Comparisons are often made between health spending and donor spending in Cambodia and Myanmar. Here is an article on HIV spending in Cambodia which says that over $US 50 million was spent last year.

The epidemics are not the same. In Cambodia, adult HIV prevalence is believed to be a little higher and incidence started to decline seven years before it began to decline in Myanmar. The sexually transmitted epidemic was mostly through brothel-based sex and there are still as many infections transmitted there as there are in homes. Cambodia has very little injecting drug use and has been able so far to keep on top of the epidemic among drug users. That country also has less than one third the population of Burma.

Conclusions anyone?

[him] moderator

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Please see my below article on NASA II 2008.

2008, US$ 51,846,997.00 was spent for HIV/AIDS in Cambodia. this amount was declared in National AIDS Spending Assessment II (NASA II) launching ceremony organized by National AIDS Authority (NAA) supported fund by UNAIDS in Sep 16, 2009 at Sunway Hotel, Phnom Penh Cambodia.

HE Dr. Hor Bunleng, Deputy Secretary General and Team Leader of NASA II said “AIDS spending in Cambodia has slightly declined from US$ 53,258,765 in 2007 to US$ 51,846,997 in 2008”

Prevention this remains the largest share of spending though it declined in the in the two years under the investigation (44% in 2007 and 39% in 2008) and follow by care and treatment (25% in 2007 to 29% in 2008), then the program management and administration (18% in 2007 to 20% in 2008). This trend is source of concerns as it is considered essential to avert new infection, especially among high risk group such as establishment workers, man who have sex with men and injecting drug users (NASA II finding). 2007, numbers of entertainment workers are 23,000.  This amount was increase highly to 34,193 in 2008 which 5,000 are operated in brothels (NCHADS Report). The number of MSM in Cambodia was increased, but the budget line for Most At Risk Population (MARPs) are decreased (17% in 2007 to 12% in 2008).

The HIV response in Cambodia is highly reliant on external funding (2008, 90% from International support and 10% contribution from Royal Government of Cambodia). The majority of funds spent on AIDS related to intervention came from bilateral agencies (47% in 2007 to 40% in 2008), Global Fund to Fighting HIV/AIDS, TB and Malaria (31% in 2007 to 37% in 2008), Government of Cambodia (11% in 2007 to 10% in 2008), UN agencies (10% in 2007 to 8% in 2008), and other international source (1% in 2007 to 5% in 2008).

The NASA resource tracking methodology is designed to describe the financial flows and expenditures using the same categories as the globally estimated resource needs. This alignment was conducted in order to provide necessary information on the financial gap between resources available and resources needed, and in order to promote the harmonization of different policy tools frequently used in the AIDS field. NASA provides indicators of the financial country response to AIDS and supports the monitoring of resource mobilization. Thus, NASA is a tool to install a continuous financial information system within the national monitoring and evaluation framework.

Mr. NO Migy
TWG&AO, HACC
No Change without Risk, Work for Change not for Foods!

#175, St. 155, Sangkat Toul Tumpong I,
Khan Chamkar Morn, Phnom Penh
Tel: 855 23 217 964
Fax: 855 23 720 964
Mobile: 855 12 240 162
Website: http://www.hacccambodia.org

A Health and Development Networks Key Correspondent posting