Medição de gastos com HIV e SIDA: impacto dos gastos públicos na luta contra o HIV e SIDA no Distrito de Massinga (2005-2009)

Abstract

The present work presents an analytical approach on the economic impacts of spending with HIV and AIDS in the District of Massinga, in the five-year period 2005 - 2009, since data on the expenditure of HIV and AIDS on the flow of resources are vital for program planning and use resources in the fight against the disease, and, it brings indicative data of how Massinga based on in public funds it is responding to the challenges of combating HIV and AIDS. During the five-year period under review, the District of Massinga made efforts to control the spread of HIV and AIDS, which is a constraint to the progress experienced by the economy of this district. In this sense, 3,594,093.00 Mtn were spent on combating HIV and AIDS, of which the fundamental spending priorities focused on the Prevention category, totaling 547,593.00 MTn (15% of total expenditure) and, in Care and Treatment totaled 3,046,500.00 MTn (85%). These two categories of expenditure on AIDS proved to be fundamental pillars of the district response to HIV and AIDS and, on the one hand, prevention proved to be the focus of the public and private response to this epidemic, while the External funding focused on the care and treatment category. Funding for the HIV and AIDS programs in the District of Massinga comes from three main sources: public, private and external (international). Like the country, the answer district of Massinga for HIV and AIDS was to a large extent sustained by assistance external, provided by international organizations. These sources channeled financing HIV and AIDS using two main mechanisms: through the State Budget that finances the health sector and through vertical financing projects. These funds were invert the estimated prevalence rates, which among adults at district level, stood at the maximum of 12%, below the national prevalence rate, estimated at 16% in 2008. Therefore, it was concluded that spending on HIV and AIDS in the District of Massinga did not the challenge of minimizing the negative effects of HIV and AIDS, due to the fact that financing over the years does not meet the needs of the beneficiary populations, since there was a less extensive distribution of care and treatment services through the public sector. Finally, the work also demonstrates that the expenses incurred in the fight against HIV and AIDS are not sustainable, due to the fact that about 85% come from thus translating complete dependence and vulnerability.(TRADUÇÃO NOSSA)