Has HIV/AIDS fueled donor ‘funding’ dependency in Africa?

“We cannot hope to formulate adequate development theory and policy for the majority of the world’s population who suffer from underdevelopment without first learning how their past economic and social history gave rise to their present underdevelopment” – Andre Gunder Frank, “The Development of Underdevelopment” (1966).

This week marks the convening of the 18th International AIDS Conference in Vienna that assesses the progress made in the fight against the disease. This convening’s keynote speaker was former US President Bill Clinton whose speech called for efficient spending in the face of dwindling resources to address the pandemic. Mr. Clinton while stressing that every wasted dollar put a life at risk said “In too many countries too much money goes to pay for too many people to go to too many meetings, get on too many airplanes,”. He also added that too much money is spent on studies and reports that remain on the shelves.

But how did it come to this? Not that the funding coffers are drying up, but that 28 years after AIDS was discovered, and billions of dollars being spent annually, that HIV/AIDS still looms large on our horizon.

Well, the blame rests on both sides of the so-called development game: non governmental agencies (donors) as well as the beneficiaries. Dealing with HIV/AIDS in sub-Saharan Africa has become a long term mutually beneficial relationship among the two.

With all those meetings and carbon emissions generated in attending the meetings, the overall goal for these HIV/AIDS projects (probably long forgotten in the NGOs proposal logical framework) of assisting the beneficiaries has dropped lower down the agenda.

In turn the beneficiaries due to having these agencies around for so long (for some AIDS orphans, all their lives) lack the drive to solve their own problems without external assistance (funding).

And indeed why should it be any different when the number of NGOs continue to rise. Just visit Kibera, Africa’s second largest urban slum and you can almost trip over the number of agencies working in HIV/AIDS, water and sanitation and any other baseline survey assessed need.

Last year while visiting with some young entrepreneurs in Kibera, we at YIPE heard some pretty horrific stories in how donor dependency for “funding” has impacted their lives. These youth were all born in the slum and for the most part of their lives, there were always NGOs providing whatever assistance was required.

As a result where HIV/AIDS stigmatization existed in other areas, in Kibera it was not as bad. But that is not just a reflection of the numerous Voluntary Counseling and Testing Centres (VCT) that abound. The real pay off is that if an individual tests HIV positive, they then not only receive free anti-retrovirals, but also receive assistance, be it in the form of food, clothes or maybe rent money. Thus apart from the implementing agency carrying out the HIV/AIDS project, the beneficiaries also became recipients of what they call “funding”.

One of the Kibera youth told us the story of a young man that visited a VCT centre and “sadly” tested negative. Crestfallen that he could not receive “funding”, the young man set out on a mission to reverse that diagnosis.

Not an ideal marriage

This symbiotic dependency between NGOs and their beneficiaries really needs to be further interrogated. It’s a shame that this is the 18th International AIDS conference and it seems that apart from the condom and abstinence, there is no other readily available and inexpensive way to prevent HIV infections.

Why is it that after all these years Uganda which was a best practice case in how to combat the disease which almost decimated the country’s future economic development prospects now has a rising infection rate? Why is it that the majority of these new cases are not among the red zone population segments such as commercial sex workers and ling distance truck drivers but among married couples? Or is it that there are absolutely no HIV/AIDS focused non governmental organisations in that country?

Those questions are for the INGO, NGO, FBO, CSO and any other “O” professing to have made an impact all these years. Now here’s one for the beneficiaries, particularly the youth. Why do we have to suffer one more AIDS related death on top of the 71 million people Africa has lost since the disease was discovered?

A new approach – People, Planet, Project

This year when countries have to renew their commitments to the Global Fund for AIDS, TB and Malaria, in the face of the global economic crisis, activists are calling for new approaches for raising funds, including airline ticket taxes.

However this will still lead to the same scenario with communities being put on the back burner in their zeal to raise funding for projects.

The solution here is to encourage social entrepreneurs to enter into the fray. The difference between a social enterprise and an NGO is that the entrepreneur has to be ultimately concerned with having community acceptance (if not involvement as employees, distributors …). Their models are sustainable and unlike NGOs they have to be accountable to shareholders and the community (market) they operate in.

