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Establishing AIDS Trust Fund Tanzanian Experience

Establishing AIDS Trust Fund Tanzanian Experience. Mrs. Beng’i Issa Director of Finance, Administration and Resource Mobilization, Tanzania Commission for AIDS International AIDS Conference 2014 Satellite Session, 23 rd July 2014 Melbourne, Australia. TANZANIA PROFILE.

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Establishing AIDS Trust Fund Tanzanian Experience

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  1. Establishing AIDS Trust FundTanzanian Experience Mrs. Beng’iIssa Director of Finance, Administration and Resource Mobilization, Tanzania Commission for AIDS International AIDS Conference 2014 Satellite Session, 23rd July 2014 Melbourne, Australia

  2. TANZANIA PROFILE 945,087 km² or (364,900 M2) Unity of Tanganyika mainland and Zanzibar islands in 1964 Total population is 44.6 million (2012 census) 25 Regions and 165 Local Government Authorities

  3. ART 512,000 HIV Prevalence 5.1% (15-49yrs) 1,500,000 PLHIV and 2 million Orphans New infections 86,000 per year Transmission to babies decreased to 15% from 26% (2012) Circumcision rate 72% HIV in Context Education Programmes 80% PMTCT coverage 65% Major driver of epidemic - multiple concurrent partnership

  4. Finance Background • There is a value for money spent on HIV and AIDS (VFM 2012). • HIV and AIDS finances 27% of the total health budget. (NHA 2010) • Tanzania spend about 550 million USD per year. • HIV and AIDS national response is financed by donors by 71% • The annual gap is estimated at 50% (NMSF Costing 2008-12).

  5. NATIONAL GAP ANALYSED 2008 -12

  6. Multi-sector contribution

  7. Current major funders in absolute cash

  8. LIFE OF HIV and AIDS PROGRAMMES IN TANZANIA TACAIDS Est. AIDS Trust Fund PEPFAR NMSF Grant UNDP supp. program UNDAP UNJP3 Global fund TMAP

  9. A need for investment? • It is estimated that 86,000 new HIV infections inTanzanians i.e. about 80,000 people per year on Treatment. • It costs about USD 300 per person per year for Anti Retroviral Therapy. • WHO new guidelines on treatment of ART push for more needs of resources. • It is estimated that only 10% of people are reached by condoms. • Implementation of eMTCT strategy for positive mothers is at initial stages. • A need to scale up VMMC; the Government has set a target to circumcise 2.8 million males by 2017. • New evidence of prevention of new infections using cash transfers interventions

  10. AIDS Trust Fund (ATF) • The Government has approved establishment of the AIDS Trust Fund. It has taken 5 years of efforts. • Main objective is to ensure sustainability of financial resources for HIV response. • National AIDS Policy (2001) instructed the establishment of the AIDS Trust Fund. • The Trust fund will reduce donor dependence by 36%. • Focus of the next five years is to follow National HIV strategy and gaps identified.

  11. ATF Status • It is established under TACAIDS Act No. 22 of 2001. • It intends to supplement the current funding mechanisms for the HIV and AIDS national response. • It is established as a public fund.

  12. Governance Structure PRIME MINISTER’S OFFICE HIV PARLIAMENTARY COMMITTEE TACAIDS COMMISION ATF BOARD OF TRUSTEE CEO TACAIDS ATF MANAGER

  13. Proposals declined • GOT contribution on VAT collected • Employers and employees taxes

  14. Implementation principles • Agreed national priorities as per HIV and AIDS policy and strategies will be followed. • Involvement of all stakeholders from different sectors in decision making. • The Trust fund to contribute to the national efforts in the fight against HIV and AIDS in Tanzania. • The Trust Fund will not replace donor support to Tanzania. • Funds used will follow Government rules and regulations. • Speed and risk management.

  15. Priority setting

  16. Ring fenced budget allocation by the GoT. Based on the costed Strategy and total gap. Donors contribution on whole or part of their grant assistance resource public auctions, meal fundraising events, music extravaganzas, fashion shows, raffles, giveaways and trinket sales, sponsored charity walks and mountain climbing, and sports tournaments. Website/online and mobile phone. • Government Contribution Public fund raising events • Foreign grants & donations ATF Sources invest money not immediately needed in short-term instruments such as Treasury papers Foreign and domestic private sources. receive favourable tax treatment Foreign and local private donations & bequests • Investment income

  17. Expected ATF envelope

  18. CSO Funding and Involvement • CSOs in Tanzania plays important role in HIV National response • 70% of the HIV donor resources are channeled through CSOs • Some of the CSOs finances the Government (Districts) • All coordination structures from the national to villages involves CSOs • Currently about 2% of the national resources are channeled by LGAs to CSOs • ATF operations will use existing mechanisms in relation to CSOs involvement.

  19. Proposed allocation of funding from ATF

  20. Asanteni!

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