Sustainable Financing of HIV and AIDS in Kenya

• Innovative and Sustainable Home Grown Solutions

• By

• Mwangi P.K.

Presentation outline

• HIV/AIDS Prevalence by Regions

• Projections on PLHIV – by gender

• ART needs – projected gaps

• Financing gaps – function areas

• Sustainable financing sources

• Recommendation – Trust Fund

3

North Eastern

0.9%

Eastern3.5%

Rift Valley4.7%

Nyanza13.9%

Western6.6%

Central4.6%

Nairobi7.0%

Coast4.2%

National Average: 6.3%

HIV Prevalence by Province 2009

Percentage HIV positive, women

and men age 15-49

Projections for numbers of HIV+ upto 2020 by gender

923,952887,510

0100,000200,000300,000400,000500,000600,000700,000800,000900,000

1,000,00020

0520

0620

0720

0820

0920

1020

1120

1220

1320

1420

1520

1620

1720

1820

1920

20

HIV

Popu

lation

Males

Females

ARTS Needs gap

760,241857,773

343,059

711,146

0

200,000

400,000

600,000

800,000

1,000,00020

1020

1120

1220

1320

1420

1520

1620

1720

1820

1920

20

HIV

pop

ulati

on

Projected ART needs gap upto 2020

Total need for ART

Total number receiving ART

Financing gap by function areas, 2010-15 ( Ksh millions)

Current Financing for HIV and AIDS

• Over 80% of HIV funding comes from external resources

• Unfortunately, the resources are becoming more unavailable, donors are not scaling up their support

• Hence, Government considers planning for

predictable and sustainable HIV and AIDS financing a top priority

Sustainable financing sources

• Increasing annual Treasury/ budgetary allocations

• Insurance coverage - National Social Health Insurance

• Interest earned from unclaimed monies in the banks

• Conducting HIV and AIDS lotteries

• Selling HIV and AIDS bonds

• Imposing levies On:• airline passengers • Airtime

Trust Fund

• Put in place a framework for the establishment of a Trust Fund for HIV and AIDS Care in Kenya

• Resources to be pooled towards a kitty governed by inclusive trustees

• Trust Fund to finance gaps especially in prevention of new infections and, care and treatment.

Sustainable HIV and AIDS Care Trust fund

PhilanthropistsDevelopment Partners

Government Private Sector Corporation

•Mobile Phones making a call (10 cents)

•Remittances from Diaspora

THANK YOU