title: Total HIV/AIDS expenditures in Dehong Prefecture, Yunnan province in 2010: the first systematic evaluation of both health and non-health related HIV/AIDS expenditures in China.
abstract: OBJECTIVE
  We assessed HIV/AIDS expenditures in Dehong Prefecture, Yunnan Province, one of the highest prevalence regions in China, and describe funding sources and spending for different categories of HIV-related interventions and at-risk populations.
  
  
  METHODS
  2010 HIV/AIDS expenditures in Dehong Prefecture were evaluated based on UNAIDS' National AIDS Spending Assessment methodology.
  
  
  RESULTS
  Nearly 93% of total expenditures for HIV/AIDS was contributed by public sources. Of total expenditures, 52.7% was allocated to treatment and care, 24.5% to program management and administration and 19.8% to prevention. Spending on treatment and care was primarily allocated to the treatment of opportunistic infections. Most (40.4%) prevention spending was concentrated on most-at-risk populations, injection drug users (IDUs), sex workers, and men who have sex with men (MSM), with 5.5% allocated to voluntary counseling and testing. Prevention funding allocated for MSM, partners of people living with HIV and prisoners and other confined populations was low compared to the disproportionate burden of HIV/AIDS in these populations. Overall, people living with HIV accounted for 57.57% of total expenditures, while most-at-risk populations accounted for only 7.99%.
  
  
  CONCLUSIONS
  Our study demonstrated the applicability of NASA for tracking and assessing HIV expenditure in the context of China, it proved to be a useful tool in understanding national HIV/AIDS response from financial aspect, and to assess the extent to which HIV expenditure matches epidemic patterns. Limited funding for primary prevention and prevention for MSM, prisoners and partners of people living with HIV, signal that resource allocation to these key areas must be strengthened. Comprehensive analyses of regional and national funding strategies are needed to inform more equitable, effective and cost-effective HIV/AIDS resource allocation.
authors.affiliation: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
authors.forename: Duo
authors.initials: D
authors.lastname: Shan
authors.forename: Jiangping
authors.initials: J
authors.lastname: Sun
authors.forename: Anna
authors.initials: A
authors.lastname: Yakusik
authors.forename: Zhongdan
authors.initials: Z
authors.lastname: Chen
authors.forename: Jianhua
authors.initials: J
authors.lastname: Yuan
authors.forename: Tao
authors.initials: T
authors.lastname: Li
authors.forename: Jeannia
authors.initials: J
authors.lastname: Fu
authors.forename: Kaveh
authors.initials: K
authors.lastname: Khoshnood
authors.forename: Xing
authors.initials: X
authors.lastname: Yang
authors.forename: Mei
authors.initials: M
authors.lastname: Wei
authors.forename: Song
authors.initials: S
authors.lastname: Duan
authors.forename: Marc
authors.initials: M
authors.lastname: Bulterys
authors.forename: Michael
authors.initials: M
authors.lastname: Sante
authors.forename: Runhua
authors.initials: R
authors.lastname: Ye
authors.forename: Lifen
authors.initials: L
authors.lastname: Xiang
authors.forename: Yuecheng
authors.initials: Y
authors.lastname: Yang
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000517:prevention & control* / Q000628:therapy*; D002681:China / Q000453:epidemiology; D003140:Communicable Disease Control / Q000191:economics; D005260:Female; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D015995:Prevalence; D012306:Risk