The National AIDS Spending Assessment (NASA) 2019 -2021 results show that total expenditure on HIV and AIDS interventions in Zambia increased

moderately from Four hundred and fifty million, two hundred and ninety-seven thousand, four

hundred and fifty-three United States Dollars (USD$450, 297, 453) in 2019; Four hundred

and ninety-four million, three and forty-nine thousand, nine hundred and eighty-one United

States Dollars (USD$ 494, 349, 981) in 2020; and Five hundred and four million, four hundred

and twelve and sixty-five United States Dollars (USD$ 504, 412, 065) in 2021, representing

an increase of 10 per cent in 2020 and two per cent (2%) in 2021. Total expenditure over

the three-year period amounted to One billion, four hundred and forty-nine million, fifty-nine

thousand, four hundred and ninety-nine United States Dollars (USD$ 1, 449, 059, 499). From

2019 to 2021, the increase rate in expenditure on the HIV and AIDS response was 12 per

cent.

Considering the future resource requirements to combat the two diseases, increasing levels

of funding are required to contain and maintain epidemic control. The HIV and TB pandemics

require long-term, forward-looking, sustained investments, leadership and political

commitment. Therefore, the National AIDS Spending Assessment (NASA) has allowed us to

prove the worth of our combined efforts in aiding Zambia in achieving its strategic focus area

of eliminating AIDS and tuberculosis by 2030. Through this NASA, previously unknown gaps

and priorities have been identified, allowing us to better allocate our resources and close the

gap between underserved communities.

The national response to HIV and AIDS in Zambia depends essentially on two external

donors: the United States of America Government (USG) and the Global Fund (GF).

During the period 2019 to 2021, the United States of America (USA) contributed 76.32 per

cent of national HIV and AIDS expenditure followed by the Global Fund with 17.32 percent.

The contributions of these two donors alone amounted to 91.75 percent in 2019, 91.37 percent in 2020, and 89.35 percent in 2021.