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Funding for HIV and non-communicable diseases: Implications for priority-setting in the Pacific region

Funding for HIV and non-communicable diseases: Implications for priority-setting in the Pacific region

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Improving health in the Pacific means spending money where it’s needed most. Are donors looking at local priorities or setting their own agendas?
Improving health in the Pacific means spending money where it’s needed most. Are donors looking at local priorities or setting their own agendas?

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Published by: Nossal Institute for Global Health on Jul 30, 2012
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KNOWLEDGE HUBS FOR HEALTH
Strengthening health systems through evidence in Asia and the Pacic
Funding or HIV andNon-Communicable Diseases:Implications or Priority Setting inthe Pacifc Region
Joel Negin
Sydney School o Public Health and Menzies Centre or Health Policy, University o Sydney, Australia.
Helen M. Robinson
Consultant, Nossal Institute or Global Health, University o Melbourne, Australia.
HEALTH POLICY AND HEALTH FINANCEKNOWLEDGE HUB
 WORKING PAPER SERIES
NUMBER 1 | MARCH 2010
The Nossal Institutefor Global Health
www.ni.unimelb.edu.au
 
WORKING PAPER SERIES HEALTH POLICY AND HEALTH FINANCE KNOWLEDGE HUB
 
Funding or HIV and Non-Communicable Diseases NUMBER 1 | MARCH 2010
ABOUT THIS SERIES
This Working Paper is produced by the Nossal Institute or Global Health at the University o Melbourne, Australia.The Australian Agency or International Development (AusAID) has established our Knowledge Hubs orhealth, each addressing dierent dimensions o the health system: Health Policy and Health Finance; HealthInormation Systems; Human Resources or Health; and Women’s and Children’s Health.Based at the Nossal Institute, the Health Policy and Health Finance Knowledge Hub aims to support regional,national and international partners to develop eective evidence-inormed policy making, particularly in the eldo health nance and health systems.The Working Paper series is not a peer-reviewed journal; papers in this series are works-in-progress. The aim isto stimulate discussion and comment among policy makers and researchers.The Nossal Institute invites and encourages eedback. We would like to hear both where correctionsare needed to published papers and where additional work would be useul. We also would like to hearsuggestions or new papers or the investigation o any topics that health planners or policy makers wouldnd helpul. To provide comment or get urther inormation about the Working Paper series please contact;ni-ino@unimelb.edu.au with “Working Papers” as the subject.For updated Working Papers, the title page includes the date o the latest revision.
Funding or HIV and Non-Communicable Diseases: Implications or Priority Setting in the PacifcRegion
First drat – March 2010Lead author: Joel NeginSydney School o Public Health and Menzies Centre or Health Policy, University o Sydney,joel.negin@sydney.edu.auOther contributors: Helen M. Robinson, Consultant, The Nossal Institute or Global Health, University oMelbourneThis Working Paper represents the views o its author/s and does not represent any ocial position o TheUniversity o Melbourne, AusAID or the Australian Government.
ACKNOWLEDGEMENTS
The HIV unding inormation was collected in collaboration with the George Institute or International Health(http://www.thegeorgeinstitute.org/) and with Associate Proessor Heather Worth o the University o New SouthWales, as part o work commissioned by the Commission on AIDS in the Pacic.
 
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 Pacic Region
 
i
ABSTRACT
Objectives:
There has been increasing global interest in documenting unding fows or health, but none o thatwork has ocused on the Pacic region. This paper outlines external unding or two specic 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 Pacic.
Methods:
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 inormant interviews to veriy and clariy the available data. Interviewees were drawnmainly rom bilateral and multilateral agencies active in the Pacic and researchers working in the eld. The HIVcomponent was commissioned work or the Commission on AIDS in the Pacic.
Results:
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 Pacic in 2009 was more than US$18 million, while unding or NCDs in the same year wasalmost US$12 million.
Conclusions:
Despite cooperation rom many agencies, the unding data were dicult to gather, highlightingthe need or greater transparency o unding inormation and more thorough record keeping. The externalunding does not align with the disease and mortality gures, and urther interviews suggested that donorunding 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.

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