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Operational plan for comprehensive HIV and AIDS care and ...

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DRAFT - Confidential<br />

Given the considerable uncertainties surrounding the levels of uptake <strong>and</strong> the pace of<br />

rollout, the funding arrangements <strong>for</strong> the programme will require considerable flexibility.<br />

In particular, two approaches will merit <strong>care</strong>ful consideration.<br />

• Significant funds should be held in reserve centrally to be reallocated in line with<br />

actual progress as implementation unfolds (a contingency reserve).<br />

• There should be flexibility to roll over funds that are unspent due to slower-thanexpected<br />

uptake <strong>and</strong> rollout.<br />

Furthermore, any conditional grant funding will be designed to be as flexible as possible,<br />

<strong>and</strong> onerous or time-consuming administrative procedures will be avoided, while still<br />

ensuring that funds are spent against designated tasks <strong>and</strong> activities. The key determinant<br />

here will be adherence to the operational <strong>plan</strong>s developed by each province, <strong>and</strong><br />

demonstrated implementation progress against a set of key per<strong>for</strong>mance indicators.<br />

Chapter XVI: Budget 258

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