HIV-AIDs, TB, Malaria and Community Outreach Conditional Grant – Spending Review Report

South Africa has the largest number of people living with HIV in the world and also has the world’s largest antiretroviral treatment (ART) programme. The ART programme, as well as to a somewhat lesser extent prevention programmes are largely domestically funded and the vast majority of government HIV funding is channelled through a ringfenced conditional grant from national to provincial governments. This grant has now become very large and has more than doubled in nominal terms in less than a decade, reaching R24bn in 2020/21.