Establishing AIDS Trust FundTanzanian Experience
Mrs. Beng’i IssaDirector of Finance, Administration and Resource
Mobilization, Tanzania Commission for AIDSInternational AIDS Conference 2014
Satellite Session, 23rd July 2014Melbourne, Australia
TANZANIA PROFILE
Total population is 44.6 million (2012 census)
945,087 km² or (364,900 M2)
25 Regions and 165 Local
Government Authorities
Unity of Tanganyika
mainland and Zanzibar islands
in 1964
HIV in Context
ART 512,000
Circumcision rate 72%
HIV Prevalence 5.1% (15-49yrs)
New infections 86,000 per year
1,500,000PLHIV and
2 million Orphans
Transmission to babies decreased to
15% from 26% (2012)
Education Programmes 80%
Major driver of epidemic - multiple
concurrent partnership
PMTCT coverage 65%
Finance Background
There is a value for money spent on HIV and AIDS (VFM 2012).
HIV and AIDS finances 27% of the total health budget. (NHA 2010)
Tanzania spend about 550 million USD per year.
HIV and AIDS national response is financed by donors by 71%
The annual gap is estimated at 50% (NMSF Costing 2008-12).
NATIONAL GAP ANALYSED 2008 -12
Preve
ntion
Treatm
ent and ca
reOVC
Socia
l mitiga
tion
Community devp
t
Research
Enabling e
nvironment
-1,600,000
-1,400,000
-1,200,000
-1,000,000
-800,000
-600,000
-400,000
-200,000
0
Multi-sector contribution
GOVT10%
DONORS71%
Private sector
2%
NHIF1%
Household16%
Current major funders in absolute cash
GoT3%
Global Fun
d20%
NMSF
GRANT4%
UN FAMILY
2%
USG71%
2001/2002
2002/2003
2003/2004
2004/2005
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
est.
2014/15
est.
2015/16est.
-
100,000,000
200,000,000
300,000,000
400,000,000
500,000,000
600,000,000
700,000,000
800,000,000
900,000,000
Government of Tanzania
TACAIDS Est. TMAP
Global fund
NMSF Grant
PEPFAR
AIDS Trust Fund
UNDP supp. program UNJP3 UNDAP
LIFE OF HIV and AIDS PROGRAMMES IN TANZANIA
A need for investment?It is estimated that 86,000 new HIV infections inTanzanians i.e. about 80,000 people per year on Treatment.
It costs about USD 300 per person per year for Anti Retroviral Therapy.
WHO new guidelines on treatment of ART push for more needs of resources.
It is estimated that only 10% of people are reached by condoms.
Implementation of eMTCT strategy for positive mothers is at initial stages.
A need to scale up VMMC; the Government has set a target to circumcise 2.8 million males by 2017.
New evidence of prevention of new infections using cash transfers interventions
AIDS Trust Fund (ATF)The Government has approved establishment of the AIDS Trust Fund. It has taken 5 years of efforts.
Main objective is to ensure sustainability of financial resources for HIV response.
National AIDS Policy (2001) instructed the establishment of the AIDS Trust Fund.
The Trust fund will reduce donor dependence by 36%.
Focus of the next five years is to follow National HIV strategy and gaps identified.
ATF Status
It is established under TACAIDS Act No. 22 of 2001.
It intends to supplement the current funding mechanisms for the HIV and AIDS national response.
It is established as a public fund.
Governance Structure
PRIME MINISTER’S OFFICE
TACAIDS COMMISION
ATF BOARD OF TRUSTEE
CEO TACAIDS
ATF MANAGER
HIV PARLIAMENTARY COMMITTEE
Proposals declined
• Income taxes (companies)• Alcohol and Cigarettes• Gift
Union taxes
Declined by stakeholders
• Life insuranceExempted taxes
• Air ticketing• Buses and lorries at the bordersBias
•GOT contribution on VAT collected •Employers and employees taxes
Implementation principles
Agreed national priorities as per HIV and AIDS policy and strategies will be followed.
Involvement of all stakeholders from different sectors in decision making.
The Trust fund to contribute to the national efforts in the fight against HIV and AIDS in Tanzania.
The Trust Fund will not replace donor support to Tanzania.
Funds used will follow Government rules and regulations.
Speed and risk management.
Priority setting
National Strategies
Technical Working groups to be involved
Impact and Results
Existing national coordinating
mechanism to endorse
Approval by the Trustees
Promote decentralization
Included in the annual
Government budget
ATF Sources
GovernmentContribution
Foreign grants &
donations
Foreign and local private donations &
bequests
Investment income
Public fund raising events
publ
ic au
ction
s, m
eal f
undr
aisin
g
even
ts, m
usic
extra
vaga
nzas
, fas
hion
show
s, ra
ffles
, giv
eaw
ays a
nd tr
inke
t
sale
s, sp
onso
red
char
ity w
alks
and
mou
ntai
n cli
mbi
ng, a
nd sp
orts
tour
nam
ents
. Web
site/
onlin
e an
d
mob
ile p
hone
.
Donors contribution
on whole or part of
their grant assistance
resourcein
vest
mon
ey no
t
imm
edia
tely
need
ed in
shor
t-ter
m
instr
umen
ts su
ch as
Trea
sury
pape
rs
Foreign and
domestic private
sources.
receive favourable
tax treatment
Ring fenced budget allocation by the
GoT. Based on the costed Strategy and
total gap.
Expected ATF envelope
2015 2016 2017 2018 20190
20
40
60
80
100
120
140
othersGovtU
SD
CSO Funding and Involvement
CSOs in Tanzania plays important role in HIV National response
70% of the HIV donor resources are channeled through CSOs
Some of the CSOs finances the Government (Districts)
All coordination structures from the national to villages involves CSOs
Currently about 2% of the national resources are channeled by LGAs to CSOs
ATF operations will use existing mechanisms in relation to CSOs involvement.
Proposed allocation of funding from ATF
Treatment 50%
Preven-tion 20%
Mitigation
10%
Enabling environ-
ment 20%
Asanteni!