Validation of National AIDS Spending Assessment (NASA) report

Validation of 2017 and 2018 National AIDS Spending Assessment (NASA) report

The 2017 and 2018 National AIDS Spending Assessment (NASA) report was validated at a virtual stakeholders meeting of the Ghana AIDS Commission (GAC) and its partners. The NASA process which is a key tool for tracking resources and expenditures for the national HIV and AIDS response, maps the financial transactions on HIV from their origin (funding source) through to the final destination (beneficiaries receiving goods and services). The 2017 and 2018 round of the assessment sought to analyze expenditure patterns related to the structure of HIV and AIDS-related services in Ghana in the public and private sector, including bi- and multilateral organizations.

In presenting the results from the report, Prof. Felix Asante the lead consultant revealed that the total expenditure on HIV and AIDS activities in Ghana is estimated at US$92,573,993 and US$67,413,057 for 2017 and 2018 respectively with funding from international (63%) and public (51%) sources accounting for the highest expenditure for 2017 and 2018 respectively. The results from the report also revealed that Care and Treatment, Programme Management and Administration and Prevention were largest spending areas for 2017. Also for the 2018, Human Resources, Prevention and Care and Treatment were the 3 largest spending areas.  The results also indicated that in 2017 and 2018, People Living with HIV (PLHIV) were the major beneficiaries from the total funds spent on HIV and AIDS related activities (82.03 % in 2017 and 62.99 % in 2018). It is worth noting that PLHIV benefited most from spending on Human resources for both years (95% in 2017 and 99.8% 2018). A greater proportion (88%) of the funds spent on Prevention Programme in 2017 went to Key Population but this reduced to 21% and shifted to spending on the General Population (47%) in 2018. Spending within beneficiary groups show a very low proportion of 0.3% of funds spent by PLHIV on prevention programmes in 2017 and 15.3% in 2018.  In 2017 the most significant spending went to the general population under Programme management and Administration (86.8%) but reduced to 32.5% in 2018 shifting spending to key populations.

Minimal coordination at the district and community levels, low funding for HIV programmes, limited availability of HIV test kits and drugs and difficulty in getting access to the workplace were among the highlighted challenges reported by organizations. The Director General of GAC in his response to the findings of the report and charting a clear way forward stated that financing the HIV response will require an efficient way of targeting that will ensure that the little funds available are used judiciously. He stated the Commission is working hard to ensure the coming into being the AIDS Fund to support the work of the Commission. 

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The Ghana AIDS Commission is a supra-ministerial and multi-sectoral body established under the Chairmanship of H. E. the President of the Republic of Ghana by Act 2016, Act 938 of Parliament. The objective of the Commission is to formulate policy on the HIV and AIDS epidemic and...

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