Assessing the Financial Sustainability of Jamaica's HIV Program

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dc.creatorWorld Bank
dc.date2017-05-31T19:34:09Z
dc.date2017-05-31T19:34:09Z
dc.date2013
dc.date.accessioned2026-07-01T00:58:52Z
dc.descriptionJamaica has made many notable achievements in the fight against HIV/AIDS, which include a robust treatment program and improved HIV prevention programs that increasingly focus on the key drivers of the HIV epidemic and which are based on evidence. These attainments have resulted in a sustained decline in the estimated incidence of HIV and in a reduction in AIDS mortality. The national response to HIV/AIDS in Jamaica is currently financed by the Government as well as by several external sources, including the World Bank, the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and the United States government. It is expected, however, that external financing will cease or be significantly reduced in the next two years. As a result, a substantial increase in domestic financing for the national HIV/AIDS response will be needed. However, public debt levels are high, and the country is feeling the repercussions of the global financial crisis, thus the availability of domestic resources is and will be very tight. Any shortfall in financing whether domestic, external or both will have serious implications for the delivery of HIV services. The Government of Jamaica requested this study so as to inform its future HIV/AIDS policy response. This study is one input in a series of actions that the Government will undertake to formulate a future sustainability plan and investment framework for the National HIV Program. This study was led and financed by the World Bank and conducted in collaboration with the Government of Jamaica and United Nations Programme on HIV/AIDS (UNAIDS). The study aimed to assess the sustainability of Jamaica's National HIV Program from a fiscal perspective. Specifically, the purpose of the study was to: 1) review current spending on HIV/AIDS and the sources of financing; 2) estimate the fiscal burden of the national HIV/AIDS response and assess the outlook for external financing of the HIV program; 3) project how the epidemic will unfold as well as what the costs would be under different potential scenarios; and 4) provide recommendations to inform policy decisions.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/447451468262808471/Assessing-the-financial-sustainability-of-Jamaicas-HIV-Program
dc.identifierhttps://hdl.handle.net/10986/26805
dc.identifierhttps://doi.org/10.1596/26805
dc.identifier.urihttp://hdl.handle.net/123456789/413817
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo
dc.rightsWorld Bank
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectACCESS TO TREATMENT
dc.subjectACQUIRED IMMUNODEFICIENCY SYNDROME
dc.subjectADULT POPULATION
dc.subjectAGE GROUPS
dc.subjectAGED
dc.subjectAIDS COMMITTEE
dc.subjectAIDS DEATHS
dc.subjectAIDS INTERVENTIONS
dc.subjectAIDS MORTALITY
dc.subjectAIDS PROGRAM
dc.subjectAIDS SPENDING
dc.subjectALLOCATIVE EFFICIENCY
dc.subjectBEHAVIORAL CHANGE
dc.subjectBEHAVIORAL CHANGES
dc.subjectBEHAVIOURAL CHANGE
dc.subjectBURDEN OF DISEASE
dc.subjectCARDIOVASCULAR DISEASES
dc.subjectCASUAL SEX
dc.subjectCHILD DEVELOPMENT
dc.subjectCIVIL SOCIETY ORGANIZATIONS
dc.subjectCOMMERCIAL SEX
