References in the content below refer to the PBMEF Guide.
Definitions
Percentage of a national tuberculosis program’s (NTP’s) budget expected to be funded from domestic sources during the reporting period.
Calculation: (Numerator/Denominator) x 100
Numerator
Denominator
Ref # |
SN-1
|
Tier Level |
Core Indicator
|
Category |
Sustain
|
Type |
Core Outcome
|
Unit of Measure |
Percent of funding
|
Data Type |
Percentage
|
Disaggregations |
N/A |
Reporting Level |
N/A |
Reporting Frequency |
N/A |
This indicator is reported by NTP official records and budgets.
This standard World Health Organization (WHO) indicator can also be calculated using the WHO database. The variable for the numerator is cf_tot_domestic (expected funding from domestic sources, including loans [US dollars]), and the denominator is cf_tot_sources (total expected funding from all sources [US dollars]).
A key measurement of a country's sustainability of resources is how it implements its national TB strategic plan. While international donor funding is still critical for low- and middle-income countries, increasing the share of funding from domestic sources is necessary for sustainability. This indicator measures the amount of funding that is expected to be mobilized from domestic sources out of all available sources. It is a good planning tool for the country to gauge how much it can and should plan to mobilize in the next budget cycle to reduce the level of dependency on international donors.
According to the 2020 WHO Global TB Report, most of the USD$6.5 billion available in 2019 is from domestic sources (61% of the total). However, the high volume of funding in the BRICS group of countries (Brazil, the Russian Federation, India, China, and South Africa) influences this figure. In other low- and middle-income countries, international donor funding remains crucial. This indicator is also a measure of a national government’s level of financial commitment to TB.
Percentage of expected domestic financing for TB can be analyzed as a trend over time either on its own or against country and/or global targets, such as the total budget required to fund a national strategic plan. Indeed, a comparison between the total budget required (budget_tot) versus the amount expected (cf_tot_sources) will give a picture of the budget shortfall that the NTP will face, and therefore help in deciding domestic resource mobilization to meet those shortfalls.
Further, budgeted or expected funds can be compared to funds received or disbursed to highlight gaps in utilization of domestic funding either within a given year or budget cycle, or as a trend over time. Thus, analyzing the general trend of funding received from domestic sources, including loans (US dollars) [rcvd_tot_domestic] as a percentage of expected funding from domestic sources, including loans (US dollars) [cf_tot_domestic] can help to understand the chronic deficiency the country is facing in fulfilling its budgetary commitment to NTP. This could be reviewed in the context of overall budget shortfall/over-budgeting by comparing total funding received for all budget line items (US dollars) [rcvd_tot] versus total budget required (US dollars) [budget_tot].