Mothers at a clinic providing PMTCT services © Alliance
HIV programming Scale up integrated HIV programming

Demonstrating value for money

in Cambodia


A Social Return on Investment (SROI) study was completed in March 2012 as part of an end of programme evaluation of the Integrated Care and Prevention (ICP) Programme, which was implemented by KHANA in Cambodia. It showed an impressive 73% social return on investment.

What is Social Return on Investment?

SROI studies measure the benefits created by programmes and assign them monetary values. They are based on a community-led approach, with monetary values defined by programme beneficiaries to represent the impact of social, health and economic outcomes. A calculation can then be made showing the cost to benefit ratio, which indicates the return on investment of a particular programme.

The KHANA Integrated Care and Prevention (ICP) Programme

The ICP programme ran from 2007-2011 and provided integrated care and prevention support for people living with HIV and orphans and vulnerable children (OVC). The programme aimed to provide community based care and support, taking a holistic approach to the varied needs of individuals and communities.

The study found that the highest value outcome of the programme was greater understanding and ability of caregivers to support people living with HIV and OVC. This in turn contributed to a better quality of life for people living with HIV and OVC.

The SROI study found the ICP programme delivered a cost to benefit ratio of 1:1.73 or a 73% social return on investment. This indicates a positive return for a community based response to HIV and shows that the programme works.

You can read more in this summary of the report.