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The background of this research is the fact that the problem in HIV / AIDS prevention to provide good services has been mandated in the Minister of Health Regulation 21 of 2013 so that the Banten Provincial Government should be able to provide good services for people with HIV AIDS (ODHA), but in fact the Indonesian government has not been able to serve people with HIV AIDS (PLWHA) well because of a lack of commitment from the central government and regional governments. Therefore the need for the role of regional governments in the era of regional autonomy in HIV AIDS prevention is needed in providing health services to their communities. Besides that HIV and AIDS is one of the social problems that must be considered by the government, because in reality the views in the community and discrimination are still a serious problem in the efforts to prevent, handle and control HIV and AIDS in Banten Province. The next problem is that stakeholder understanding of the HIV and AIDS program budgeting policies is limited, institutional capacity related to budget access and management is inadequate, and data-based budgeting planning is still minimal. The theoretical basis used is the Policy Implementation Theory, while the method used is descriptive with a qualitative approach.