Committing to Results : Improving the Effectiveness of HIV/AIDS Assistance, An OED Evaluation of the World Bank's Assistance for HIV/AIDS Control
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Washington, DC: World Bank
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This evaluation assesses the development
effectiveness of the World Bank's country-level
HIV/AIDS assistance defined as policy dialogue, analytic
work, and lending with the explicit objective of reducing
the scope or impact of the AIDS epidemic. This is the first
comprehensive evaluation of the World Bank's HIV/AIDS
support to countries, from the beginning of the epidemic
through mid-2004. Because the Bank's assistance is for
implementation of government programs by government, it
provides important insights on how national AIDS programs
can be made more effective. For the purposes of the
evaluation, HIV/AIDS assistance includes policy dialogue,
analytic work, and lending with the explicit objective of
reducing the scope or impact of the AIDS epidemic. Few
HIV/AIDS projects have been completed and the vast majority
of projects and commitments are ongoing. With this in mind,
the three substantive chapters address: 1) The evolution and
phases of the Bank's institutional response and an
overview of the portfolio of HIV/AIDS assistance since the
start of the epidemic. 2) Findings on the efficacy of the
"first generation" of completed World Bank
country-level, HIV/AIDS assistance, and lessons from that
experience. 3) An assessment of the assumptions, design,
risks, and implementation to date of 24 ongoing
country-level AIDS projects. in the Africa Multi-Country
AIDS Program (MAP).
Palabras clave
ACCOUNTABILITY, ACCOUNTING, ACQUIRED IMMUNE DEFICIENCY SYNDROME, ACTIONS, AIDS ASSISTANCE, AIDS AWARENESS, AIDS CASES, AIDS ECONOMICS, AIDS INTERVENTIONS, AIDS MORTALITY, AIDS PROGRAM, AIDS PROGRAMS, AIDS PROJECTS, AIDS VACCINE, BEHAVIORAL SURVEILLANCE, CAPACITY BUILDING, CAS, CASES OF AIDS, COMMERCIAL SEX, COMMUNITY DEVELOPMENT, CONDOM, CONDOM USE, COUNTERFACTUAL, COUNTRY ASSISTANCE STRATEGIES, DECISION MAKING, DRUG USER, ECONOMIC ANALYSIS, EPIDEMIOLOGY, GLOBAL AIDS EPIDEMIC, HIGH-RISK BEHAVIOR, HIGH-RISK GROUPS, HIV, HIV INFECTION, HIV INFECTIONS, HIV TRANSMISSION, HUMAN IMMUNODEFICIENCY VIRUS, ICR, IMMUNE DEFICIENCY, IMMUNODEFICIENCY, IMPLEMENTATION COMPLETION REPORT, INCOME, INSTITUTIONAL DEVELOPMENT, INSURANCE, INTERNATIONAL AIDS VACCINE INITIATIVE, INVENTORY, LEARNING, M&E ACTIVITIES, MOTHER-TO-CHILD, MOTHER-TO-CHILD TRANSMISSION, MULTI-COUNTRY AIDS, NATIONAL AIDS CONTROL, NATIONAL AIDS STRATEGIES, NEW INFECTIONS, NGO, NONGOVERNMENTAL ORGANIZATIONS, NUTRITION, OED RATINGS, OPERATIONS, PACIFIC REGION, POVERTY ALLEVIATION, POVERTY REDUCTION, PREVENTION EFFORTS, PROGRAM IMPLEMENTATION, PROJECT IMPLEMENTATION, QUALITY OF LIFE, RISK BEHAVIOR, RISK BEHAVIORS, SECTOR WORK, SEX WITH MEN, SEX WORKER, STDS, SUB-SAHARAN AFRICA, SUBSIDIARY, SUPERVISION, SUSTAINABILITY, TARGETED INTERVENTIONS, TARGETING, TECHNICAL ASSISTANCE, TECHNICAL QUALITY, TRANSMISSION, TRANSPORT, TREATMENT ACCELERATION PROJECT, TUBERCULOSIS, UNAIDS, VOLUNTARY COUNSELING, WORKERS, WORLD HEALTH ORGANIZATION