Where did the money go? HIV and AIDS spending in
Trinidad and Tobago
between 2002 and 2009
A. Fearon1, C. Alexis-Thomas2, K. Pratt3, A. Kollipara4, D. Aran Mantero5
1Office of the Prime Minister, Port of Spain, Trinidad and Tobago, 2Consultant, Port of Spain, Trinidad and Tobago, 3Consultant, Georgetown, Guyana, 4Futures Group, Pretoria, South Africa, 5Consultant, Montevideo, Uruguay
Issues: Tracking the expenditure and
the impact on vulnerable populations for HIV enables an assessment to be made
on the programmatic coverage reached and facilitates effective policy and
strategic planning with reference to the Governments National HIV Strategic Plan.
Description: The assessment utilises the
UNAIDS National AIDS Spending Assessment (NASA) methodology re-profiled to the configuration
of the Governments National Strategic Plan for HIV & AIDS. Cumulative information reports allow the
tracking of internal decisions, influences on HIV & AIDS spending and how
expenditure impacts vulnerable populations.
Lessons learned: There has been an overall
increase in funding over the period but the economic slowdown significantly
reduced expenditure from 2008. Prevention
expenditure suffered the most especially that targeted towards vulnerable
populations with expenditure rising faster in the good times and dropping
drastically in the bad times. Expenditure on treatment has increased year on
year as a result of both the free access to ARV medication and the increasing
population of people living with HIV and AIDS. Whilst the domestic economy
still permits 'universal access' to medication civil society remains skeptical on the
governments ability to maintain the commitment. Low expenditure on Advocacy
& Human Rights and Surveillance & Research reflects the comparative
priority placed on this area of the response.
Next steps: Without
good data on expenditure and how this impacted vulnerable populations,
strategic and policy planning remains challenging and lacks sincerity. Many monitoring & evaluation systems do
not consider the impact that programme coverage has on policy implementation which
in turn affects outcome and impact indicators.
Greater emphasis on the identification of expenditure and the location
of where and who receives the resource flows can greatly assist in the monitoring
and evaluation of programmes and enables improved strategic planning. The presentation will elaborate on the
lessons learned from 2002 on where the money went.
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