Comprehensive evaluation of AIDS spending in Dehong prefecture of Yunnan province in 2010

OBJECTIVE: To comprehensive evaluate the rationality of Acquired Immune Deficiency Syndrome (AIDS) expenditure through the analysis of AIDS expenditure circumstances based on the application of National AIDS Spending Assessment in Dehong prefecture in 2010. METHODS: Demographic and economic indicators of Mang City Yingjiang Longchuan Ruili City Lianghe and Wanting zone in Dehong prefecture of Yunnan province were collected from the reports issued by Dehong Statistical Bureau of 2010 and HIV/AIDS epidemic indicators were collected from the annual report of national AIDS prevention and control data.NASA method was used to analyze the actual spending and demand index was used to calculate the demand of AIDS funding in these counties (cities). The correlations between HIV/AIDS expenditures and demographic economic and HIV/AIDS epidemic index were analyzed respectively as well as the correlation between the expenditures of AIDS prevention and control and proportion of major transmission approaches. RESULTS: In 2010 the actual expenditures on HIV/AIDS in the 5 counties (cities) of Dehong prefecture was yen28 752 772 the population was 1 211 400 and Gross Domestic Product (GDP) was yen11 693. The intervention expenditures in injection drug users sexually transmitted people and prevention of mother to child transmission in Ruili county were yen130 345 yen71 484 and yen164 100 the proportions of HIV transmission in these groups were 23.9% (49/205) 73.7% (151/205) and 0.5% (1/205) respectively; and in Lianghe county was yen141 665 yen257 142 and yen99 961 and the proportions of HIV transmission were 17.1% (6/35) 80.0% (28/35) and 0.0% (0/35) respectively. The intervention expenditures in Ruili and Lianghe counties were positive related to the proportion of corresponding people with HIV infection (both r values were 0.99 all P values < 0.05). In the other 4 counties (cities) and the development zone no correlations. The expenditures of government departments international projects domestic research programs and personal and family pays (r value were 0.94 0.83 0.99 and 0.88 respectively all P values < 0.05) were positive related to the number.Except the personal and family pays other sources of expenditures were all positive related to the number of reported HIV/AIDS cases (r values were 0.94 0.89 and 0.81 respectively all P values < 0.05). CONCLUSION: Population and HIV/AIDS epidemic index were considered as factors in AIDS spending. The expenditures corresponded with the demand of different areas basically.