HEALTH POLICY AND HEALTH FINANCE KNOWLEDGE HUB WORKING PAPER SERIES
NUMBER 1 | MARCH 2010 Funding or HIV and Non-Communicable Diseases: Implications or Priority Setting in the Pacic Region
There has been increasing global interest in documenting unding fows or health, but none o thatwork has ocused on the Pacic region. This paper outlines external unding or two specic areas o overseasdevelopment assistance (ODA) or health in the region—HIV/AIDS and non-communicable diseases (NCDs)—during 2002-09. These are compared to the comparative disease burdens, and some initial thoughts arepresented on the dynamics o setting donor health priorities in the Pacic.
Empirical data on development partner aid unding were accessed through a review o web sites,annual reports, published data, unding proposals and other publicly available documentation o donor countryaid agencies, multilateral agencies and programs and that o recipient governments. The document review wassupplemented by 27 key inormant interviews to veriy and clariy the available data. Interviewees were drawnmainly rom bilateral and multilateral agencies active in the Pacic and researchers working in the eld. The HIVcomponent was commissioned work or the Commission on AIDS in the Pacic.
Despite much higher mortality rates rom NCDs, external unding or HIV is higher than or NCDs. From2002 to 2009, unding totalled US$68,481,730 or HIV and US$32,910,778 or NCDs. External assistance orHIV activities in the Pacic in 2009 was more than US$18 million, while unding or NCDs in the same year wasalmost US$12 million.
Despite cooperation rom many agencies, the unding data were dicult to gather, highlightingthe need or greater transparency o unding inormation and more thorough record keeping. The externalunding does not align with the disease and mortality gures, and urther interviews suggested that donorunding decisions in the region are driven not by local priorities but by actors including a strong global HIVcommunity, the commitment to the Millennium Development Goals (MDGs) and the lack o coherence in theway NCDs are presented to policy makers.