Resource Needs Model (RNM) Used to Cost the Guyana National HIV And AIDS Strategic Plan (HIVISION 2020)

 Seated (L-R): Dr Renee West, Honourable Dr Karen Cummings and Dr Rob Glaubius. Standing (L-R): Ms Karen Yaw, Ms Maria Niles, Dr Martin Odiit, Dr Shamdeo Persaud, Dr Morris Edwards, Dr Nadia Liu and Dr Rhonda Moore. Photo Credit: UNAIDS Caribbean

UNAIDS lent their support to The Ministry of Public Health in Guyana to conduct the costing exercise of the Guyana HIV and AIDS Strategic Plan (HIVision 2020). The final results of the costing of the plan were presented at a meeting on July 16, 2018.

The presentation was made by the Consultants from Avenir Health, Dr Renee West and Dr Rob Glaubius.

The costing process involved in-country verification of Guyana’s epidemiological data including review of national key population sizes, the treatment cascade, unit costs and planned coverage of HIV services as defined in the National HIV and AIDS Strategic Plan. The inputs were verified and agreed upon by the national partners. This information was inputted into the Resource Needs Model and various costing scenarios were presented. The outputs of the model that were presented provide estimates of costs of the implementation of the National HIV and AIDS Strategic Plan in order to achieve the UNAIDS 90-90-90 targets. As part of the total costing, it is estimated that for care and treatment Guyana would have to invest US$ 5.58 million in 2020 to achieve these targets. It was observed that in order to close the gap between available and needed resources, it will be necessary to combine domestic resource mobilization, improve efficiency in the delivery of services, and extend interim access to international resources from development partners.

The Consultants will be providing hands-on training of technical staff from the Ministry of Public Health and other government ministries on the application of the Resource Needs Model for costing of HIV and AIDS programmes. With this training, local capacity will be built to provide evidence-based planning and decision making by policy makers.

Following the finalization of the costing of the Guyana National HIV and AIDS Strategic Plan (HIVision2020) for the period 2018 to 2020, UNAIDS sponsored a training exercise in the use of models in the Spectrum system - DemProj, AIDS Impact Model (AIM) and the Resource Needs Model (RNM). This was conducted on the 17th July 2018 at the Ministry of Public Health.

The UNAIDS Country Director, Dr Martin Odiit reminded the participants of the rationale for the 90-90-90 targets in order to fast track the AIDS response. This response aims to reduce new HIV infections and AIDS related mortality in line with the Sustainable Development Goals (SDG) target ending AIDS as a public health threat by 2030.

The objective of the training was to build national capacity for costing HIV and AIDS programmes. The participants were provided with background knowledge of the methods and software used in the exercise and received hands-on, practical training in the application of the RNM.

The Honourable Minister within the Ministry of Public Health also underscored the timeliness of the costing exercise given the on-going national budget process. She emphasized that no one should be left behind and the country is therefore committed to the UNAIDS 90-90-90 treatment targets. The Minister stressed the importance of elimination of Mother-To-Child Transmission (eMTCT) of HIV and Syphilis which has also been included in the costing.