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African countries are making the transition from donor-funded HIV programmes to government-led initiatives - P4H Network

African countries are making the transition from donor-funded HIV programmes to government-led initiatives

African countries are witnessing a transition from donor funding to domestic resource mobilization for their response to HIV. This article summarizes various studies on the public financing of HIV programmes in many African countries to explain the shift from overwhelming international funding to government financing.

International funding remains the highest contributor to the HIV/AIDS response in Africa. This threatens the sustainability of HIV programmes, particularly with increasing pressures on international budgets. This is already being witnessed with decreased donor funding for Malaria, HIV/AIDS and TB in recent years. To sustain the current progress, domestic financing and leadership are critical.

Researchers from APIN Public Health Initiatives in Nigeria conducted a study comparing the funding sources for HIV between South Africa and Nigeria, which have the two largest economies in Africa. The significant contribution of domestic funding to the total HIV expenditure in South Africa demonstrates a high level of local ownership that better positions South Africa for sustainability.

Studies from Nigeria, South Africa, Nigeria, Uganda and Tanzania show that governments are now thinking about and establishing alternative financing mechanisms to support HIV programmes. However, more African countries still need to reinforce policies and strategies to increase domestic funding of their HIV programmes.

 

 
Reference
NAM aidsmap - published on 25 May 2023