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domestic-financing

Publisher:  Friends of the Global Fight Against AIDS, Tuberculosis and Malaria

This report highlights ways in which Global Fund implementing countries are increasing domestic investments in health. The report, titled Innovation for Greater Impact: Exploring Resources for Domestic Health Funding in Africa, illustrates how, through a variety of approaches, African governments are mobilizing additional resources to fight HIV/AIDS, tuberculosis and malaria.

Many countries are already taking important steps in this direction. Six African countries – Liberia, Malawi, Rwanda, Swaziland, Togo and Zambia – are on track to reach the agreed Abuja target of allocating 15 percent of government spending on health. Such countries, on average, spend 20 times more of their own resources on health than they receive in assistance.

Several countries included in Friends’ report are exploring ways to mobilize new revenue through innovative finan...


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Publisher: The Lancet , Volume 3, No. 1, e52–e61, January 2015

As the incomes of many AIDS-burdened countries grow and donors’ budgets for helping to fight the disease tighten, national governments and external funding partners increasingly face the following question: what is the capacity of countries that are highly affected by AIDS to finance their responses from domestic sources, and how might this affect the level of donor support? In this study, we attempt to answer this question.

Nearly all 12 countries studied fall short of the proposed expenditure benchmarks. If they met these benchmarks fully, domestic spending on AIDS would increase by 2.5 times, from US$2.1 billion to $5.1 billion annually, covering 64% of estimated future funding requirements and leaving a gap of around a third of the total $7.9 billion needed. Although upper-middle-income countries, such as Botswana, Namibia, and South Africa, would become financially self-reliant, lower-in...


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Publisher: Centre for International Governance Innovation

At least US$87 billion is needed to support the prevention, care and treatment of HIV/AIDS, tuberculosis (TB) and malaria in low- and middle-income African countries between 2014 and 2016. Much of the financing for these diseases previously came from international sources; however, implementing countries are progressively graduating from international support as their economies grow. The authors of the brief, Alan Whiteside and Samantha Bradshaw, explain that in order to reach the US$87 billion target, national governments need to mobilize more domestic resources and increase spending on health. They recommend that health ministers in Africa work with international donors, development partners and their own respective national governments to mobilize domestic resources and advocate health spending in the context of shared responsibility and individualized needs.


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Publisher: AWA Consultative Expert Committee, African Union

Final report of the AU Summit, 27–28 May 2014, technical meeting that was adopted by the Heads of State that includes key recommendations to fully fund the Global Fund and increase domestic financing.


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Publisher: Friends of the Global Fight Against AIDS, Tuberculosis and Malaria

This paper highlights actions being taken toward increased ownership and sustainability in fighting the three diseases in Indonesia, the Dominican Republic, Namibia, Nicaragua, South Africa and Sri Lanka.

As illustrated in Friends’ paper, some countries are already transitioning off foreign aid programs. Others are just beginning their journey toward sustainability. In addition to financial co-investment, Steps Toward Sustainability highlights advancements such as health systems strengthening, capacity building and training. These case studies indicate that effective, sustainable models can take many forms depending on what is most effective in a given region.


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This update begins with an explanation of current trends in development assistance for health (DAH) and the role that these external resources play in the total expenditure on health in low- and middle-income countries. It examines progress in 52 African countries and a sample of 20 non-African middle-income countries.


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