Budget Impact of HIV/AIDS in South Africa for the Africa Network Forum 18 May 2015 Paul laCock Director, ISPOR South Africa Chapter

Key Budget Impact Drivers  Extent of target population – Epidemiology • HIV prevalence and staging – CD4 target treatment level – Scope of interventions – Operational targets – Extent to which operational targets are achieved

 Treatment costs  Circular impact of ARV provision  Perspective – Public Sector 2

1

Government Intervention Timeline  1981 – first case reported  1988 – establishment by government of various bodies e.g. ATIC – Annual budget of R21m

 1992 – establishment of NACOSA – National AIDS Plan adopted – Annual budget of R257m

 2003 – commencement of provision of ARVs (CD4