Financing the HIV response in sub-Saharan Africa from domestic sources: Moving beyond a normative approach

Michelle Remme, Mariana Siapka, Olivier Sterck, Mthuli Ncube, Charlotte Watts, Anna Vassall Social Science and Medicine, 2016; Financing the HIV response in sub-Saharan Africa from domestic sources: Moving beyond a normative approach

Despite optimism about the end of AIDS, the HIV response requires sustained financing into the future. Given flat-lining international aid, countries' willingness and ability to shoulder this responsibility will be central to access to HIV care. This paper examines the potential to expand public HIV financing, and the extent to which governments have been utilising these options.

The paper highlights how:

  • Annual public HIV spending in HIV-affected African countries could increase from $3 to 11 billion
  • Countries have not been tapping all their fiscal options
  • Even with very bold measures, most will not have sufficient public resources in the medium run
  • International financing will continue to be required and may encourage domestic financing
  • HIV funders should engage with broader health and development financing agendas

With the ongoing dialogue on how to finance the sustainable development goals, it will be important that those working in HIV join the call for increased health prioritisation in the context of universal health coverage, and work to identify tailored country-specific approaches to proactively leverage broader development investments.

 

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