The Fiscal Dimension of HIV/AIDS in Botswana, South Africa, Swaziland, and Uganda
HIV/AIDS imposes enormous economic, social, health, and human costs and will continue to do so for the foreseeable future. The challenge is particularly acute in Sub-Saharan Africa, home to two-thirds (22.5 million) of the people living with HIV/AI...
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| Format: | Publication |
| Language: | English |
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World Bank
2012
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| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20111208235232 http://hdl.handle.net/10986/2382 |
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okr-10986-2382 |
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oai_dc |
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Digital Repository |
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Foreign Institution |
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Digital Repositories |
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World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ABSENTEEISM ACQUIRED IMMUNODEFICIENCY SYNDROME AFFECTED COMMUNITIES AIDS EPIDEMIC AWARENESS CAMPAIGNS BEHAVIOR CHANGE CLIMATE COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNITIES COMMUNITY ACTION COMMUNITY PARTICIPATION COUNCILS DECENTRALIZATION DECISION-MAKING DEVELOPMENT PROCESS DISCRIMINATION DRUG USERS EDUCATION EFFECTIVE PREVENTION EXERCISES EXPENDITURE FAMILIES GENDER EQUALITY GIRLS GOVERNMENT AUTHORITY GOVERNMENT LEVEL GOVERNMENT ROLES HEALTH HEALTH CARE HEALTH SERVICES HIV HIV POSITIVE HOUSING HUMAN IMMUNODEFICIENCY VIRUS HUMAN RESOURCES IDEAS IMMUNODEFICIENCY INCOME INTERVENTION LABOR PRODUCTIVITY LABOR SUPPLY LEADERSHIP LEVELS OF GOVERNMENT LOCAL AUTHORITIES LOCAL GOVERNMENT LOCAL GOVERNMENT AUTHORITIES LOCAL GOVERNMENTS MANAGERS MEDIA MINISTRIES OF HEALTH MUNICIPAL MANAGEMENT MUNICIPALITY NATIONAL AIDS COUNCILS NATIONAL GOVERNMENTS NATIONS ORPHANS PARTNERSHIP PATIENTS PRIMARY HEALTH CARE PRIVATE SECTOR PUBLIC HEALTH REPRESENTATIVES RESOURCE MOBILIZATION RISK FACTORS SERVICE DELIVERY SEX WORKERS SOCIAL WELFARE SOCIETY TRANSMISSION UNAIDS URBAN AREAS VOLUNTARY COUNSELING VULNERABLE CHILDREN ACQUIRED IMMUNE DEFICIENCY SYNDROME HIV VIRUSES EPIDEMICS HANDBOOKS COMMUNITY PARTICIPATION LOCAL GOVERNMENT LOCAL NONGOVERNMENTAL ENTITIES CIVIL SOCIETY GOVERNMENT ROLE GOVERNANCE CAPACITY INTERAGENCY COORDINATION DISEASE PREVENTION & CONTROL RESOURCES MOBILIZATION MONITORING CRITERIA |
| spellingShingle |
ABSENTEEISM ACQUIRED IMMUNODEFICIENCY SYNDROME AFFECTED COMMUNITIES AIDS EPIDEMIC AWARENESS CAMPAIGNS BEHAVIOR CHANGE CLIMATE COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNITIES COMMUNITY ACTION COMMUNITY PARTICIPATION COUNCILS DECENTRALIZATION DECISION-MAKING DEVELOPMENT PROCESS DISCRIMINATION DRUG USERS EDUCATION EFFECTIVE PREVENTION EXERCISES EXPENDITURE FAMILIES GENDER EQUALITY GIRLS GOVERNMENT AUTHORITY GOVERNMENT LEVEL GOVERNMENT ROLES HEALTH HEALTH CARE HEALTH SERVICES HIV HIV POSITIVE HOUSING HUMAN IMMUNODEFICIENCY VIRUS HUMAN RESOURCES IDEAS IMMUNODEFICIENCY INCOME INTERVENTION LABOR PRODUCTIVITY LABOR SUPPLY LEADERSHIP LEVELS OF GOVERNMENT LOCAL AUTHORITIES LOCAL GOVERNMENT LOCAL GOVERNMENT AUTHORITIES LOCAL GOVERNMENTS MANAGERS MEDIA MINISTRIES OF HEALTH MUNICIPAL MANAGEMENT MUNICIPALITY NATIONAL AIDS COUNCILS NATIONAL GOVERNMENTS NATIONS ORPHANS PARTNERSHIP PATIENTS PRIMARY HEALTH CARE PRIVATE SECTOR PUBLIC HEALTH REPRESENTATIVES RESOURCE MOBILIZATION RISK FACTORS SERVICE DELIVERY SEX WORKERS SOCIAL WELFARE SOCIETY TRANSMISSION UNAIDS URBAN AREAS VOLUNTARY COUNSELING VULNERABLE CHILDREN ACQUIRED IMMUNE DEFICIENCY SYNDROME HIV VIRUSES EPIDEMICS HANDBOOKS COMMUNITY PARTICIPATION LOCAL GOVERNMENT LOCAL NONGOVERNMENTAL ENTITIES CIVIL SOCIETY GOVERNMENT ROLE GOVERNANCE CAPACITY INTERAGENCY COORDINATION DISEASE PREVENTION & CONTROL RESOURCES MOBILIZATION MONITORING CRITERIA Lule, Elizabeth Haacker, Markus The Fiscal Dimension of HIV/AIDS in Botswana, South Africa, Swaziland, and Uganda |
