Positioning Programs for Cost Effective Outcomes: The Uganda Interagency OVC Portfolio Review and Cost Analysis

Terence Beney, Charlotte Muheki, DeeDee Yates, Stephan Lagony, and Shibah Kanoowe

The PEPFAR Uganda Interagency Orphans and Vulnerable Children (OVC) Portfolio Review and Cost Analysis was conducted in November 2015. The purpose of the review is to provide evidence to support planning that will maximize the impact of the PEPFAR Uganda OVC portfolio. To this end, the report:

  • Identifies and describes the implementation approaches within the PEPFAR Uganda OVC portfolio, indicating the strengths and weaknesses of each model with respect to their capacity to achieve intended outcomes;
  • Provides a cost analysis of the various implementation models, considering both site level and above site level costs; and
  • Offers recommendations, based on evidence of effective practice and lessons learned, to strengthen the efficiency and effectiveness of the PEPFAR OVC activities.

It should be noted that this review is not an evaluation of the identified approaches and the mechanisms that constitute them. An outcomes evaluation of the entire OVC portfolio is well beyond the scope of this exercise. This review considers the capacity of each approach to achieve outcomes, based on the existing evidence on what works in OVC programming, and considers the costs associated with each approach. An understanding of effective practices and how these contribute to the capacity to achieve outcomes, in combination with some indication of what it costs to implement effective practices, will serve the imminent strategic planning needs of PEPFAR Uganda.

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