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Key Resources

A range of topic-based key resources tracking discourse, commentary and opinion.

News Room

CEGAA is committed to ensuring that we remain abreast of and contribute to current developments related to our field, and we participate regularly in HIV/AIDS community events and research fora.

About CEGAA

The Centre for Economic Governance and Accountability in Africa (CEGAA) was founded in 2006 as a regional civil society organisation focused on attaining effective, rights-based and developmental health financing in Africa to enable a comprehensive response to HIV/AIDS.


We provide training, capacity-building, research and advocacy services to and through community structures, government stakeholders and legislatures in support of an empowered civil society and skilled public servants.


CEGAA is committed to assisting African states and organisations needing training and support for budget monitoring and expenditure tracking of health funding in general, and HIV/AIDS and TB funding in particular.


CEGAA has established an impressive track record in the field of economic governance and HIV/AIDS in Africa, and has become a sought-after service provider and partner. Our key strengths and success factors include our in-depth understanding of the networks and role-players in the field, our specialist niche and skills in HIV/AIDS costing, estimating, budget monitoring and expenditure tracking, and our team's authoritative insights into the regional context of this field.

Expertise accumulated by the leading CEGAA members was developed and nurtured mainly through the work they had previously done for the IDASA AIDS Budget Unit, and this proficiency has played a pivotal role in initiating and expanding our HIV/AIDS budget work throughout Africa.Through CEGAA's Advisory Board, experts in various fields relating to health, HIV/AIDS and socio-economic development provide technical guidance, support and mentoring to optimise our services to partners and clients.


Our founding Trustees also bring valuable knowledge, skills and experience to the management and direction of the organisation.

From the News Room

KEEPING TRACK OF HIV AND TB SPENDING IN SOUTH AFRICA: 2013/14 TO 2020/21 EXPENDITURE AND BUDGET REVIEW OCCASIONAL PAPER 2018-1

This paper outlines some trends in South Africa’s economic situation, its national and provincial health allocations generally, HIV and TB allocations and spending, and then take a closer look at spending trends at provincial and sub-programme levels in 2016/17. Our analyses are based on 2015/16, 2016/17, 2017/18 and 2018/19 budget and expenditure documents, 2016/17 provincial HIV CG Evaluation Reports, and CG quarterly reports.


The paper notes some achievements in the HIV and TB spending in SA. The reported improvements in service delivery and health outcomes would not have been possible without the increasing political and financial commitment of the South African government, and continued support from funding and implementing partners.


Some improvements in actual spending were made in 2016/17 after the provincial health HIV and TB finance and programme managers were provided with training and technical support by the FINCAP Project of CEGAA/ HE2RO to improve costing of the Conditional Grant (CG) business plans and management of provincial finances. More accurate costing was promoted to ensure reasonable targets in line with available resources and real expenditure. Provinces were encouraged to accelerate their recruitment process of key personnel required for the expansion of the treatment programme, and to ensure that procurement and payment for services were done in line with the business plan timeframes. The FINCAP Project, in partnership with the National Department of Health and special support from Strategic Development Consultants (SDC), has contributed vastly to these improvements.


FINCAP was a successful five-year (2013 – 2017) partnership project between CEGAA and HE2RO as part of HE2RO’s INROADS Programme, with funding from USAID. It was extended for another year in 2018 to deepen its interventions at district level.

A Message for 2016 International AIDS Conference

The South African Government (SAG) has since 2012/13 spent more than R4.5 trillion on public policy including education, health and social development programmes. An analysis of seven years (2012/13 – 2018/19) of the total government’s consolidated no

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