| geographic_facet |
Africa East Africa Sub-Saharan Africa Southern Africa South Africa Botswana Uganda Swaziland Eswatini |
| description |
HIV/AIDS imposes enormous economic,
social, health, and human costs and will continue to do so
for the foreseeable future. The challenge is particularly
acute in Sub-Saharan Africa, home to two-thirds (22.5
million) of the people living with HIV/AIDS globally, and
where HIV/AIDS has become the leading cause of premature
death. But now, after decades of misery and frustration with
the disease, there are signs of hope. HIV prevalence rates
in Africa are stabilizing. This book sheds light on these
concerns by analyzing the fiscal implications of HIV/AIDS in
Southern Africa, the epicenter of the epidemic. It uses the
toolbox of public finance to assess the sustainability of
HIV/AIDS programs. Importantly, it highlights the long-term
nature of the fiscal commitments implied by HIV/AIDS
programs, and explicitly discusses the link between HIV
infections and the resulting commitments of fiscal
resources. The analysis shows that, absent adjustments to
policies, treatment is not sustainable. But it also shows
that, by accompanying treatment with prevention, and making
existing programs more cost-effective, these countries can
manage both treatment and fiscal sustainability. Even in
countries where HIV/AIDS-related spending is high or
increasing (as past infections translate into an increasing
demand for treatment), the fiscal space absorbed by the
costs of HIV/AIDS-related services will decline if progress
in containing and rolling back the number of new infections
can be sustained. The purpose of this study is to refine the
analysis of the fiscal burden of HIV/AIDS on national
governments and assess the fiscal risks associated with
scaling-up national HIV/AIDS responses. The study
complements and contributes to the agenda on identifying and
creating fiscal space for HIV/AIDS and other development
expenditures. The findings from this study, and the
analytical tools developed in it, could help governments in
defining policy objectives, improving fiscal planning, and
conducting their dialogue with donor agencies. |
| format |
Publications & Research :: Publication |
| author |
Lule, Elizabeth Haacker, Markus |
| author_facet |
Lule, Elizabeth Haacker, Markus |
| author_sort |
Lule, Elizabeth |
| title |
The Fiscal Dimension of HIV/AIDS in
Botswana, South Africa, Swaziland, and Uganda |
| title_short |
The Fiscal Dimension of HIV/AIDS in
Botswana, South Africa, Swaziland, and Uganda |
| title_full |
The Fiscal Dimension of HIV/AIDS in
Botswana, South Africa, Swaziland, and Uganda |
| title_fullStr |
The Fiscal Dimension of HIV/AIDS in
Botswana, South Africa, Swaziland, and Uganda |
| title_full_unstemmed |
The Fiscal Dimension of HIV/AIDS in
Botswana, South Africa, Swaziland, and Uganda |
| title_sort |
fiscal dimension of hiv/aids in
botswana, south africa, swaziland, and uganda |
| publisher |
World Bank |
| publishDate |
2012 |
| url |
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20111208235232 http://hdl.handle.net/10986/2382 |
| _version_ |
1764385353102262272 |
| spelling |