Social enterprises also by virtue of their type of entity have to be transparent in terms of finance and corporate governance. Profit also would be a useful tool to assess the uptake of socially marketed products such as female condoms. Maybe some unsuccessful NGO projects could have been abandoned sooner if there was a price tag to measure success.

In retail speak, once a consumer buys into the story behind the product, they own it. Isn’t that sustainability?

The best outcome of this 18th AIDS Conference would be a new approach in ensuring that the implementing agencies do have the “moral standing” as Bill Clinton put it to ask for funding to do their “jobs faster, better and cheaper” – something most entrepreneurs do on a daily basis.

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About yipe
Yipe an acronym for the Youth Interactive Portal for Enterprise is an organization that assists entrepreneurs to start up and manage their small businesses.

11 Responses to Has HIV/AIDS fueled donor ‘funding’ dependency in Africa?

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  7. Rajendra says:

    what is the email id where i can communicate

  8. Faasik says:

    we are the faasik Kenya ngo our website is
    http://www.faasikkenya.or.ke.com/
    we are requesting for your patnership and for any fundings for treatment
    literacy for HIV/AIDS and home based care. we normally do home based
    care in eastleigh nairobi kenya and mbagathi district hospital but
    people usally die because we dont have enough funds for nutrition. Any
    assistance can be highly appreciated to help our ngo grow stronger.
    thank you for your co-operation.

    anyway if you dont do the following you can help us find other sites which are usefull. thank you.

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    Emma Mgcina
    What are u doing for community projects??the only thing i see here u are looking for donations..if u want to be successful post your community projects..help will come!!
    24 · 31 December 2012 at 09:58
    Jeevan Magapu
    I like ur work we too hiv work we need spancer for it acm will apricite ur work
    26 · 19 December 2012 at 23:02

    More Posts
    Emmanuelandrews petermonica hiv aids foundation charity hospital shared Association for Citizenship Teaching’s status.
    about a minute ago
    FullName: Emmanuelandrews petermonica HIV AIDS

    Foundation pentagon a community base 50beds hospital in bairro hombwe

    chimoio 14km from chimoio town mozambique

    mail: peter4anesu@gmail.com

    Phone: 00258848977722

    Enquiry: General Feedback

    Response: Yes

    Customer: Yes

    Message:

    Subject: PARTNERSHIPS DRUGS VACCINES HIV AIDS OR MEDICAL MACHINES OR

    BUILDING 50BEDS HOSPITAL community based 14km from chimoio town mozambique

    WE are very very happy very much a lot. Firstly our 50beds hospital is

    in community based hospital in bairro hombwa

    .chimoio in manica

    provinces mozambique. Its is very near chimoio airport in chimoio

    manica . We did our groundbreaking on 30june 2012 at 10am . We have

    searcHING the past 5years for partnerships.

    We are working hand in hand with the ministry of health to set up the

    hospital all is set up very good . Our references with min of health

    can contact DR Amos the provincial medical director of manica

    provinces , email juvenaldoamos@gmail.com, phone no 00258825092140 or

    the medical director of manica DR marilia pugias phone 00258825699130

    We have land of 10ha now water and electrical under control,ITS 14KM

    from the hospital to city chimoio . Our drafts plan was approved by

    the ministry of health on 30june 2012,so the full plan of the project

    is been developed

    O, O,GREAT, GREAT WORKS HAVE STARTED AT BAIRRO HOMBWA 5KM FROM CHIMOIO

    AIRPORT MOZAMBIQUE Emmanuelandrews Petermonica HIV AIDS Foundation

    Pentagon charity hospital seeking 50000.00usd dollars

    1st december 2012 must fuLL BLOWER OPERATIONS

    ,GENERAL TREATMENTS , MATERNITY WARDS AND HIV

    AIDS TESTING AND CONSELLING CD4COUNTS RECORDS AND REPORTS

    We are seeking for the above amount to pay -purchase

    the below listed services and equipment for

    EMMANUELANDREWS PETERMONICA HIV AIDS FOUNDATION PENTAGON CHARITY

    HOSPITAL 50BEDS

    1 Development of full plan of the 10ha land which needs USD5000.00Dollars

    2 Connections electricity to our hospital which is a 3.5km peg from

    last power point USD 6850.00DOLLARS

    3 Connections water to the hospital which also measures 3.5km last peg

    and to dig 0.50cm trench to the hospitalUSD 7900.00DOLLARS

    4 BUILDING 16ROOMS for general treatment ,hiv aids testing a centre tb

    ward, maternity wards costing 25000usd

    MOZAMBIQUE

    Humanitarian Profile: Mozambique

    Region: Southern Africa

    Total population: 21.4 million Ranked 172 out of 177 countries

    according to Human Development

    indicators ( HDI)

