the united republic of tanzania health sector hiv and aids strategic plan

The Table 14 below shows the trend of expenditure in the health sector for the period
1998/99 and 2003/04.
Table 14: Total health expenditure in Tanzania, FY99 – FY04 (TZS billion)
1998/99 1999/2000 2000/2001 2001/2002 2002/2003 2003/04
Budget Actual Budget Actual Budget Actual Budget Actual Budget Actual Budget
Recurrent
AGO - - - - - - 8.97 5.61 6.92 6.55 6.62
MOH 37.25 37.15 39.20 32.39 49.39 44.25 61.60 58.99 82.16 69.90 86.38
Region 9.25 8.68 9.36 9.01 6.21 5.61 7.06 6.58 7.86 7.82 8.83
Local Govt 15.72 16.34 18.69 17.95 36.35 35.67 46.26 46.28 57.66 57.48 66.14
Total rec.
Development
62.21 62.18 67.25 59.34 91.95 85.53 123.89 117.47 154.60 141.75 167.97
MOH 21.21 17.27 17.75 10.19 20.47 14.84 32.07 21.12 34.07 29.03 27.18
Regions 5.00 0.67 2.57 0.79 4.62 1.39 2.35 1.28 4.99 2.48 3.53
Local Govt 0.62 - 1.18 1.06 1.73 1.52 1.70 1.45 1.75 2.38 2.34
Total devt 26.83 17.94 21.50 12.03 26.81 17.74 36.12 23.86 40.80 33.89 33.05
Total on budget
Off budget expenditure
89.04 80.11 88.75 71.38 118.76 103.27 160.01 141.33 195.40 175.64 201.02
Cost sharing - 1.09 - 1.49 - 1.86 - 1.24 - 1.67 1.67
Other foreign funds 35.55 42.76 52.33 60.04 59.41 75.00 66.14 79.37 49.25 59.11 68.99
Total off budget 35.55 43.85 52.33 61.53 59.41 76.86 66.14 80.61 49.25 60.77 70.66
Grand total 124.58 123.96 141.08 132.91 178.18 180.13 226.16 221.94 244.66 236.41 271.68
Source: Public Expenditure Review (PER) 2004 Notes: Accountant General Office spending on National
Health Insurance Fund (NHIF). Basket funding included under recurrent or development as appropriate
Given the fact that in previous years, the MOHSW and TACAIDS account for over 95% of budgeted and
97% of actual spending in 2005/06, then the Health sector relies heavily on Development partners’ funding.
This implies, among other things, the need to carry out sustainability analysis, particularly on funding
related to recurrent expenditure supported by external financing.
b) Functional analysis of HIV and AIDS spending
Functional analysis of HIV/AIDS spending done by Acharya et al., (2004) for fiscal year 2004/05 is shown in
the Figure 6 below.
Figure 6: Acharya et al: Analysis of 2004/5
MTEFs, 7MDAs (Total T.Shs 68.3bn)
Prevention
8%
Mitigation
1%
Care &
Treatment
35%
65 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007
Multi-
Purpose
56%
The Table 15 below shows the expenditure in the health sector. The analysis shows that about 56% of the
funds were used for multi-purpose activities related to HIV/AIDS, 35% went specifically for care and
treatment, 8% for prevention and 1% for mitigation.