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April 19, 2023 UNAIDS

NASA Report preparation - structure, techniques, quality,

referencing

PresenterTeresa Guthrie

Centre for Economic Governance and AIDS in

Africa (CEGAA)

Septe

mber,

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1. Report structure

2. Techniques

3. Quality control

4. Referencing

Overview of Presentation

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Suggested NASA Report Outline

• Contents

• Abbreviations

• Acknowledgements

• NASA Team members

• Executive Summary– Brief problem, objectives, findings, conclusions,

recommendations

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CHAPTER ONE ~ INTRODUCTION

• Introduction– NASA project objectives– Scope of the study– Structure of the report

• Country profile– Main features of the country– Health system – Financing sources and mechanisms for health

and HIV/AIDS – HIV/AIDS situation– National response to HIV/AIDS

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CHAPTER TWO ~ METHODOLOGY• Methodology

– Overall Methodology (NASA methodology)• Preparatory phase

– preparatory mission by external consultant– ascertain NAC’s requirements, – to discuss the nature and extent of the NASA

estimation, – to determine the terms of reference of the

assessment – the roles and responsibilities of each involved party.

• Obtaining Permissions and Access– Permission from govt authorities e.g. PS of relevant

ministries to access data.

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• Sampling and Sources of Data– Develop a database of all the

stakeholders involved in HIV/AIDS as sources, agents and providers,

– Obtain a list of health facilities – Sample should include all main sources,

all agents of funds in Nigeria and all main providers (if feasible, otherwise sample).

– Sample hospitals (if many), same with health centers

– Obtain updated contact details of key respondents

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CHAPTER TWO ~ METHODOLOGY

• Literature Review

– Background information & lit regarding the HIV/AIDS epidemiological profile of the country,

– Surveillance findings, – National response.

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CHAPTER TWO ~ METHODOLOGY

• Development and issuing of Questionnaires– Adjust the UNAIDS NASA format for the

questionnaires to suit the Nigerian situation,

– E.g. qualitative questions regarding funding processes and challenges.

– Sent qns to key respondents

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CHAPTER TWO ~ METHODOLOGY

• Sources of Data– Primary data: donors, NGO’s & all the

relevant government departments. – Expenditure records: From primary

sources of data– A few from secondary sources (e.g.

expenditure of small NGOs captured from PEPFAR’s and other donor reports),

– Or estimate using the best available data and most suitable assumptions.

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CHAPTER TWO ~ METHODOLOGY

• Data collection and quality of data (insert table showing all sources and whether actual expenditure from recipients, or commitments/ disbursements or allocations)

• Key Assumptions & Validation of Estimates– Presentation of preliminary results to

the TWG, representatives of all key stakeholders and sectors.

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CHAPTER TWO ~ METHODOLOGY

• Data processing and analysis– captured in Excel® sheets, – Verification of info obtained– To ensure the validity of data from the

records of the source, the agents and the providers.

– Transferring data to NASA RTS, – Export RTS outputs (double-entry

matrices) to Excel® to produce summary tables, graphics and analysis.

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CHAPTER TWO ~ METHODOLOGY

• Limitations

• Challenges

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CHAPTER THREE ~ KEY FINDINGS

• (Use graphs, tables and narrative to describe as much as possible of the following)

• Total Expenditure on HIV/AIDS and Sources & Agents of Funding

• Composition of HIV and AIDS Spending (overall core functions, broken down by source and/or agent, as seems suitable)

• Broken down by ASC and sub-categories for each:

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CHAPTER THREE ~ KEY FINDINGS

• Prevention Programmes Spending Activities

• Treatment and Care Spending Activities • OVC Spending• Programme Management Spending• Social Mitigation, Protection and

Services• Enabling Environment and Community

Development Spending• Research Spending

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Analysis of Other Vectors

• Providers of Services• The Beneficiaries of Spending on HIV and AIDS • Functions to Beneficiaries Findings • Comparison with NSP priorities (here you would

use the available costings of the NSP• Absorptive Capacity (this requires that you have

kept a record of the variations between amounts received and amounts spent)

• Qualitative results (you can structure this anyway you feel useful but the following categorization for describing funding flows and problems might help):

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Qualitative Data describing Funding Processes etc

• Development Partners

• Non-Governmental Organisations

• UN Agencies Funding Processes

• Public Sector

• Case Studies – interesting examples from the clinics/ hospitals visited, positive and negative

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CHAPTER FOUR ~ SUMMARY AND RECOMMENDATIONS

• Key points in summary

• Recommendations for (and you can order these by to whom they are addressed):– Improved Public Financial Information Systems– Improved External Mechanisms and Requirements

(harmonization and alignment)

• Improved NGO/ private sector reporting and alignment

• Recommendations for improved, more effective spending – amounts, adequacy, priorities

• Institutionalizing NASA – improvements based on this experience and beyond (link to challenges experienced)

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 REFERENCES & referencing

format

• All the documents from which you have drawn information

• General formatting:– Text = Times New Roman 12– Full justification.– Put headings in bold

• Graphs & tables font = 9/10pt• Footnotes = Times New Roman 9/10

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APPENDICES

• All the matrices generated by the RTS, put into nice format – FS x ASC, FS x FA, FA x ASC, PS x ASC, FS x ASC, FS x FA, FA x ASC, PS x ASC, – FA x PS, PS x PF, ASC x BP, ASC x PF FA x PS, PS x PF, ASC x BP, ASC x PF

• The data collection tools (make these as small as possible so they don’t space!)

• A table showing all the sources of data, and the gaps

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• Assumptions and estimations e.g. 80% of TB costs,

• 75% of condoms assumed to be for HIV prevention etc etc).

• List of the clinics & hospitals visited and persons spoken to in these.

APPENDICES

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SA Thank You

Teresa GuthrieCentre for Economic Governance and AIDS in

Africa Email: teresa@cegaa.org