[The application of National AIDS spending assessment in a county of Dehong prefecture, Yunnan province, China].
OBJECTIVE
To calculate the actual expenditures in a county of Dehong prefecture, Yunnan province, China by using the method of National AIDS Spending Assessment (NASA) in 2010.


METHODS
Data were collected through NASA data collection form based on adapted NASA classification in the county of Dehong prefecture from October to December, 2011, and complemented by semi-structured interview with 16 well trained programmatic and financial representatives in 8 spending units. Data were entered in Resource Tracking Software (RTS) V 2009.3.0, and SPSS 13.0 was used for data processing and analysis.


RESULTS
The NASA estimations showed that the county spent a total of ¥16 235 954 on HIV/AIDS in 2010. Public funds constituted 96.3% of the total expenditure (¥15 630 937), followed by Global Fund which accounted for 3.0% (¥484 585) and private sources which accounted for 0.7% (¥120 432). Findings based on NASA categories showed that AIDS spendings were mainly on 4 areas, and expenditure on Care & Treatment was ¥12 401 382 (76.4% of total expenditure), followed by Prevention which accounted for 14.3% (¥2 325 707), Program Management & Administration which accounted for 7.8% (¥1 268 523) and human resources which accounted for 1.5% (¥240 342). The most beneficial population group was People Living with HIV (PLHIV), accounting for 84.7% of total expenditure. (¥13 753 428), followed by 4.8% for high risk population, including female sex workers and their partners (¥297 333), injection drug users and their partners (¥293 143), men having sex with men and their partners (¥185 136) and 1.5% (¥241 429) for the general population.


CONCLUSIONS
The local funds for HIV/AIDS in this county was insufficient. The local government should increase corresponding funds based on central government funding. Care and treatment was the first spending priority in the county and the investment of prevention services needs to be increased. Prevention and treatment and care should be combined to ensure the effectiveness of comprehensive prevention and treatment of AIDS.
National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Duo
D
Shan
Jiang-ping
JP
Sun
Anna
A
Yakusik
Zhong-dan
ZD
Chen
Jian-hua
JH
Yuan
Tao
T
Li
Song
S
Duan
Xing
X
Yang
Mei
M
Wei
Sante
S
Michael
Run-hua
RH
Ye
Li-fen
LF
Xiang
Yue-cheng
YC
Yang
Da
D
Ren
D000163:Acquired Immunodeficiency Syndrome / Q000191:economics* / Q000517:prevention & control; D002681:China; D005380:Financing, Government / Q000191:economics*; D005102:Health Expenditures; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D011795:Surveys and Questionnaires