Performance of Government Subsidies for Public-Interest Private Organizations in HIV/AIDS Prevention and Alleviation

Abstract

This qualitative study aims to analyze the implementation outcomes, systemic mechanisms, and key challenges of government grant allocation to public-benefit non-governmental organizations (NGOs) engaged in HIV/AIDS prevention and control, as well as to formulate policy recommendations for improving future grant management. Data were collected through focus group discussions and in-depth interviews with grant management units and representatives of grant-recipient organizations, involving a total of 69 participants. The data were analyzed using content analysis.

The findings indicate that the grant mechanism plays a crucial role as a policy instrument in fostering civil society participation, particularly among networks of people living with HIV, youth groups, and gender-diverse populations. These groups function as intermediaries linking vulnerable populations to the public health service system. However, continuous budget reductions and annual-based funding allocations have undermined program continuity and constrained the development of new generations of community leaders. This limitation is especially evident among youth, who remain primarily positioned as service recipients rather than as community-level change agents. In addition, gaps were identified in grant governance, monitoring, and qualitative evaluation processes, reflecting structural limitations within the current grant management system.

This study recommends shifting toward multi-year funding arrangements alongside increased investment in capacity building and strengthened monitoring mechanisms to enhance the role of civil society and support the sustainable achievement of the goal of ending AIDS.