FINANCING HIV/AIDS IN TANZANIA - HIV in Tanzania...• Sources of financing...

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Transcript of FINANCING HIV/AIDS IN TANZANIA - HIV in Tanzania...• Sources of financing...

  • FINANCING HIV/AIDS IN TANZANIA

    Bengi Issa

  • Outline Introduction

    Sources of financing HIV/AIDS

    Volume of resources in Tanzania

    Financing and implementation Framework

    Budgeting for HIV/AIDS

    Funding modalities in Tanzania

    Fund Flow

    LGAs Response to HIV/AIDS

  • Introduction

    In 2007/08 HIV/AIDS finances estimated at 596.4 bn shs.

    Expected aid is 568 bn Shs.,

  • Introduction HIV/AIDS accounts for 10% of total

    GOT spending

    1/3 of the total aid flow to Tanzania is spent on HIV/AIDS.

    95% of HIV/AIDS resources is financed by donors.

  • Sources of Funding for HIV/AIDS in Tanzania

    Government Consolidated Fund

    External sources Locally collected Revenue

  • Financing Framework - Tanzania

    Ministry of Finance

    Locally Collected Revenue

    MDAs,LGAs,CSOs,

    Private Sector

    Revenue External Resources

  • Big Financiers of HIV/AIDS

    There four main financiers of HIV/AIDS in Tanzania (USG, GFATM, IDA and GOT)

    USG and GFATM represents 86% of the donor support.

    USG alone accounts for 59% of the resources in Tanzania

  • HIV/AIDS Resources (10yrs)

    -

    100,000,000

    200,000,000

    300,000,000

    400,000,000

    500,000,000

    600,000,000

    700,000,000

    2001/2002 2002/2003 2003/2004 2004/2005 2005/06 2006/07 2007/08 2008/09 2009/2010 2010/2011

  • Government Vs Donors (10yrs)

    -

    100,000,000

    200,000,000

    300,000,000

    400,000,000

    500,000,000

    600,000,000

    2001/2002 2002/2003 2003/2004 2004/2005 2005/06 2006/07 2007/08 2008/09 2009/2010 2010/2011

    Government Donors

  • All Financiers

    0

    50,000,000

    100,000,000

    150,000,000

    200,000,000

    250,000,000

    300,000,000

    350,000,000

    400,000,000

    450,000,000

    2001

    /2002

    2002

    /2003

    2003

    /2004

    2004

    /2005

    2005

    /06

    2006

    /07

    2007

    /08

    2008

    /0920

    09/20

    1020

    10/20

    11

    Government of TanzaniaWorld BankGlobal FundBelgiumUNAIDSUNICEFWFPWHOFAOFrench EmbassyDFIDSweden EmbassyJICACIDANorwayIreland (DCI)DANIDARoyal Netherlands EmbassyUNDPUNFPAUSGEUGermanySDC

  • Status in 2007/08

    USG59%

    JICA1%

    Norway1%

    WFP0%

    UNICEF0%

    Belgium0%

    Sweden Embassy1%

    Ireland (DCI)1%

    UNDP0%

    Royal Netherlands Embassy

    1%

    Global Fund15%

    World Bank8%

    Government of Tanzania13%

  • Implementation Framework

    The framework for HIV/AIDS implementation in Tanzania has considered a

    multi-sectoral approach.

  • PRIME MINISTERS OFFICE

    TANZANIA COMMISSION FOR AIDS(COORDINATING BODY)

    RFA, GFATM Recipients

    Technical AIDS

    Coordinators

    Tz Informal Economic Network On AIDS Initiative

    CMACS AIDS BusinessCoalition in TZ

    Regional Secretariats

    Development Partners on AIDS

    TNCMGFATM,

    TMAP,etc.

    IMTC on

    HIV/AIDS

    NACOPHA

    Non-GovtOrgns

    FaithBased Orgns VMACs

    LGAs

    WMACs Districts Council

    for PLHIV

    Informal Sector

    Private Sector Ministries

    Commissioners

  • Budgeting of HIV/AIDS in Tanzania

    A specific code (objective A) for HIV/AIDS was introduced in 2004 and all sectors are using it when budgeting.

    The Government designed a software for resource allocation and MTEF development known as SBAS-Strategic Budget Allocation Software.

    This is where targets for MKUKUTA are aligned with the sectoral targets (including HIV/AIDS targets)

  • MTEF

    01 S

    03 S

    02 C

    OB

    JECTIVES..A

    ,B,C

    ,

    MISSIO

    N

    VISION

    03

    02

    01

    02

    03

    04

    01

    TARGETSAligned to MKUKUTA

    ACTIVITIES

    Strategic Budget Allocation Software

    I F M S

  • Local Government Authorities

    The government constitution gives each LGA status of the Government.

    LGAs can raise funds i.e. collect taxes, fees and charges.

    LGAs can finance own goods, services and financing development projects

  • Local Government Reform Programme

    The Local Government Legal requirement is operationalized through this programme.

