Percentage of total budget required for planned collaborative TB/HIV activities that was actually available
This input indicator measures the extent to which adequate funding is available to implement the collaborative TB/HIV activities defined in the annual TB/HIV work plan and/or the annual TB and annual HIV/AIDS work plans. It also indicates the extent to which resource mobilization for TB/HIV collaborative activities has been successful, and whether or not lack of funds is an important constraint to achieving the objectives of the annual work plan.
Total funds that were available or allocated for collaborative TB/HIV activities from any source (e.g. government, loans, grants, Global Fund to Fight AIDS, Tuberculosis and Malaria) in the most recently completed fiscal year
Total funds budgeted for collaborative TB/HIV activities in the annual TB, HIV and/or TB/HIV work plan(s) of the same fiscal year
All collaborative TB/HIV activities (as defined in the WHO Interim Policy on Collaborative TB/HIV Activities) detailed in the annual HIV/AIDS, TB or TB/HIV work plans should have a relevant budget line in the annual programme budgets. The numerator should include funds from all sources (e.g. government, ministry of finance, loans, grants, Global Fund) that were allocated for collaborative TB/HIV activities in the previous fiscal year. Funds may be allocated through the NTP, the NACP or any other mechanism. The denominator is the corresponding annual figure budgeted for the annual work plan or mid-term development plan. Data on available funding should be compiled and then compared with the budget defined in the annual plan of activities.
Geographic location: N/A
Pregnancy status: N/A
Time period: N/A
Type of orphan: N/A
Vulnerability status: N/A
The percentage of total funds required that is actually available indicates whether the goals and objectives in the annual plans and mid-term development plan are realistic and sustainable over the planning period. Identification of the magnitude of the funding gap is useful for advocacy and resource mobilization purposes. A possible limitation is that a high percentage, while possibly suggesting that funds were adequately mobilized, could also indicate that the activities included in the annual plan were not sufficiently ambitious. For appropriate interpretation of this indicator, it is therefore necessary to consider the adequacy of the national plan for collaborative TB/HIV activities. Furthermore, many HIV and TB programmes may not yet have specific budget lines for collaborative TB/HIV activities since this is a relatively new approach. However, as collaborative TB/HIV activities become national policy and are included in the annual work plans of the NTP and NACP and/or the annual TB/HIV plan, they should also be allocated a specific budget line in the corresponding annual budgets. The absence of appropriate line items in the budgets once these activities form part of national plans will be useful information in itself and may indicate inadequacy in budgeting. A more general limitation of this indicator is that most existing budgets for TB and HIV collaborative activities focus on costs specific to TB or HIV control: they rarely include an assessment of the costs associated with using general health system resources (e.g. multipurpose staff and buildings) for implementation of TB/HIV collaborative activities. Therefore, it is unlikely that this indicator will be able to assess the extent to which funding for resources that TB and HIV programmes share with other programmes/services is adequate. To make valid comparisons over time, the line items included in the budgets (the denominator) must remain fairly consistent.