1 / 27

Tracking Expenditure for HIV and AIDS in Africa ~ Cross-Country Comparisons

Tracking Expenditure for HIV and AIDS in Africa ~ Cross-Country Comparisons. Guthrie, T., Kioko, U. Inaugural Conference of the African Health Economics and Policy Association Accra - Ghana, 10th - 12th March 2009 PS 04/8. Objectives.

tacy
Télécharger la présentation

Tracking Expenditure for HIV and AIDS in Africa ~ Cross-Country Comparisons

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Tracking Expenditure for HIV and AIDS in Africa ~ Cross-Country Comparisons Guthrie, T., Kioko, U. Inaugural Conference of the African Health Economics and Policy Association Accra - Ghana, 10th - 12th March 2009 PS 04/8

  2. Objectives • Determine the total flows of financing and expenditures for HIV/AIDS, from all international and public (domestic) sources of financing • To identify the flow of expenditures by sources, agent, providers of services activities, and target population • To make recommendations for improved efficiency and prioritization of HIV and AIDS spending, and for improved financial information systems.

  3. Methodology • Review of UNGASS Indicator 1 for SSA countries (Source: UNAIDS Global Report 2008 Annex2) • Review of Country NASA Reports for further detail: Ghana, Botswana, Zambia, Swaziland • National AIDS Spending Assessment is an approach to comprehensively measure: • All spending for HIV/AIDS • From all sources, through agents, providers, activities to beneficiaries • From a multi-sectoral perspective • According to interventions reflected in the NSPs • Allows countries to monitor their own progress towards the national and international commitments. • Acknowledgements to UNAIDS, the NACs and NASA team members for access to their data

  4. Comparison of UNGASS Indicator1 - Sources of Financing for HIV/AIDS

  5. Comparison of UNGASS Indicator1 - Sources of Financing for HIV/AIDS

  6. SSA Low Income Countries HIV Prevalence (%) and Spending per Capita on HIV/AIDS (2006, in current US$)

  7. Per Capita HIV/AIDS Spending (current US$) & HIV Prevalence (%) in Middle Income SSA Countries (2006)

  8. Using Detailed NASA data From Botswana, Zambia, Swaziland, Ghana

  9. Levels & Sources of Financing (US$m, 2006)

  10. Agents of HIV/AIDS Spending (US$m, 2006)

  11. Providers of HIV/AIDS Services (US$m, 2006)

  12. AIDS Spending Activities ~ Priorities (US$m, 2006)

  13. Botswana ~ Public Trends (Pula, 2003-2005)

  14. Swaziland ~ HIV/AIDS Priorities by Source of Funds (SZL, 2006)

  15. Swaziland ~ funds for Programme Management by NERCHA (SZL, 2006)

  16. Swaziland Prevention Spending (SZL, 05/06-06/07) Blood Safety PMTCT Condoms VCT CommMobl Prevention

  17. Swaziland ~ Social Protection spending (SZL, 05/06-06/07)

  18. Swazi~ environment and community development spending (SZL, 2006/07)

  19. Beneficiaries of HIV/AIDS Spending(%, 2006)

  20. To what Degree Does HIV/AIDS Spending Contribute to General health systems strengthening?

  21. Botswana HIV Spending that may Contribute to general HSS (9.83% of THAE)

  22. HIV/AIDS Spending on HSS & General Health: Zambia 2007, 15% of THAE Swaziland, 11% of THAE

  23. Recommendations • Need for more sustainable predictable financing for HIV/AIDS and health • Need for increasing public agents ie. Control of funds ~ through common funds, DBS, IHPs. • LNGOs playing important role in delivery of HIV/AIDS services ~ need to be supported through efficient funding mechanisms • Treatment requiring increasing share of financing, prevention and other interventions requiring increasing, especially mitigation and social protection activities

  24. Recommendations cont. • Increase public funds for enabling environment esp. Promotion and protection of human rights • Improve output indicators to enable beneficiary incidence analysis • Increase funds for MARPs and vulnerable groups • Increase HSS funding and mechanisms (eg.IHPs) and increase allocations to HIV/AIDS activities that contribute to general HSS (eg. Blood safety, laboratories, upgrading facilities)

  25. Recommendations cont. • Increasing alignment with NSPs, but some donors still have own agenda, own systems ~ need harmonisation • Increase absorptive capacity: • Reduce donor ‘dumping’ of funds at the end of the financial year • Improve predictability of donor commitments, over longer period • Increase speed of disbursements, reduce tedious systems, while improving public accountability systems • Improve public programmatic and human resource capacity to deliver services

  26. Recommendations cont. • Improve public financial reporting & information systems • Routine resource tracking ~ institutionalise NASA in M&E systems • Harmonise to 1 national system for reporting on commitments, disbursements & spending • Civil society play greater role in monitoring public spending & in sharing their own spending activities • Critical to have good financial monitoring systems in place before implementing IHPs etc.

  27. Thank You • Teresa Guthrie • Centre for Economic Governance and AIDS in Africa • Email:teresa@cegaa.org • Tel: +27-21-425-2852 • Cell: +27-82-872-4694

More Related