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Long term sustainable
financing map for HIV programmes: first country experiences in Latin America
E. Lamontagne1, R. Bitran2, R. Greener1, F.X. Solorzano2, M.L. Daigre2
1UNAIDS, Economics and Development Analysis Unit, Genève, Switzerland, 2Bitrán & Asociados, Santiago, Chile
Issues: The commitment of regular and sustained
resources over the long term is essential for the HIV response. Costs can be
sufficiently predictable to allow the affected countries to plan effectively
the scaling-up of services. However, the corresponding resources needed for
these activities are far from being predictable. We describe here how a
combination of sustainable financing mechanisms can be built, using the cases
of Dominican
Republic and Ecuador.
Description: External financing for HIV programme represents
56% and 57% of expenditure for Dominican Republic
and Ecuador
respectively. Such dependency raises the issue of the sustainability of
national programmes if external financing is withdrawn or becomes highly volatile.
Lessons learned: For each country, we performed the assessment of
potential financing mechanisms that could be used for HIV and built a country
specific “Long Term Sustainable Financing Map for HIV”. Each Map
presents the options and combination of financing mechanisms for a 15-25 year
time horizon in a sustainable manner. For each mechanism, we identify its
potential size and sequencing and show the possible overall resources that can
be achieved over time.
Next steps: The next step is the progressive implementation,
by national stakeholders, of the long term sustainable financing map. We will present
the challenges met so far in this long-term activity. This exercise is also to
be concluded for Guatemala
and recommendations issued from this low-income country will be presented as
well. The methodology and results of the 'long term sustainable financing map
for HIV' is being presented with an objective to promote best practices to
other countries of the region.
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