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Getting the data - How much does aid money support inclusion of persons with disabilities?A guide for advocates in the disability movement to work with the data generated by the OECD-DAC ‘disability marker’ in aid.

MEEKS, Polly
July 2020

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Official Development Assistance is a vital resource for realising the rights of persons with disabilities. In 2019, development partners spent 153 billion US dollars of ODA. Under the United Nations Convention on the Rights of Persons with Disabilities and the Sustainable Development Goals, development partners are committed to make their ODA disability inclusive. And ODA is governed in a way that offers important advocacy opportunities for the disability movement. Taken together, these factors make ODA an essential resource for realising the CRPD. ODA can never be a substitute for national governments’ obligations to finance the rights of persons with disabilities, but it can make a very significant contribution in the short term. In fact, research in some countries has found ODA to be a much bigger source of finance for the rights of persons with disabilities than domestic government budgets.

The new ‘disability marker’ in the Organisation for Economic Cooperation and Development’s database helps to answer how much ODA actually aims to be disability inclusive. Using the disability marker, every ODA project in the database is now sorted into one of 4 categories

Cost-effectiveness of a Community-based Rehabilitation Programme in Nepal

Vaughan, Kelsey
Thapa, Aradhana
2016

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Purpose: This study aimed to estimate the cost-effectiveness of a community- based rehabilitation (CBR) programme known as Inspire2Care (I2C), implemented in Nepal by Karuna Foundation Nepal. In the absence of any gold standard methodology to measure cost-effectiveness, the authors developed a new methodology to estimate the programme’s achievements and cost-effectiveness.

 

Methods: Financial records were reviewed to determine total expenditure during the period August 2011 - December 2013. Programme records which documented the physical, mental and social status of children and adults with a disability qualitatively before, during and after the intervention were used to determine a starting disability weight and improvement score, which was then converted into a change in disability weight. The disability weight and expected remaining lifespan of each person were used to estimate disability-adjusted life years (DALYs) averted by the intervention. The cost per DALY averted was estimated by dividing the total programme expenditure by the sum of DALYs averted over that same period.

 

Results: I2C cost 204,823 Euros to implement over the period August 2011- December 2013. In total, an estimated 1,065 DALYs were averted from the treatment and rehabilitation components. The cost per DALY averted was 192.34 Euros.

 

Conclusions and Implications: The methodology devised for the study was able to successfully estimate the cost-effectiveness of the I2C programme. Using WHO benchmarks, this programme can be considered highly cost-effective. Other organisations can assess the cost-effectiveness of their programmes by using the assessment improvement score and subsequent conversion to DALYs averted. However, while mental, physical and social gains have been captured, other benefits from I2C cannot be captured in the cost per DALY averted statistic. Further research is needed to develop methods for incorporating these harder-to- measure gains in cost-effectiveness studies with a single outcome measure like the DALY.

Tools and methods for evaluating the efficiency of development interventions

PALENBERG, Markus A
April 2011

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"This report investigates tools and methods for assessing aid efficiency. It explains concepts of efficiency and efficiency analysis and presents a catalogue of 15 methods that can be used to assess the efficiency of aid interventions. Each method is described and characterised. Several general observations and recommendations conclude the report"
BMZ Evaluation Working Papers

Scaling up antiretroviral treatment in the public sector in Nigeria : a comprehensive analysis of resource requirements

KOMBE, Gilbert
GALATY, David
NWAGBARA, Chizoba
February 2004

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This report presents estimates of the total cost of providing comprehensive antiretroviral (ARV) treatment in the public sector in Nigeria, using the AIDSTREATCOST model to estimate the cost of providing Highly Active Antiretroviral Therapy (HAART), voluntary counseling and testing, and opportunistic infection (OI) treatment, and other resource requirements for implementing the national antiretroviral treatment programme. Drugs are not the only major cost of an ARV programme, but they are the largest single component ($368, or 50 percent of the total annual programme cost per patient); monitoring tests account for 23 percent and labor costs for 22 percent of total programme costs. A large proportion of current treatment costs is borne by the patient -- $170 per year for monitoring and a further $86 for their contribution to ARV drugs. This is equivalent to almost 75 percent of per capita GDP and therefore well beyond the resources of most Nigerians. Patients also are expected to pay for VCT services ($11), and for OI treatment costs when these arise. The development of an effective ARV programme, therefore, must include support not only for ARV drugs but all aspects of patient cost. The report also examines financial and human resources requirements for achieving the World Health Organization-recommended targets and recommends a number of strategies for the government and development partners to consider regarding program expansion, human resources training and requirements, support for VCT, the high cost of monitoring tests, and drug cost

Assessing the costs of a rural PMTCT pilot site in the Eastern Cape

DESMOND, Chris
BOYCE, Gerard
Eds
2004

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Mother to child transmission is by far the largest source of HIV infection in children below the age of 15. Prevention of mother to child transmission (PMTCT) programmes have been implemented nationally in South Africa since 2000. This report presents the results of research conducted at a pilot site in the Eastern Cape into the use of resources associated with the implementation of a PMTCT programme. It is part of a larger research project that seeks to examine and compare the costs of providing nevirapine and AZT in both urban and rural contexts. It is hoped that this study will contribute to the national programme of monitoring and evaluating the costs and effectiveness of PMTCT interventions in South Africa

Early childhood counts : a programming guide on early childhood care for development

EVANS, Judith L
MYERS, Rober G
ILFELD, Ellen M
Ed
2000

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This extensive resource guide and handbook is designed to help development professionals, programme planners, trainers, policy makers and child advocates to develop integrated approaches to working with young children living in poverty. It is organised into seven sections: the basics of early childhood development; needs assessment; setting project goals and objectives; choosing an appropriate approach; creating the infrastructure to deliver services; evaluation; and costs and financing.

Promoting the growth of children : what works

GRIFFITHS, Marcia
DICKIN, Kate
FAVIN, Michael
1996

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This manual is part four of the World Bank's nutrition toolkit. It aims to help with the design and supervision of effective and feasible nutrition projects and project components and to carry out comprehensive analysis of sectoral and policy issues affecting food consumption and nutrition

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