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Accessing Spending Vs Impact on Nepal ‘s HIV AIDS Programme Dr . Shyam S. Mishra

Accessing Spending Vs Impact on Nepal ‘s HIV AIDS Programme Dr . Shyam S. Mishra Vice Chair & CEO HIV/AIDS and STI Control Board Government of Nepal. Overall Objective:. To assess HIV budget spend in the health and non-health sectors for the response of HIV and AIDS in Nepal. Methodology.

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Accessing Spending Vs Impact on Nepal ‘s HIV AIDS Programme Dr . Shyam S. Mishra

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  1. Accessing Spending Vs Impact on Nepal ‘s HIV AIDS Programme Dr . Shyam S. Mishra Vice Chair & CEOHIV/AIDS and STI Control BoardGovernment of Nepal

  2. Overall Objective: To assess HIV budget spend in the health and non-health sectors for the response of HIV and AIDS in Nepal HIV AIDS and STI Control Board (HSCB)

  3. Methodology • NASA (National AIDS Spending Assessment) • Preparation (training, Formation of Task force, Road Map) • Data collection and Processing (Excel) • Validation

  4. Number Types organisations % 5 9 Govt Nepal NGOs 8 14 8 14 Bilateral agencies 18 31 INGOs 18 31 Multilateral agencies 1 2 Private Sector 100 Total Org listed 58 53 Data received 31 17 Moved for NASA 2010 10 29 No response 17 Data sources

  5. Key issues addressed • What is actually disbursed and spent in each component of the HIV response? • Are the expenditures done according to prioritized HIV interventions? • Was the expenditure utilized according to National Operational Plan (2006-2008) on the priority basis

  6. Key issues addressed...... Who are the major funding agencies and where do they go Who are the main service providers and the beneficiaries of these services? Was sufficient resources invested to enhance the capacity for scaling up the program Does international assistance contribute to enhance national capacity (external/internal resource mobilisation)

  7. Findings HIV AIDS and STI Control Board (HSCB)

  8. Disbursement and spending in 2007 for HIV/AIDSin Nepal (US $): all sources

  9. Disbursement by Sources

  10. Amount (US$) spend by Agents in 2007

  11. Beneficiaries Population

  12. Financial Gap Analysis

  13. Policy implications • Evidence of increased in public sector spending but limited multisectoral engagement • Alignment of spending to national priorities and nature of epidemic • Proper design and targeting of intervention as non specific interventions, BP and PF are prominent in 2007 spending • Improved financial information system for quality and accuracy of data

  14. Policy implications • Improving implementers reporting and alignment as well as harmonisation of classification • Institutionalising NASA as a part of national M/E system

  15. Thank you

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