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 2013/14 - 2018/19 budget and expenditure documents, as well as 2016/17 provincial HIV CG Evaluation Report and CG quarterly reports.

Some achievements in the HIV and TB spending in SA are noted. 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.

We conducted a desktop review of government budget and expenditure statements, as well as additional information from the National HIV/AIDS Cluster.