Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #112608

Tania Dmytraczenko, PhD, International Health Area, Abt Associates, Inc, 4800 Montgomery Lane Suite 600, Bethesda, MD 20814, Marie Tien, MHS, International Health Area, Abt Associates Inc., 4800 Montgomery Lane, Suite 600, Bethesda, MD 20814, and Lillian Kidane, BA, Analyst, International Health, Abt Associates, 4800 Montgomery Lane, Suite 600, Bethesda, MD 20814, 301-347-5305, lillian_Kidane@abtassoc.com.

Injections of large amounts of external funding, such as from the Global Fund and the Presidential Emergency Plan for HIV/AIDS Relief, have raised concern that national health budgets will be diverted to other causes. It is important for countries to know the sources and uses of HIV/AIDS funds as well as to monitor expenditures against results. In anticipation of this need, the Governments of Rwanda, Kenya, and Zambia adapted the well-established National Health Accounts (NHA) framework to measure HIV/AIDS health expenditures and their flows prior to the disbursement of the new donor funds. The results of these baseline estimations for Rwanda, Kenya, and Zambia are the subject of this presentation.

In all three countries, HIV/AIDS spending accounts for a significant proportion of overall health expenditures. Donors are the principal contributors of HIV funds, financing 45% to 75% of all HIV/AIDS spending. The reports also show that between 33% to 75% of donor health funds are targeted for HIV/AIDS. Governments contribute only 5% (Rwanda), 13% (Kenya) and 19% (Zambia) to overall HIV/AIDS spending. AIDS sufferers on average between 3 to 12 times more on health care than the average uninfected person in the three countries.

The sizeable donor contributions raise concerns about the sustainability of such financing for HIV/AIDS. Government planners also worry that support to other priority programs are being compromised. With the advent of the large donor grants the issue of shifting resources to other program areas will become even more pressing.

Learning Objectives:

• Identify the key sources of financing for HIV/AIDS in three counties.
• Describe the impact of resource flows for AIDS on other priority health services

Keywords: Health Service, Financing

Related Web page: www.phrplus.org

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.