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By Collette Schulz-Herzenberg

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Additional info for A Lethal Cocktail: Exploring the Impact of Corruption on HIV AIDS Prevention and Treatment Efforts in South Africa

Sample text

In 2000 39 A lethal cocktail only 36 per cent of the overall amount allocated in provincial budgets was spent. 29 The massive increase in expenditure was accompanied by a massive increase in the actual amount of money being provided. The improvement in provinces’ ability to spend increasing proportions of an ever-increasing budget is due to greater flexibility in grants and an increased capacity to spend funds ring-fenced for HIV as health institutions become more experienced and capacitated to deliver HIV/AIDS services.

The TAC states that 900 people die every day in South Africa from AIDS-related illnesses. HIV/AIDS has economic consequences. The impact on the health sector is increased public health expenditure, with HIV/AIDS utilisation requirements increasing more than threefold between 2000 and 2010 (Martin 2003:27). The cost to the government of AIDS-related care was R1,493 billion in 2000, rising to R4,077 billion in 2009. Because of HIV/AIDS, South Africa will require a real annual increase in government health expenditure of 6,9 per cent per annum from 1997 to 2010 (Barnett & Whiteside 2006:320).

However, auditing fails to take into account the performance and impact of funded HIV/AIDS activities. An additional problem is that it is unclear whether the provincial premiers’ offices and the NDoH are performing follow-up checks to ensure that problems reported in the audits are rectified. Another discrepancy relating to HIV/AIDS funding is the underspending of budgetary allocations by provincial health departments. Many struggled to absorb the large amounts set aside by the government in earlier years.

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