okr-10986-23822021-04-23T14:02:01Z The Fiscal Dimension of HIV/AIDS in Botswana, South Africa, Swaziland, and Uganda Lule, Elizabeth Haacker, Markus ABSENTEEISM ACQUIRED IMMUNODEFICIENCY SYNDROME AFFECTED COMMUNITIES AIDS EPIDEMIC AWARENESS CAMPAIGNS BEHAVIOR CHANGE CLIMATE COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNITIES COMMUNITY ACTION COMMUNITY PARTICIPATION COUNCILS DECENTRALIZATION DECISION-MAKING DEVELOPMENT PROCESS DISCRIMINATION DRUG USERS EDUCATION EFFECTIVE PREVENTION EXERCISES EXPENDITURE FAMILIES GENDER EQUALITY GIRLS GOVERNMENT AUTHORITY GOVERNMENT LEVEL GOVERNMENT ROLES HEALTH HEALTH CARE HEALTH SERVICES HIV HIV POSITIVE HOUSING HUMAN IMMUNODEFICIENCY VIRUS HUMAN RESOURCES IDEAS IMMUNODEFICIENCY INCOME INTERVENTION LABOR PRODUCTIVITY LABOR SUPPLY LEADERSHIP LEVELS OF GOVERNMENT LOCAL AUTHORITIES LOCAL GOVERNMENT LOCAL GOVERNMENT AUTHORITIES LOCAL GOVERNMENTS MANAGERS MEDIA MINISTRIES OF HEALTH MUNICIPAL MANAGEMENT MUNICIPALITY NATIONAL AIDS COUNCILS NATIONAL GOVERNMENTS NATIONS ORPHANS PARTNERSHIP PATIENTS PRIMARY HEALTH CARE PRIVATE SECTOR PUBLIC HEALTH REPRESENTATIVES RESOURCE MOBILIZATION RISK FACTORS SERVICE DELIVERY SEX WORKERS SOCIAL WELFARE SOCIETY TRANSMISSION UNAIDS URBAN AREAS VOLUNTARY COUNSELING VULNERABLE CHILDREN ACQUIRED IMMUNE DEFICIENCY SYNDROME HIV VIRUSES EPIDEMICS HANDBOOKS COMMUNITY PARTICIPATION LOCAL GOVERNMENT LOCAL NONGOVERNMENTAL ENTITIES CIVIL SOCIETY GOVERNMENT ROLE GOVERNANCE CAPACITY INTERAGENCY COORDINATION DISEASE PREVENTION & CONTROL RESOURCES MOBILIZATION MONITORING CRITERIA HIV/AIDS imposes enormous economic, social, health, and human costs and will continue to do so for the foreseeable future. The challenge is particularly acute in Sub-Saharan Africa, home to two-thirds (22.5 million) of the people living with HIV/AIDS globally, and where HIV/AIDS has become the leading cause of premature death. But now, after decades of misery and frustration with the disease, there are signs of hope. HIV prevalence rates in Africa are stabilizing. This book sheds light on these concerns by analyzing the fiscal implications of HIV/AIDS in Southern Africa, the epicenter of the epidemic. It uses the toolbox of public finance to assess the sustainability of HIV/AIDS programs. Importantly, it highlights the long-term nature of the fiscal commitments implied by HIV/AIDS programs, and explicitly discusses the link between HIV infections and the resulting commitments of fiscal resources. The analysis shows that, absent adjustments to policies, treatment is not sustainable. But it also shows that, by accompanying treatment with prevention, and making existing programs more cost-effective, these countries can manage both treatment and fiscal sustainability. Even in countries where HIV/AIDS-related spending is high or increasing (as past infections translate into an increasing demand for treatment), the fiscal space absorbed by the costs of HIV/AIDS-related services will decline if progress in containing and rolling back the number of new infections can be sustained. The purpose of this study is to refine the analysis of the fiscal burden of HIV/AIDS on national governments and assess the fiscal risks associated with scaling-up national HIV/AIDS responses. The study complements and contributes to the agenda on identifying and creating fiscal space for HIV/AIDS and other development expenditures. The findings from this study, and the analytical tools developed in it, could help governments in defining policy objectives, improving fiscal planning, and conducting their dialogue with donor agencies. 2012-03-19T09:05:15Z 2012-03-19T09:05:15Z 2012 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20111208235232 978-0-8213-8807-5 http://hdl.handle.net/10986/2382 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank Publications & Research :: Publication Publications & Research :: Publication Africa East Africa Sub-Saharan Africa Southern Africa South Africa Botswana Uganda Swaziland Eswatini |