Read e-book online A Lethal Cocktail: Exploring the Impact of Corruption on HIV PDF

By Collette Schulz-Herzenberg

ISBN-10: 1920114238

ISBN-13: 9781920114237

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By Collette Schulz-Herzenberg

ISBN-10: 1920114238

ISBN-13: 9781920114237

Show description

Read Online or Download A Lethal Cocktail: Exploring the Impact of Corruption on HIV AIDS Prevention and Treatment Efforts in South Africa PDF

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Additional resources for A Lethal Cocktail: Exploring the Impact of Corruption on HIV AIDS Prevention and Treatment Efforts in South Africa

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In the 2005/06 financial year R1,150 billion was given to provinces and R1,144 billion spent by them. However, there is also a pronounced variation in underspending between provinces, as indicated in Table 3 above. Case study Underspending: the cases of Mpumalanga and the Eastern Cape In 2002 it was reported that Mpumalanga had spent no funds on PMTCT services or home-based care in the previous financial year (Thom 2002). Although spending in the Mpumalanga Department of Health increased by 19 per cent in 2003/04, the health committee noted with concern the large amounts of money, euphemistically referred to by the provincial department as ‘savings’, which were still not being spent.

Maureen Lewis, an expert on governance and corruption in health systems, explains why data on perceptions is useful: Greater efforts to track such information can guide both policymakers and donors providing a benchmark for individual countries. (Lewis 2006:16) According to Transparency International multiple opportunities exist for corruption in the prevention and treatment of HIV/AIDS (TI 2006a:103). Corruption affecting HIV/AIDS programmes is magnified by the scale of the pandemic, the stigma attached to the disease, the multiplicity of new agencies and the high cost of drugs.

Although transfers had been withheld during the year, it is evident that in-year monitoring of grant expenditure is not effective and consistently performed to enable the department to identify non-compliance with the DoRA and the DoRA Framework. This was evident in the late submission of monthly reports and incomplete information on the reports. The Department did not provide guidelines on reporting [to provinces] to ensure effective financial and operational monitoring as required by DoRA. (NDoH 2005:79) As highlighted here, a number of elements pertaining to HIV/AIDS management and expenditure are qualified – and the more elements that are qualified, the more problematic a department’s administration.

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A Lethal Cocktail: Exploring the Impact of Corruption on HIV AIDS Prevention and Treatment Efforts in South Africa by Collette Schulz-Herzenberg


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