Title: The United Nations MDG Strategy
1 UNDP RBA MDG Based National Development
Planning Workshop MDG Needs Assessments
Adapting other models Chandrika Bahadur UN
Millennium Project February 27-March 3, 2006
2Agenda
- Review of needs assessment tools
- Adapting tools to assess MDG needs
- Country examples
3Alternative 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
4Education for All (UNESCO)
- Created for assessing resource needs for EFA (and
especially Fast Track Initiative) - Focused on all EFA goals
- Early childhood development
- Universal completion
- Appropriate learning
- Adult literacy
- Gender parity
- Quality education
- Typically used by line ministries
- Calculates annual, incremental costs covering
both capital and recurrent expenditures
5Cape Town Model
- Developed to cost ARV 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
6WHO 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
7Marginal Budgeting for Bottlenecks (MBB)
- MBB was developed by UNICEF and World Bank
- MBB takes an incremental approach rather than a
goal-based approach and assesses how best to
spend additional increases in health funding
(based on cost-effectiveness of interventions) - MBB calculates how much it would take to
overcome barriers or bottlenecks to service
delivery (in the areas of availability,
accessibility, utilization, continuity, and
quality) - MBB uses three levels of service delivery
community/family, outreach, and clinical
care--always beginning with the lowest level of
service
8Marginal Budgeting for Bottlenecks (MBB)
- MBB can be made to calculate the costs of
reaching goals, but assumptions (on coverage,
service package, etc.) have to be carefully
reviewed - MBB requires several weeks/months of
on-the-ground work to estimate the costs of
overcoming barriers
9Agenda
- Review of needs assessment tools
- Adapting tools to assess MDG needs
- Country examples
10Adapting Tools to Quantify MDG Needs
YES
Can the costing methodology be used for MDG-based
planning?
Select a new costing methodology
Are the interventions and coverage targets
ambitious enough to achieve the MDGs?
Revise the model to build in the intervention and
coverage target assumptions necessary to achieve
the MDGs
Use the costing methodology
11Making Tools MDG Consistent
- Tools that use methodologies that can be used to
estimate MDG resource needs share common
characteristics - Intervention based approach
- Cost estimation done annually
- Capital and recurrent costs included
- Outcome targets explicitly specified and linked
to input coverage targets - Results can be compared to other sector results
and aggregated accordingly
12Making Tools MDG Consistent (3)
- Revise assumptions to make the tools MDG
consistent - Ambition Ensure that long term and intermediate
targets in line with the MDG goals - Scope Ensure that all of the relevant sectors
are covered in the analysis - Rigor Base all costs on interventions based,
outcome driven needs assessment - Timeframe Extend the analysis to 2015
- Financing Add a consolidated financing framework
to the tool
13Agenda
- Review of needs assessment tools
- Adapting tools to assess MDG needs
- Country examples
14Some country examples
- EFA model from Yemen
- Education sector costing from Ethiopia
- Marginal Budgeting for Bottlenecks