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World Bank HIV/AIDS interventions - ex-ante and ex-post evaluation, Volume 1
Author:Dayton, Julia; Country:Uganda; Equatorial Guinea; Comoros; Macedonia, former Yugoslav Republic of; Cote d'Ivoire; Kenya; Mali; Congo, Democratic Republic of ; Chad; Zimbabwe; Papua New Guinea; Romania; Lesotho; Gambia, The; Honduras; Burundi; Rwanda; Niger; Brazil; China; Haiti; Malawi; Cameroon; India; Senegal; Yemen, Republic of; Guinea-Bissau; Tanzania; Angola; Burkina Faso; Indonesia; Guinea; Malaysia; Morocco; Kyrgyz Republic; Madagascar;
Date Stored:2002/09/17Document Date:1998/06/30
Document Type:PublicationSubTopics:Health Economics & Finance; ICT Policy and Strategies; HIV AIDS; Adolescent Health; Health Monitoring & Evaluation
Major Sector:(Historic)Health, Nutrition & PopulationRegion:Middle East and North Africa; Latin America & Caribbean; Latin America & Caribbean; East Asia and Pacific; Africa; East Asia and Pacific; Africa; Africa; Middle East and North Africa; East Asia and Pacific; Africa; Africa; Latin America & Caribbean; Europe and Central Asia; South Asia; East Asia and Pacific; Africa; Africa
Report Number:WDP389Sub Sectors:(Historic)Nutrition
Collection Title:World Bank discussion paper ; no. WDP 389Volume No:1

Summary: This paper evaluates World Bank activities to prevent and mitigate the effects of AIDS in all regions of the developing world during fiscal years 1986 to 1996. It first prioritizes HIV-prevention and treatment interventions using the principles of public economics. Based on this framework, it assesses the appropriateness of Bank lending and grants, Bank Country Assistance Strategies, and country economic and sector work. While the Bank provided extensive assistance for efforts to collect information (surveillance and behavioral studies), support was less extensive for interventions that focus on reducing risky behaviors of those at highest risk for contracting and transmitting HIV. Few of the projects reviewed in the paper relied on strong economic analysis in ex-ante or ex-post evaluation. These findings suggest two primary challenges for the World Bank: (i) to focus its support for HIV prevention interventions that reach groups at highest risk to contract and spread HIV; and (ii) to improve the economic analysis used in preparing Bank HIV-related projects and in evaluating their effectiveness.

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