Sustainable HIV financing in Uganda: Baseline analysis and prospects for new domestic resource mobilization.

In the past decade the President’s Emergency Plan for AIDS Relief (PEPFAR) has committed significant technical and financial resources to the fight against HIV working with local partners in target countries to promote prevention programs increase the number of patients receiving antiretroviral therapy (ART) and strengthen national coordination and monitoring of programs. As donor funding stagnates and developing economies grow it is critical to identify long-term sustainable sources of domestic funding for HIV to maintain and build upon the successes achieved by low- and middle-income-countries in partnership with PEPFAR. As part of PEPFAR’s Sustainable Financing Initiative to increase domestic resource for HIV the Health Policy Project (HPP) has created a baseline assessment of the current state of HIV financing in Zambia against which future achievements in domestic resource mobilization can be measured. The assessment analyzes current resource commitments from all sources both domestic and external against projected resource need under UNAIDS’ 90-90-90 target to determine future need for new domestic resources in each country as well examines efficiency and equity in the use of funds with the goal of maximizing the impact of financial commitments.