    Life expectancy : 42 years

    74% of population living on less than $2 a day

    16% of adults living with HIV/AIDS

    One in ten babies die before their first birthday

    Nearly one in four children is underweight

    Three-quarters of the population live on less than $US 2 a DAY

    DABLICA DE MO=C7AMBIQUE

    CONSELHO NACIONAL DE COMBATE AO HIV e SIDA

    GOVERNO DA PROV=CDNCIA DE MANICA

    DACLEO DE COMBATE AO HIV e SIDA

    CREDENCIAL

    FAcleo Provincial de Combate ao HIV e SIDA de Manica, no quadro

    de coordenar, facilitar, monitorar e avaliar a resposta

    a

    pandemia do SIDA em Manica, tem a honra de declarar que a Funda

    Emmanuel Andrews Peter Monica HIV/AIDS, Pentagon Charity Hospitalis,

    veio apresentar-se como parceiro com capacidade para ajudar a

    EDncia a minimizar os riscos e a vulnerabilidade de propaga

    HIV e SIDA, a de programas de tratamento anti-retroviral.

    Ciente que este assunto merecer parceiros de

    implementa e de coopera interesse que possam ter em f=

    acilitar

    os seus representantes no exerc=EDcio das suas actividades em Manica.

    Combater o HIV e SIDA Contribuir no Desenvolvimento da Prov

    Chimoio, aos 04 de Julho de 2012

    O Coordenador do N=FAcleo Provincial

    __________

    Aar Uaqui

    50 BEDS CHARITY HOSPITAL OPERATING COST

    1. COMMUNITY BASED HOSPITAL (5O BEDS) (CHARITABLE) WITH PRIORITY

    ON AIDS/HIV PATIENTS

    2. TO REACH OUT THE RURAL/SUBURBAN POPULACE THAT

    DO NOT HAVE ACCESS TO MEDICAL CARE,

    IN PARTICULAR HIV/AIDS PATIENTS.

    GENERAL MEDICAL/SURGICAL/ORTHOPAEDIC SERVICE WILL ALSO BE PROVIDED

    3. (I) OUT PATIENT/INPATIENT/DAY CARE & SURGICAL PACILITIES. FUNDING IS

    REQUIRED FOR THE DAILY / MONTHLY OPERATING COSTS OF THE HOSPITAL.

    TIMETABLE

    TOTAL STAFF : 50 =55

    WOMAN EMPLOYEES : 20 -30 PROFESSIONAL

    RENTALS 10,000 x 12 – USD 120,000

    PHARMACEUTICALS

    USD 25,000 – USD 50,000 x 12

    USD 300000 – USD 600000

    UTILITIES

    USD 5000 x 12

    USD 60000

    D

    MAINTENANCE

    USD 2000 x 12

    USD 24000

    E

    LAUNDRY

    USD 2000 x 12

    USD 24000

    F

    KITCHEN

    USD 10,000 x 12

    USD 120000

    OPERATING COSTS PER YEAR TOTAL

    USD 114000 TO USD 120000 x 12 – USD 1.3 MILLION TO USD 1.4 MILLION

    17 EC 145 EURUCOPTER HELICOPTER FRENCH 1,7MILLION USD DOLLARS .A

    MEDICAL AIRLIFT MISSION WOULD T RANSPRT DOCTORS TO REMOTE SETTLEMENTS

    ALSO ACT AS A MEDICAL EMERGENCY EVACUATION SERVICE IN REMOTE AREAS

    Regards

    president

    ph no 00258848977722

    Emmanuelandrews petermonica HIV AIDS Foundation pentagon charity

    hospital 50beds a community based in bairro hombwe chimoio 14km from

    chimoio town mozambique

    TAX REBATES TRUSTEE N0 MA0000850

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