Mardiati Nadjib, Amilia Megraini
Fakultas Kesehatan Masyarakat Universitas Indonesia

Background:

There have been question on how much the Government spent for priority programs, including HIVAIDS. For example, are the MDGs targets (TB, Malaria, HIVAIDS, maternal care etc) achieved as expected and the relevant programs received adequate funding? In this regard, spending for priority programs need to be captured. Unfortunately, very limited data on spending on priority programs that can be used as lesson learned to see government contribution on specific health programs. Many publication or study result depicted the detail budget or spending, but we cannot simply compare it with NHA data on health expenditures. NHA uses specific classification namely SHA (System of Health Account), while up to now perhaps only NASA uses similar classification but uniquely relevant to HIV and AIDS.

Method:

NASA or national AIDS Spending Assessment, was developed by UNAIDS in order to help countries conducting HIV and AIDS programmes In identifying source and amount of funds already spent or the expenditures (not allocated fund or budget) for conducting programmes related with HIV and AIDS. NASA's result between one country to another may be compared with the help of international standards in spending categories and code account classification by source of fund, funding agents, program activities, functions, cost component, as well as the beneficiaries. NASA provides code account that allows us to convert spending data to the NHA code account. Spending for HIV and AIDS is actually can be noted as "sub-account" of the NHA. It will be very useful for policy making to obtain spending data on regular bais and analyze it to learn how resources have been allocated for priority programs.

Result:

Total spending for HIV and AIDS interventions increased form USD 56,5 million in 2006 to USD 87 million in 2012. The government contribution has slightly increased in proportion to the total HIV anda AIDS spending, 26.6% in 2006 increased to 42.36% in 2012. Only 80% in 2009 and 77% in 2010 of the HIVAIDS spending (NASA) is health / health related, meaning that 80% out of USD 60.3 million in 2009 and 77% out of USD 69.1 million in 2010, are related to health. In 2011 and 2012, data revealed that 75% and 70% of the AIDS spending was relevant or related to health respectively. Government contribution for HIV and AIDS as compared to total health expenditure (THE) was 0,29%, 0,27% and 0,26% in 2009, 2010 and 2011 respectively. NHA data shows only less than 25 of the total health expenditures were contributed by the external partners in 2010 and 2011. In contrast, for priority programs such as HIVAIDS, external partner contribution is substantial.