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
HIV Prevalence by Province 2009
Eastern
3.5%
Western
6.6%
Rift
Valley
4.7%
North
Eastern
0.9%
National Average:
6.3%
Central
4.6%
Nyanza
13.9%
Nairobi
7.0%
Coast
4.2%
Percentage HIV
positive, women
and men age 15-49
3
1,000,000
900,000
800,000
700,000
600,000
500,000
400,000
300,000
200,000
100,000
0
887,510
923,952
Males
Females
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
HIV Population
Projections for numbers of HIV+ upto 2020 by
gender
ARTS Needs gap
Projected ART needs gap upto 2020
800,000
857,773
760,241
600,000
400,000
343,059
200,000
0
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
HIV population
1,000,000
711,146
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
Government
Development
Partners
•Mobile Phones making a call (10 cents)
•Remittances from Diaspora
Private Sector
Corporation
Philanthropists
THANK YOU