The Role of Local Government Support in Sustaining HIV/AIDS Funding: A Comparative Analysis of Policy Approaches in Selected African Countries

Katu Amina H.

School of Natural and Applied Sciences Kampala International Uganda

ABSTRACT

The sustainability of HIV/AIDS programs in Africa is a critical issue, with much of the funding historically dependent on international donors. This dependence creates challenges in maintaining continuous and equitable access to care, prevention, and treatment services, especially when global economic or political changes occur. Local government involvement in funding HIV/AIDS programs presents a promising solution to enhance long-term sustainability. This review offers a comparative analysis of policy approaches in selected African countries—South Africa, Uganda, Kenya, and Nigeria—exploring the role of local governments in managing HIV/AIDS funding and services. Through case studies, we examine how decentralized governance, policy frameworks, and local resource mobilization have shaped the effectiveness of HIV/AIDS programs. While some countries, like South Africa and Kenya, have implemented robust frameworks that empower local governments, others, such as Nigeria, face challenges due to heavy reliance on external donors. The review also discusses barriers such as limited revenue generation, capacity constraints, and regional disparities, which impact the successful implementation of local government-led HIV/AIDS funding. Recommendations to strengthen local government support include enhancing decentralization, improving local revenue generation, building capacity for local staff, and fostering public-private partnerships. The study underscores the importance of empowering local governments to ensure the continued success of HIV/AIDS programs, ultimately leading to more resilient and self-sufficient healthcare systems across Africa.

Keywords: HIV/AIDS, local government support, funding sustainability, decentralized governance, African health systems.

CITE AS: Katu Amina H. (2025). The Role of Local Government Support in Sustaining HIV/AIDS Funding: A Comparative Analysis of Policy Approaches in Selected African Countries. Research Output Journal of Biological and Applied Science 5(1):5-10. https://doi.org/10.59298/ROJBAS/2025/51510