By Collette Schulz-Herzenberg
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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
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.
Principal recipients (generally governments) should also have appropriate systems in place to assess and monitor the subrecipient’s implementation and use of grant proceeds, including reporting and audit requirements. Guidelines for performancebased funding can be found at the Global Fund’s website and are displayed in Table 7 (GFATM nd). The Global Fund has demontrated its readiness to act if it detects financial mismanagement by either a principal recipient or subrecipient. 24 Concerns related to performance, financial and accounting procedures, and the need for an effective governance structure.
Finally, provincial treasuries do not require provincial departments to include donor income in their budgets. In relation to funding for HIV/AIDS treatment, Nattrass (2006a:9) argues that: Disentangling the relative contributions of donors and the South African government for the public sector rollout is a complex business! Unfortunately, neither the donors nor the South African public sector provide sufficient data for the relative impacts to be unpacked at national level. 13 Government funds in their various forms therefore offer the greatest potential for abuse, corruption and misappropriation.
A Lethal Cocktail: Exploring the Impact of Corruption on HIV AIDS Prevention and Treatment Efforts in South Africa by Collette Schulz-Herzenberg