FINANCING HIV/AIDS IN TANZANIA - Maryknollarchive.maryknollogc.org/social/hiv-aids/Financing HIV in Tanzania... · • Sources of financing HIV/AIDS ... TNCM GFATM, TMAP,etc. IMTC

FINANCING HIV/AIDS IN TANZANIA

Beng’i 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 MINISTER’S 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

MDA’s CSO’sLGA,s FBO’s

INT’L NGO’s/FBO’s GLOBAL

FUND

PrivateSector

RFA’s

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!!