By Collette Schulz-Herzenberg
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Extra resources for A Lethal Cocktail: Exploring the Impact of Corruption on HIV AIDS Prevention and Treatment Efforts in South Africa
The national anti-corruption hotline for the public sector (0800-701-701), which is managed by the PSC, is displayed on the website of the NDoH. The hotline receives complaints on all departments and is claimed to have improved access for the reporting of misconduct. 2 National Treasury and HIV/AIDS funds18 In view of the importance of combating HIV/AIDS, the National Treasury recently standardised the provincial budget structure, creating a dedicated HIV/ AIDS subprogramme for government revenue to encourage consistency in spending on HIV/AIDS and to assist the monitoring of that spending.
3 Prevention vs treatment Just as it is hard to distinguish between government and donor funding, it is equally difficult to establish which proportions of overall HIV/AIDS expenditure 28 The impact of corruption on HIV/Aids prevention and treatment efforts in South Africa go to prevention and which to treatment. 15 However, this would entail four major exercises: • Tracking all government HIV-related programmes using the national and provincial treasuries’ budget books • Requesting all national and provincial departments concerned to compile a breakdown of all donor monies received and related activities • Tracking all foreign donations by requesting a breakdown of funds from donors and related activities • Requesting greater detail from government about how conditional grants are divided Besides the fact that specific information is lacking, much of the spending on HIV/AIDS in the public health system is indirect, owing to the nature and impact of the disease.
10 Civil society organisations As countries respond to the pandemic, an array of new institutions has emerged, including national AIDS commissions to coordinate responses and NGOs as providers of services. Whilst these organisations attract funding, they are still in the process of developing and testing the efficacy of their oversight and monitoring mechanisms. With hundreds of organisations receiving funding via both national and provincial departments to operate as delivery institutions for HIV/AIDS-related activities, it is essential that they be subject to stringent and transparent accountability mechanisms.
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