    Main objective: to enhance locally generated and centrally

    disbursed financial resources. Increase efficiency of the used resources.

  • Budget Cycle for LGAs The Government issues budget guidelines

    each year around December.

    The guidelines is prepared in collaboration with Ministry of Planning and Finance and PMORALG

    In the guidelines priorities are given, performance reviewed and levels of funding are given.

    Sectors Ministries put their guidelines through this guideline (Incl. HIV/AIDS)

  • Planning approach for LGAs At the LGAs planning starts at lower level.

    When guidelines are issued

    Villages and urban prepares plans in participatory manner

    Village plans are consolidated and coordinated by Ward development Committees (3-5 villages)

    Integration is strengthened by technical sectors

  • Planning approach for LGAs Ward development Committees submit to the District

    Authorities.

    At District plans are integrated with the Development Projects.

    Discussed in the sectors standing committees.

    Council Executives prepares Council draft plan and submit it to the Regional Secretariats (RS)

    RS sector representatives scrutinize draft plans (look at adherence of policies and guidelines).

  • Planning approach for LGAs RS provide comments on the plans.

    Council Finance and planning committee discusses comments from RS

    The draft plan and budget is resubmitted to the RS

    At RS level plans from all councils are consolidated into Regional Plan.

    Regional plan is submitted to the PMO-RALG, then to the Ministry of Finance.

    The government budget is submitted to the Parliament (consolidated budgets from all Ministries).

  • Ja

    Planning Framework

    Rural Villages Urban Neighborhoods

    Ward Devt. Committees

    Council Executives

    Standing Committees CSOs

    Regional Secretariats

    Ministry of Finance

    PMO-RALG

    The Parliament

    Sectors

    TechnicalInputs

    CSOs

    TACAIDS

    People

    Other MDAs

    CSOsCSOs

  • Funding ModalitiesThese are main modalities of financing in Tanzania: Direct project financing PEPFAR and other off

    budget funding Government system of financing Projectized BUT captured by the Government

    TMAP, GFATM Pooled funding mechanism, i.e. Rapid Fund

    Envelope (RFE), Basket Fund, HIV/AIDS Fund

  • Fund Flow Exchequer system Special Account Direct Project funding Pooled Funding

  • ISSUES ON FUND FLOW

    MOF

    TMAP

    MDAs CSOsLGA,s FBOs

    INTL NGOs/FBOs GLOBALFUND

    PrivateSector

    RFAs

    PEPFARRFE

    TACAIDS

    FOUNDATIONS

    DEVELOPMENT PARTNERS

    Delloitte and Touche

  • LGAs Response to HIV/AIDS The recent PER and accountability assessment

    confirmed that public expenditure management by the LGAs has steadily improved (scores on independent annual assessments and clean audit reports)

    The main Sources of fund have been the GFATM, TMAP and CIDA.

    Most LGAs planned for trainings, activities to support CHACs and sensitization.

  • LGAs Response to HIV/AIDS 75% of LGAs reviewed are supporting Orphans,

    i.e. uniforms, fees,

    61% of LGAs reviewed, economic support to PLHAs.

    Care and support is mainly for Home Based Care, other are centrally.

    80% of LGAs planned for prevention activities e.g. schools interventions, youth, adult education, condom distribution, peer education, drama groups.

  • LGAs Response to HIV/AIDS Government policy is to decentralise and devolve

    more responsibility to local government,

    Role of the central Government is focused on policy, facilitation, capacity building, and monitoring.

    This is not very easy when most of sources of funds to HIV/AIDS are projectized for LGA budgets.

  • Funding modalities for the Districts

    Exchequer financing

    Own source

    Individual Donors(Global Fund, TMAP, Axios, GTZ)

    SWAP ModalityHealth Basket Fund

    HIV/AIDS Fund

    Projects

    Grants i.e. Health and Block Grants

    for HIV/AIDS

    Grants e.g. education, Roads, HIV/AIDS etc

    Local Collected Revenue, Local established funds

  • Improve governance - LGAsGood governance for HIV/AIDS interventions should consider:

    Participatory planning at LGAs level.

    Discussion of HIV/AIDS plans and budgets at full council meetings.

    Enforce decentralisation of financing intervention at LGA level.

    Devolve more responsibility to local governmentand improve accountability.

    CMACS should be used effectively.

  • A way forward Involvement of CSOs and Private Sector.

    Transparent mechanisms for the CSOs and Private Sector to access funds through LGAs.

    Accountability through existing mechanisms set by the Government.

    Data collection and reporting for the response in the District.

  • ConclusionResources for HIV/AIDS can be very meaningful if used efficiently and

    effectively.

  • Asanteni!!

    FINANCING HIV/AIDS IN TANZANIAOutlineIntroductionIntroductionSources of Funding for HIV/AIDS in TanzaniaFinancing Framework - TanzaniaBig Financiers of HIV/AIDSHIV/AIDS Resources (10yr