XVIII International AIDS Conference

Abstract

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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 Such dependency raises the issue of the sustainability of national programmes if external financing is withdrawn or becomes highly volatile.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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