The World Bank's Commitment to HIV/AIDS in Africa

Our Agenda for Action, 2007-2011

World Bank

• Publisher: World Bank Publications
• Year: 2008
• eBook ISBN:
  9780821374498
• Topic: Medicine
• Subtopic: AIDS & HIV

HIV/AIDS reverses life expectancy gains, erodes productivity, consumes savings and dilutes growth efforts, threatening the realization of the Millennium Development Goals (MDGs) in Africa.The report is the result of an extensive analytical and consultative process begun in 2006, that engaged more than 1,000 people from over 30 countries and many institutions mostly in Africa, as well as UN agencies, multilateral and bilateral donors, and foundations. The report reaffirms the Bank's commitment to combating HIV/AIDS in Africa, moving from its initial emergency response to the next phase, including the goal to provide at least US $250 million annually and to create an Africa HIV/AIDS Incentive Fund to enhance the evidence base, promote the multisectoral response and provide technical support, analysis and policy advice to countries.

Table of contents

• Contents
• Foreword
• Acknowledgments
• Abbreviations
• 1 Introduction
• 2 The Diagnosis
• 3 The Bank’s Response to Date
• 4 Strategic Challenges in the New Environment
• 5 The Agenda for Action 2007–2011
• 6 Operational Implications for the Bank
• 7 Conclusion
• Appendixes
• References and Other Resources
• Index
• Figure 2.1 Estimated Number of People Living with HIV in Sub-Saharan Africa, 1990–2007
• Figure 2.2 The Heterogeneity of HIV Prevalence in Africa
• Figure 2.3 Changes in Life Expectancy at Birth in Selected African Countries with High and Low HIV Prevalence, 1965–2005
• Figure 4.1 Active HIV/AIDS Commitments by World Bank Sector
• Figure 5.1 Global Funding for HIV/AIDS in the Top 10 High-Prevalence African Countries
• Figure 5.2 World Bank HIV/AIDS Lending in Africa FY00-FY07
• Figure 5.3 World Bank HIV/AIDS Agenda for Action in Africa Conceptual Framework
• Figure A2.1 Life Expectancy at Birth for Selected Sub-Saharan African Countries, 1965–2005
• Figure A4.1 Universal Access to Treatment: Number of Deaths Averted, 2007–2030
• Figure A4.2 Universal Access to Treatment: Cumulative Number of Life Years Gained in Sub-Saharan Africa, 2007-2011
• Figure A4.3 Infections Averted Due to Prevention Efforts in Sub-Saharan Africa, 2007-2011
• Figure A4.4 Number of OVC in Sub-Saharan Africa
• Table 2.1 Ten Most Common Causes of Mortality and Morbidity in Sub-Saharan Africa
• Table 4.1 Funding Sources and Commitments
• Table 4.2 Resource Needs for Universal Access, 2007–2011
• Table 5.1 Country Types and HIV/AIDS Typology
• Table 5.2 Possible Differentiated Responses
• Table 5.3 Foundation
• Table 5.4 Pillar 1: Focus the Response through Evidence-Based and Prioritized HIV/AIDS Strategies
• Table 5.5 Pillar 2: Scale Up Targeted Multisectoral and Civil Society Responses
• Table 5.6 Pillar 3: Deliver Effective Results through Increased Country M&E Capacity
• Table 5.7 Pillar 4: Harmonize Donor Collaboration
• Table A1.1 Agenda for Action Consultations
• Table A2.1 HIV Prevalence, Income, Access to Treatment, and Quality of Health Services in Sub-Saharan Africa, 2006
• Table A2.2 Life Expectancy at Birth for Selected Sub-Saharan African Countries, 1965–2005
• Table A3.1 Bank Response to HIV/AIDS: A Chronology of Events
• Table A4.1 Cross-Classification of Interventions by Cost Effectiveness and Impact
• Table A4.2 Studies of Cost Effectiveness of HIV/AIDS Interventions in Sub-Saharan Africa
• Table A5.1 Closed MAP and Stand-Alone Projects, and Closed Projects with HIV/AIDS Components
• Table A5.2 Active MAP and Stand-Alone HIV/AIDS Projects, and Active Projects with HIV/AIDS Components
• Table A6.1 Results in Countries in Africa with MAPs
• Table A6.2 Outcome-Level Results to Which MAP Has Contributed
• Table A7.1 Overview of the Key Recommendations
• Table A8.1 HIV Prevalence and Financing, by Country
• Table A9.1 World Bank Role in UNAIDS’ Technical Support Division of Labor
• Table A10.1 The Foundation: Renew the Commitment
• Table A10.2 Pillar 1: Strengthened Long-Term Sustainable National Response
• Table A10.3 Pillar 2: Accelerated Implementation of HIV/AIDS Programs
• Table A10.4 Pillar 3: Strengthened National Systems for Financial Management, Human Resources, Procurement, Supply Chains, and Health and Social Systems
• Table A10.5 Pillar 4: Strengthened Donor Coordination
• Table A11.1 The HIV/AIDS Results Scorecard