By Collette Schulz-Herzenberg
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Additional info for A Lethal Cocktail: Exploring the Impact of Corruption on HIV AIDS Prevention and Treatment Efforts in South Africa
First, the NDoH’s 2004 donor matrix is outdated. Second, government departments are not very forthcoming with donor information or simply do not have complete information. Third, when funds travel directly to NGOs, it is harder to identify the donors. The OECD 2004 report is also limited because it only reports on commitments made by donor countries, not on actual disbursements, and it only uses information from OECD Development Assistance Committee countries (Ndlovu 2006:5). 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.
To assist with the monitoring of donor financial commitments for HIV/ AIDS, the NDoH developed a database referred to as a ‘donor matrix’, which lists various relevant items that assist in tracking projects. These include: the amounts committed by donors and the objectives and activities of bodies responsible for implementation, such as government departments, research institutes and NGOs. It names the accounting officers and departmental and donor contact persons. Since donors provide monies for various programmes and varying funding periods, the matrix also indicates the duration of each funding flow.
The politicisation of the disease goes back to President Thabo Mbeki’s controversial comments in 1999 and 2000 that questioned the causal 18 The impact of corruption on HIV/Aids prevention and treatment efforts in South Africa link between HIV and AIDS and the efficacy of ARVs such as azidothymidine (AZT). Since then various health ministers have been criticised for their lack of active support for the roll-out of highly active ARV therapy (HAART), stances on alternative treatments and nutrition, and delaying tactics in the tendering processes for ARVs.