the production of good and services for the response to HIV. To identify the provider, first identify the type of service and the final product (ASC) The provider is responsible for the delivery, provision and quality of the good and services. The provider is responsible for the final product, but can either subcontract services or personal or the delivery of the product, or buy the inputs necessary for producing it itself. The providers consume the resources of different production factors to produce good and services (programmatic interventions/ASC) for a particular beneficiary population.

Provider Example: Hospital

Salaries

Opportunistic infections (OI) treatment

BP.1 People living with HIV

Drugs, Materials Antiretroviral therapy

Beneficiary Population

Equipment, Capital

Provider: Hospital

Specific HIV-related laboratory monitoring

Energy

Production Factors (Input)

AIDS Spending Categories (Outputs)

Providers
-PF.1.1.2.10 Meals and drinks (Services)
Restaurant Happy Chicken

Who is the provider?

-(e.g.:) PS2.1.1.16 Community Based Organizations

NGO A

A) NGO A B) Restaurant Happy Chicken

OVC OVC

- ASC.3.3 Family / Home support (OVC)

Providers:
PS.1 Government Organizations
PS1.1 Public and Para-statal Providers
PS1.1.01 Hospitals

PS.2 Non-Governmental Organizations PS.3 Private For Profit Providers

PS.2.1 Non-Profit Providers
PS.2.1.1 Non-Profit Providers (except Faith Based Organizations) PS.2.1.2 Faith Based Organizations non-profit

PS.2.2 For profit Private Providers (including for-profit FBO)

PS.3 Bilateral and Multilateral entities in country offices PS.4 Rest-of-the world providers

National AIDS Spending Assessments Resource Tracking Financing Sources Financing Agents Providers Production Factors AIDS Spending Categories Intended Beneficiary Populations

Production Factors:
The ASC and the Providers classifications are focused in the outputs (good & services). However it is also desirable to analyze the inputs that are transformed into outputs: the production factors, which combined in a specific production function of the Provider are transformed into good & services. The analysis of the resources consumed (human resources, materials, etc.) are crucial for doing efficiency analysis. The classification includes two categories: (1) Current expenditures & (2) Capital expenditures

Production Factors

Salaries

Opportunistic infections (OI) treatment

BP.1 People living with HIV

Drugs, Materials Antiretroviral therapy

Beneficiary Population

Equipment, Capital

Specific HIV-related laboratory monitoring

Energy

Production Factors (Input)

AIDS Spending Categories (Outputs)

Production Factors
-PF.1.1.2.10 Meals and drinks (Services)
Restaurant Happy Chicken

-PS2.9 (e.g.:) PS2.1.1.16 Community Based Organizations

NGO A

OVC OVC

- ASC.3.3 Family / Home support (OVC)

Production Factors: PF.1 CURRENT EXPENDITURES

PF.1.1 Labour income (Compensation of employees and owners) PF.1.2 Supplies and services

PF.2 Capital investment, human capital and knowledge investment / Capital expenditure
PF.2.1 Buildings PF.2.2 Equipment PF.2.3 Human capital

National AIDS Spending Assessments Resource Tracking Financing Sources Financing Agents Providers Production Factors AIDS Spending Categories Intended Beneficiary Populations

AIDS Spending Categories (ASC):

The ASC reflect programmatic interventions.

From policy and programs to interventions: Condom use, for example, is an intervention that an individual can take to reduce risk from a range of diseases; condom distribution is a preventive program to encourage this intervention; thus, the level of expenditure in this programme reflects government decisions and public policies.

AIDS Spending Categories

1. 2. 3. 4. 5. 6. 7. 8. Prevention Care and Treatment Orphans and vulnerable children Program Management and Administration Strengthening Human Resources Recruitment & Retention Incentives - Human Capital Social Protection and Social Services (Excluding OVC) Enabling Environment and Community Development HIV and AIDS-related Research (Excluding Operations Research)

National AIDS Spending Assessments Resource Tracking Financing Sources Financing Agents Providers AIDS Spending Categories Production Factors Intended Beneficiary Populations

Beneficiary Populations
Targeted / Intended -Beneficiary Population: -The Beneficiary Population represents resources allocated to a specific population as part of a programmatic intervention. The BP will be selected according the intention or target of the programmatic intervention

OVC

SW

Beneficiary Populations
Assigning a Beneficiary Population
Which is the corresponding Beneficiary Population? BP.1 People living with HIV? SW

-TARV

STI Clinic

-STI treatment

(Sex Work & PLWH)

-Condoms purchased at a pharmacy -Condoms distributed by the NAP to SW.

BP.2.2 Sex workers and their clients?

Beneficiary Populations
Assigning a Beneficiary Population

-TARV
-BP.1
People living with HIV

STI Clinic

-STI treatment

SW

-BP.2.2.1 Female sex workers and

their clients

(Sex Work & PLWH)

-BP.4.01 People attending STI clinics

-Condoms purchased at a pharmacy -Condoms distributed by the NAP to SW.

-BP.5 General population

Beneficiary Populations
Assigning a Beneficiary Population

STI Clinic SW

-BP.2.2.1 Female sex workers and their

clients

-STI treatment as part of a program for SW

SW

(Sex Work & PLWH)

STI Clinic

-BP.4.01 People attending STI clinics

-STI treatment

Beneficiary Populations: BP.1 BP.2

BP.3 BP.4 BP.5 BP.6 BP.99

People living with HIV Most at risk populations and key populations at higher risk Other key populations at high risk Specific accessible populations General population Not targeted interventions Beneficiary populations not elsewhere classified