Budget execution of the comprehensive HIV and AIDS conditional grant: An analysis of expenditure and performance: HE²RO Policy Brief Number 30

By Jonatan Daven  Lise Jamieson  Sithabiso Daphne Masuku  Dr Gesine Meyer-Rath  |  | 

South Africa’s government-wide expenditure on HIV/AIDS programmes is estimated to have almost doubled over the past five financial years from R10.6 billion in 2012/13 to R20.3 billion in 2017/18.1* The majority of this expenditure (85.2% in 2017/18) is funded through the HIV, TB, Malaria and Community Outreach Grant, which is a ring-fenced conditional grant (CG) allocated via the National Department of Health (NDOH) to provincial health budgets. The HIV/AIDS component of this grant is one of the fastest growing areas in provincial health budgets and is expected to reach R24.5 billion in 2021/222. It is therefore important to continuously examine expenditure and performance of the grant across provinces and over time.We analysed grant budget expenditure and performance under the grant between 2014/15 and 2017/18, focusing primarily on four programme areas, namely antiretroviral therapy (ART), medical male circumcision (MMC), HIV testing services (HTS) and condoms.

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