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Country analysis > South Africa Last update: 2020-11-27  

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 IDASA - Budget Brief No. 155

An exploratory analysis of HIV and AIDS donor funding in South Africa

Nhlanhla Ndlovu1

IDASA - Budget Brief No. 155

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HIV and AIDS is a major threat to civil society, government and the private sector in South Africa. Comprehensive interventions are required to fight the impact of HIV and AIDS in South Africa as in other developing countries which are affected. However, resources tend to be insufficient given the burden of the epidemic on health and other social services. In South Africa, government has committed itself to fight HIV and AIDS through the social sector’s National Integrated Plan (NIP) for Children Infected and Affected by HIV and AIDS. Through its three components the NIP utilises conditional grants to provinces to realise national HIV and AIDS priorities.2 However provinces are also expected to allocate more money for HIV and AIDS implementation from their own budgets. Such provincial allocations are important in supplementing the conditional grants from national government and to ensure that services not covered in conditional grants are also delivered.

In addition to government resources, large amounts of money are channelled to South Africa for HIV and AIDS interventions from donor agencies. Many donor agencies mobilise resources to provide humanitarian relief by supporting HIV and AIDS programmes in developing countries. In South Africa, like elsewhere in the region, donor funds are vital to provide additional resources to national government revenue given the magnitude of the HIV and AIDS epidemic. Nevertheless, with or without donor funds, countries need to plan, budget and coordinate properly to develop effective responses to HIV and AIDS. Equally important is donor planning and coordination to avoid duplication, competition and/or clashes in national and donor interests.

This brief will firstly unpack donor funding issues in South Africa by describing challenges in tracking donor funds going to HIV and AIDS in South Africa. Secondly, it will outline the role of the National Department of Health in donor coordination for HIV and AIDS in the country. Thirdly, it will provide a brief analysis of the Organisation for Economic Co-operation and Development (OECD) report on development aid for HIV and AIDS in developing countries. Fourthly, it will give an update on grants to South Africa from the Global Fund to Fight AIDS, TB and Malaria (GFATM). The last section will look at examples of HIV and AIDS donor assistance in South Africa, and offer concluding recommendations.

  1. The author would like to sincerely thank Ms. Nelly Malefetse, Director: International Health Liaison, and Dr. Rose Mulumba, Director: HIV/AIDS, both from the National Department of Health, for their invaluable input towards this Budget Brief. I would also like to thank Alison Hickey, Manager: AIDS Budget Unit – Idasa, for reviewing this brief.
  2. Education’s Lifeskills HIV and AIDS Programme; Social Development’s Community and Home-Based Care Services (CHBCS) and; Health’s Comprehensive Plan for HIV and AIDS Management , Prevention, Treatment, Care and Support.

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