By Collette Schulz-Herzenberg
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Additional resources for A Lethal Cocktail: Exploring the Impact of Corruption on HIV AIDS Prevention and Treatment Efforts in South Africa
In 2000, according to OECD data, 99 per cent of this eight per cent was spent on HIV/AIDS control programmes, including prevention, education, care for orphans and vulnerable children, treatment of sexually transmitted diseases (STDs) and PMTCT (Ndlovu 2006:6). 1 Types of donors • United States government Through various agencies including the US Agency for International Development (USAID) and the President’s Emergency Plan for AIDS Relief (PEPFAR), the US government provides the largest amount of donor funds for HIV/AIDS programmes in South Africa, amounting to US$126,4 million (R886 million) over a six-year period (2001–2006) (Ndlovu 2006:2).
Expenditure was approximately 16,5 times higher in 2005/06 than in 1999/00, while prevalence rates were only 1,35 times higher. Proportional state expenditure increased by 1 558 per cent between 1999/00 and 2005/06, while prevalence rates increased by 35 per cent in the same period. Graph 1 illustrates this increase. Graph 1: Proportional increase in HIV/AIDS state expenditure and HIV prevalence rates from 1999/00 to 2005/06 18,00 16,58 16,00 14,00 12,08 12,00 10,00 8,26 8,00 6,00 5,09 4,00 2,00 1,00 1,71 1,09 0,00 1999/00 2000/01 2,19 1,11 2001/02 State spending 1,18 2002/03 1,25 2003/04 1,32 1,35 2004/05 2005/06 Prevalence rates In 1998 donor support accounted for less than one per cent of revenue in the public health sector (Martin 2003:28).
Although spending in the Mpumalanga Department of Health increased by 19 per cent in 2003/04, the health committee noted with concern the large amounts of money, euphemistically referred to by the provincial department as ‘savings’, which were still not being spent. The Public Service Accountability Monitor (PSAM) reports that in the 2003/04 financial year the Eastern Cape provincial health department underspent its HIV/AIDS conditional grant by 46,9 per cent (PSAM 2005a:7). The AG also found that the conditional grants were not being monitored adequately in terms of their measurable outputs (PSAM 2005a:12).