By Martha Ainsworth; Denise A. Vaillancourt; Judith Hahn Gaubatz
This review assesses the improvement effectiveness of the realm Bank's country-level HIV/AIDS guidance outlined as coverage discussion, analytic paintings, and lending with the categorical aim of decreasing the scope or influence of the AIDS epidemic. The assessment identifies findings from this event and makes thoughts to enhance the relevance, potency and efficacy of ongoing and destiny actions. this can be the 1st finished evaluate of the area Bank's HIV/AIDS help to nations, from the start of the epidemic via mid-2004. as the Bank's help is for implementation of presidency courses by way of govt, it presents vital insights on how nationwide AIDS courses should be made better.
Read Online or Download Committing to Results: Improving the Effectiveness of HIV AIDS Assistance (Operations Evaluation Studies) PDF
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Additional resources for Committing to Results: Improving the Effectiveness of HIV AIDS Assistance (Operations Evaluation Studies)
Prevention targeting those most likely to spread HIV, though planned, was often not implemented. • Monitoring, evaluation, and research have been weak and contributed little to improving impact. • Knowledge, awareness, and risk behaviors have improved in countries receiving Bank assistance. • Bank research and analysis are not reaching policy makers in Africa. • The research and analysis are generally perceived to be of high quality and usefulness. 3 Findings from the First Generation of Bank HIV/AIDS Assistance T he Bank’s overall policy objectives, inferred from Regional strategies and the objectives of country lending, have been to assist governments to prevent the spread of HIV, strengthen health systems to provide costeffective treatment and care for AIDS patients, mitigate other impacts, and develop national institutional capacity to manage and sustain the long-run response.
The Brazilian AIDS and STD Control Project ($160 million loan, 1993) financed prevention for both the general population and high-risk groups; better services for HIV and STD patients; institutional development, including training of service providers and upgrading laboratory services; and surveillance, research, and evaluation. A free-standing AIDS and STD Control Project ($30 million loan) was approved for Argentina in 1997. Both Brazil and Argentina had concentrated epidemics. The Indonesian HIV/AIDS and STD Management Project ($24 million loan) was approved in 1996, in anticipation that Indonesia, with a nascent epidemic, might follow the route of the explosive AIDS epidemic in Thailand.
Institutions for the Long-Run AIDS Response The Bank has helped to create or strengthen robust national and subnational HIV/AIDS institutions. 3: Analytic Work Can Build Commitment, But It Is Not a Panacea During extended project negotiations over the Russia TB and HIV/AIDS project, the economic impact of AIDS was identified as a potentially effective lever for increasing government commitment. a In the most pessimistic scenario, the model forecast a 4 percent decline in GDP by 2010. The results were disseminated in the Russian broadcast and print media, through op-ed articles, letters to the editor, press conferences, and presentations to government.