East Asia and Pacific; Europe and Central Asia; Africa; Middle East and North Africa; South Asia; Latin America & Caribbean
Report Number:
WDP389
Sub Sectors:
(Historic)Nutrition
SubTopics:
Health Monitoring & Evaluation; Health Economics & Finance; Adolescent Health; HIV AIDS; ICT Policy and Strategies
Volume 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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