Upload
yetta
View
36
Download
0
Tags:
Embed Size (px)
DESCRIPTION
HIV/AIDS Expenditures in Sub-Saharan Africa: Observations from Kenya, Rwanda and Zambia. S. Muchiri, Wellington Godo, K Chebet,Ministry of Health, Nairobi, Kenya C. Kabago, P. Kayabotsi, D. Ndushabandi, Government of Rwanda, Kigali, Rwanda F. Phiri, Ministry of Health, Lusaka, Zambia - PowerPoint PPT Presentation
Citation preview
HIV/AIDS Expenditures in Sub-Saharan Africa:Observations from Kenya, Rwanda and Zambia
S. Muchiri, Wellington Godo, K Chebet,Ministry of Health, Nairobi, KenyaC. Kabago, P. Kayabotsi, D. Ndushabandi, Government of Rwanda, Kigali, RwandaF. Phiri, Ministry of Health, Lusaka, ZambiaT. Dmytraczenko, S. De, C. Chanfreau, M. Tien and G. Kombe, Abt Associates Inc., Bethesda MD USA
Impact of the HIV/AIDS Epidemic
Kenya Rwanda Zambia
Adult prevalence 6.7% 5.1% 15.6%HIV infected adults 982,685 199,279 1.2MDeclining life expectancy
1990 62 50 542002 47 44 40
GDP per capita USD 371 USD 196 USD 354
Providing HIV/AIDS Prevention, Treatment and Care: A Heavy Toll on the Health Sector
05
101520253035404550
Rwanda Kenya Zambia
HIV/AIDS is the single largest contributor to the burden of disease in Africa19% of the total years of life lost due to disability or premature mortality
14%
24%
45%
In p
erce
n tag
es
HIV/AIDS as a share of total health expenditures
PPP$ 306
PPP$ 433
PPP$ 141
Household and Donors Finance a Large Share of HIV/AIDS Expenditures
Donors34%
Public24%
Other private1%
Households41%
Kenya
Households13%
Public8%
Donors78%
Other private1%
Public17%
Other private7%
Donors46%
Households30%
Rwanda Zambia
Treatment and Care Absorb the Majority of Health Funds
05
1015202530354045
Inpatientcare
Outpatientcare
Otherprevention
Condomdistribution
VCT IEC Medicalgoods
Public entitities Non profit inst. OOP
75% KENYA
0%
20%
40%
60%
80%
100%
Public Donor Public Donor Public Donor
HIV/AIDS General health
19% 75%
Is HIV/AIDS a Priority in Resource Allocation?
5% 21%33% 57%Rwanda Kenya Zambia
The Burden on HIV+ Households Is Considerable
Preliminary results
A person living with HIV/AIDS spends approximately 9 times more out-of-pocket
than the average Zambian on health care
General Out-of-pocket spending
=$3.70 per capita
HIV/AIDS Out-of-pocket spending
= $31.62 per HIV+ individual
The Burden on HIV+ Households Is Considerable
HIV/AIDS Out-of-pocket spending
= $60.84 per HIV+ individual
General Out-of-pocketSpending
=$8.90 per capita
Preliminary results
A person living with HIV/AIDS spends approximately 7 times more out-of-pocket
than the average Kenyan on health care
The Burden on HIV+ Households Is Considerable
HIV/AIDS Out-ofpocket spending
= $4.97 per HIV+individual
General Out-of-pocketSpending
=$2.13 per capita
Preliminary results
A person living with HIV/AIDS spends approximately 2 times more out-of-pocket
than the average Rwandan on health care
Meeting basic needs in Rwanda
58% of HIV+ households received assistance, borrowed or sold assets 26% received assistance 33% borrowed 17% sold assets
Policy Issues
Sustainability of donor funding in view of long-term challenges posed by HIV/AIDS
Equity issues related to substantial household out-of-pocket HIV/AIDS spending
Potential implications of future plans to scale up anti-retroviral therapy (ART)