dc.subjectCOMMERCIAL SEX WORKERS
dc.subjectCOMMUNICABLE DISEASES
dc.subjectCONDOM
dc.subjectCONDOM USE
dc.subjectDEBT
dc.subjectDEMAND FOR SERVICES
dc.subjectDISSEMINATION
dc.subjectDRUG REGIMEN
dc.subjectDRUG USERS
dc.subjectDRUGS
dc.subjectECONOMIC GROWTH
dc.subjectEFFECTIVE PREVENTION
dc.subjectEPIDEMIC
dc.subjectEXPENDITURES
dc.subjectEXTERNAL DEBT
dc.subjectFEMALE
dc.subjectFEMALE SEX WORKERS
dc.subjectFEMALES
dc.subjectFEWER PEOPLE
dc.subjectFINANCIAL COMMITMENTS
dc.subjectGROSS DOMESTIC PRODUCT
dc.subjectHEALTH CONSEQUENCES
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SYSTEM
dc.subjectHIGH-RISK GROUPS
dc.subjectHIV
dc.subjectHIV INFECTION
dc.subjectHIV INFECTIONS
dc.subjectHIV PREVENTION
dc.subjectHIV PREVENTION INTERVENTIONS
dc.subjectHIV TESTING
dc.subjectHIV-POSITIVE PEOPLE
dc.subjectHIV/AIDS
dc.subjectHUMAN IMMUNODEFICIENCY VIRUS
dc.subjectHUMAN RESOURCES
dc.subjectILLNESS
dc.subjectIMMUNODEFICIENCY
dc.subjectINCOME
dc.subjectINEQUITIES
dc.subjectINFANT
dc.subjectINFANT DEATHS
dc.subjectINFANT MORTALITY
dc.subjectINFECTIONS AMONG ADULTS
dc.subjectINJURIES
dc.subjectINJURY
dc.subjectINPATIENT CARE
dc.subjectINTERVENTION
dc.subjectLACK OF AWARENESS
dc.subjectLEADING CAUSE OF DEATH
dc.subjectLEGAL STATUS
dc.subjectLIFE EXPECTANCY
dc.subjectLIVING CONDITIONS
dc.subjectMALARIA
dc.subjectMINISTRY OF HEALTH
dc.subjectMOTHER
dc.subjectMOTHER TO CHILD
dc.subjectMOTHER TO CHILD TRANSMISSION
dc.subjectMOTHER-TO-CHILD
dc.subjectMOTHERS
dc.subjectMULTIPLE PARTNERS
dc.subjectNATIONAL AIDS
dc.subjectNEW CASES
dc.subjectNEW INFECTIONS
dc.subjectNUMBER OF AIDS DEATHS
dc.subjectNUMBER OF NEW INFECTIONS
dc.subjectNUMBER OF PEOPLE
dc.subjectNUTRITIONAL DEFICIENCIES
dc.subjectOPPORTUNISTIC INFECTIONS
dc.subjectORPHAN
dc.subjectORPHAN SUPPORT
dc.subjectORPHANS
dc.subjectPALLIATIVE CARE
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPERINATAL CONDITIONS
dc.subjectPOLICY DECISIONS
dc.subjectPOLICY MAKERS
dc.subjectPOLICY RESPONSE
dc.subjectPOPULATION GROUPS
dc.subjectPOPULATION GROWTH
dc.subjectPREGNANT WOMEN
dc.subjectPREVALENCE
dc.subjectPREVALENCE RATE
dc.subjectPREVALENCE RATES
dc.subjectPREVENTION ACTIVITIES
dc.subjectPREVENTION EFFORTS
dc.subjectPREVENTION OF MOTHER-TO-CHILD TRANSMISSION
dc.subjectPROBABILITY
dc.subjectPROGRESS
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH SERVICES
dc.subjectPUBLIC HEALTH SPENDING
dc.subjectPUBLIC SERVICES
dc.subjectRATE OF CONDOM USE
dc.subjectRATE OF TRANSMISSION
dc.subjectRESOURCE NEEDS
dc.subjectRESPECT
dc.subjectRISK POPULATIONS
dc.subjectSEX WITH MEN
dc.subjectSEX WORKER
dc.subjectSEXUAL ACTIVITY
dc.subjectSEXUAL BEHAVIOR
dc.subjectSEXUAL INTERCOURSE
dc.subjectSEXUAL RISK
dc.subjectSEXUAL RISK BEHAVIOR
dc.subjectSEXUALLY ACTIVE
dc.subjectSEXUALLY TRANSMITTED INFECTION
dc.subjectSOCIAL BARRIERS
dc.subjectSOCIAL SECURITY
dc.subjectSOCIAL SERVICES
dc.subjectSOCIAL SUPPORT
dc.subjectSURVIVAL RATES
dc.subjectTHERAPY
dc.subjectTRANSMISSION
dc.subjectTREATMENT ACCESS
dc.subjectTUBERCULOSIS
dc.subjectUNAIDS
dc.subjectUNDER-FIVE MORTALITY
dc.subjectUNITED NATIONS POPULATION DIVISION
dc.subjectUSER FEES
dc.subjectVULNERABLE CHILDREN
dc.subjectWORKING-AGE POPULATION
dc.subjectYOUNG ADULTS
dc.subjectYOUNG PEOPLE
dc.titleAssessing the Financial Sustainability of Jamaica's HIV Program
dc.typeReport
dc.typeRapport
dc.typeInforme

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