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Civil Society Tracks State HIV/AIDS Budgets in Africa: 

Civil Society Tracks State HIV/AIDS Budgets in Africa An Overview of the Multi-Country HIV/AIDS Budget Study UNAIDS Satellite Meeting: “National AIDS Accounts” XV International AIDS Conference Bangkok, July 2004 Teresa Guthrie AIDS Budget Unit ~ Idasa Cape Town, South Africa teresa@idasact.org.za

Multi-country Budget Study ~State Revenue to public health and HIV/AIDS.: 

Multi-country Budget Study ~ State Revenue to public health and HIV/AIDS. Africa: Kenya, Mozambique, South Africa, Namibia. Latin America: Argentina, Chile, Ecuador, Mexico, Nicaragua. Study period: 2000/01 to 2005/06 (where MTEF available) Length of study: 18mths Study co-ordinated by: AIDS Budget Unit, Idasa, South Africa, and FUNDAR, Mexico

Study objectives: 

Study objectives To track HIV/AIDS public expenditure and analyse budget from an HIV/AIDS perspective. To develop common framework/ methodology for tracking HIV/AIDS expenditure in national budget. To make recommendations to policy makers and stakeholders. To increase NGO capacity for HIV/AIDS budget analysis.

NAA and the ABU Budget studies: 

NAA and the ABU Budget studies Adjusted from PHR+ presentation, Feb 04. PHR+.

Similarities and differences: 

Similarities and differences NAA Actual Expenditures by donors, public and private entities Health and non-health expenditure Prevention and treatment ABU Budget studies State Budgetary allocations to health & HIV/AIDS Sources - State vs donor (no private/ OOP) Across sectors Composition of spending by Activity type Adjusted from PHR+ presentation, Feb 04. PHR+.

Similarities and differences: 

Similarities and differences NAA Outputs Total expenditures on HIV/AIDS Distribution across public, donor and private subsectors, incl. households, for profit and non profit institutions Expenditures on HIV/AIDS as a share of GDP & Total health expenditure & Total Expenditure Out of pocket expenditures by sex, income group and rural/urban Per capita expenditures on HIV/AIDS ABU Budget studies Outputs Total state public health allocations, as share of GDP, total expenditure Total state allocations to HIV/AIDS, as a share of Of total public expenditure Total public health expenditures Per capita allocations for HIV/AIDS Adjusted from PHR+ presentation, Feb 04. PHR+.

Similarities and Differences: 

Similarities and Differences NAA OECD System of Health Accounts Financing Sources Providers Functions ABU Budget studies National Budget Documents Financing Sources (excluding private & OOP) Functions Adjusted from PHR+ presentation, Feb 04. PHR+.

Study Process & Methodology: 

Study Process & Methodology Research undertaken by local in-country NGOs. Training in budget analysis. Common framework for analysis. Ongoing technical assistance. Close peer review of draft reports by team. Formal internal & external review process. Literature review. Official budget documents review & analysis. Face-to-face interviews with key officials & stakeholders.

Content of Country Reports : 

Content of Country Reports Budget format and process. AIDS policy/implementation structures and their role in resource allocation. Funding channels and reporting mechanisms. Health allocations, sources, as a share of GDP and total expenditure, per capita. Allocations for HIV/AIDS, per capita & as share of health expenditure. Mix of HIV/AIDS interventions funded. Consider efficiency and equity from an HIV/AIDS perspective.

Project Challenges: 

Project Challenges Inaccessibility and unavailability of budget documentation, little disaggregation. Varying budgetary and accounting systems – undermined comparability. Lack of central database of donor funds. Ensuring quality and validity of data in country reports, especially if done by non-academic CSOs. Could not measure: allocations against actual expenditure, outputs, according to programme indicators, impact of expenditure.