The Fiscal Dimension of HIV/AIDS in Botswana, South Africa, Swaziland, and Uganda

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dc.creatorLule, Elizabeth
dc.creatorHaacker, Markus
dc.date2012-03-19T09:05:15Z
dc.date2012-03-19T09:05:15Z
dc.date2012
dc.date.accessioned2026-07-01T00:55:46Z
dc.descriptionHIV/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.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20111208235232
dc.identifier978-0-8213-8807-5
dc.identifierhttps://hdl.handle.net/10986/2382
dc.identifierhttps://doi.org/10.1596/978-0-8213-8807-5
dc.identifier.urihttp://hdl.handle.net/123456789/413095
dc.languageEnglish
dc.publisherWorld Bank
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo
dc.rightsWorld Bank
dc.subjectABSENTEEISM
dc.subjectACQUIRED IMMUNODEFICIENCY SYNDROME
dc.subjectAFFECTED COMMUNITIES
dc.subjectAIDS EPIDEMIC
dc.subjectAWARENESS CAMPAIGNS
dc.subjectBEHAVIOR CHANGE
dc.subjectCLIMATE
dc.subjectCOMMERCIAL SEX
dc.subjectCOMMERCIAL SEX WORKERS
dc.subjectCOMMUNITIES
dc.subjectCOMMUNITY ACTION
dc.subjectCOMMUNITY PARTICIPATION
dc.subjectCOUNCILS
dc.subjectDECENTRALIZATION
dc.subjectDECISION-MAKING
dc.subjectDEVELOPMENT PROCESS
dc.subjectDISCRIMINATION
dc.subjectDRUG USERS
dc.subjectEDUCATION
dc.subjectEFFECTIVE PREVENTION
dc.subjectEXERCISES
dc.subjectEXPENDITURE
dc.subjectFAMILIES
dc.subjectGENDER EQUALITY
dc.subjectGIRLS
dc.subjectGOVERNMENT AUTHORITY
dc.subjectGOVERNMENT LEVEL
dc.subjectGOVERNMENT ROLES
dc.subjectHEALTH
dc.subjectHEALTH CARE
dc.subjectHEALTH SERVICES
dc.subjectHIV
dc.subjectHIV POSITIVE
dc.subjectHOUSING
dc.subjectHUMAN IMMUNODEFICIENCY VIRUS
dc.subjectHUMAN RESOURCES
dc.subjectIDEAS
dc.subjectIMMUNODEFICIENCY
dc.subjectINCOME
dc.subjectINTERVENTION
dc.subjectLABOR PRODUCTIVITY
dc.subjectLABOR SUPPLY
dc.subjectLEADERSHIP
dc.subjectLEVELS OF GOVERNMENT
dc.subjectLOCAL AUTHORITIES
dc.subjectLOCAL GOVERNMENT
dc.subjectLOCAL GOVERNMENT AUTHORITIES
dc.subjectLOCAL GOVERNMENTS
dc.subjectMANAGERS
dc.subjectMEDIA
dc.subjectMINISTRIES OF HEALTH
dc.subjectMUNICIPAL MANAGEMENT
dc.subjectMUNICIPALITY
dc.subjectNATIONAL AIDS COUNCILS
dc.subjectNATIONAL GOVERNMENTS
dc.subjectNATIONS
dc.subjectORPHANS
dc.subjectPARTNERSHIP
dc.subjectPATIENTS
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIVATE SECTOR
dc.subjectPUBLIC HEALTH
dc.subjectREPRESENTATIVES
dc.subjectRESOURCE MOBILIZATION
dc.subjectRISK FACTORS
dc.subjectSERVICE DELIVERY
dc.subjectSEX WORKERS
dc.subjectSOCIAL WELFARE
dc.subjectSOCIETY
dc.subjectTRANSMISSION
dc.subjectUNAIDS
dc.subjectURBAN AREAS
dc.subjectVOLUNTARY COUNSELING
dc.subjectVULNERABLE CHILDREN
dc.subjectACQUIRED IMMUNE DEFICIENCY SYNDROME
dc.subjectHIV VIRUSES
dc.subjectEPIDEMICS
dc.subjectHANDBOOKS
dc.subjectCOMMUNITY PARTICIPATION
dc.subjectLOCAL GOVERNMENT
dc.subjectLOCAL NONGOVERNMENTAL ENTITIES
dc.subjectCIVIL SOCIETY
dc.subjectGOVERNMENT ROLE
dc.subjectGOVERNANCE CAPACITY
dc.subjectINTERAGENCY COORDINATION
dc.subjectDISEASE PREVENTION & CONTROL
dc.subjectRESOURCES MOBILIZATION
dc.subjectMONITORING CRITERIA
dc.titleThe Fiscal Dimension of HIV/AIDS in Botswana, South Africa, Swaziland, and Uganda

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