A Brief Analysis of the 2014/15 Second Quarter Expenditure on the Health HIV and AIDS Conditional Grants to Provinces

By Joshua Karume, Nhlanhla Ndlovu  |  | 


The South African Government (SAG) has made commendable progress in fighting HIV/AIDS and TB by mobilizing financial resources for the response to these diseases. The SAG has managed to scale antiretroviral treatment access, with over 2 million people on antiretroviral treatment which has led to a decrease in AIDS mortality and an increase in life expectancy (UNAIDS, 2012). A district-level patient satisfaction survey of the Centre for Economic Governance and AIDS in Africa (CEGAA) in partnership with the Treatment Action Campaign (TAC) also showed increased satisfaction of AIDS patients about accessibility, availability and quality of HIV/AIDS treatment services in the public sector (CEGAA & TAC, 2011) due to increased public funding and provinces’ ability to spend. New HIV infections have also fallen by almost half over the last decade (SANAC, 2013).
It is important to note that SAG generally funds its policies through the Equitable Share (ES) and Conditional Grant (CG) channels. The national government utilises both the ES and CG channels to fund HIV/AIDS interventions. Most of the funding is through the conditional grant (CG) channel to provinces. The National Treasury invested R13,6 billion in 2014/15 on health HIV/AIDS programmes, representing a 1300% nominal growth in health HIV/AIDS allocations over the decade. The HIV/AIDS budget has also grown by an average nominal growth rate of 15% between 2013/14 and 2015/16.
With increased demand for large and efficient HIV/AIDS programmes, the government has allocated increasing financial resources to all provinces, namely the Eastern Cape (EC), the Free State (FS), Gauteng (GP), KwaZulu-Natal (KZN), Limpopo (LP), Mpumalanga (MP), the Northern Cape (NC), North West (NW) and the Western Cape (WC), mainly through conditional grant allocations.

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