The World Bank pioneered global HIV and AIDS financing early in the emergency and remains committed to achieving Millennium Development Goal 6, to halt by 2015 and begin to reverse the spread of HIV and AIDS, through prevention, care, treatment, and mitigation services for those affected by HIV and AIDS.
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ChallengeWith a per capita gross income of $380, Burundi is one of the poorest countries in the world, with individuals spending less than $49 on health per year. A 2007 survey showed HIV presence in the... Show More + general population at 3 percent and among commercial sex workers at 38 percent, as well as a rapid increase in prevalence in rural areas. Causes of the epidemic include commercial sex work, widespread presence of multiple concurrent partnerships, and low rates of male circumcision. Implementation of Burundi’s 2002-2006 National HIV/AIDs Strategy (NHAS) was constrained by a host of institutional, technical, financial, and capacity-related issues, the lessons of which were used to develop a second NHAS. IDA was needed to provide strategic guidance, lessons learned, and technical assistance to the second NHAS, and to ensure synergy between health system strengthening and HIV/AIDS interventions. Finally, the government has advocated the importance of IDA’s continued support to civil societ Show Less -
New Studies Show Potential Impact of Programs for Sex Workers, People Who Inject Drugs, and Men Who Have Sex with MenWASHINGTON, November 28, 2012 – As the world prepares to commemorate World AIDS Day... Show More + on December 1, two new World Bank studies urge governments and their development partners to provide better prevention, care, and treatment services for sex workers and people who inject drugs as an important step toward ensuring a world free of AIDS.The studies are the second and third in a three-part series on key populations at higher risk in low- and middle-income countries. In June 2011, the World Bank and partners launched the first study, which focused on men who have sex with men.“In many countries, sex workers, people who inject drugs, and men who have sex with men remain marginalized in society and vulnerable to HIV,” said David Wilson, World Bank Global AIDS Program Director. “Even in countries with epidemics in the general population, these groups are disproportionately affect Show Less -
Analysis Shows Future Treatment Costs May Be Heaviest in Southern Africa and UgandaWASHINGTON, March 14, 2012 – With much of the global economy facing slowing growth and uncertain prospects, especially... Show More + in developed countries, a new World Bank report urges African governments and their development aid donors to do significantly more to prevent new HIV infections. Without a dramatic reduction in infections the World Bank says that existing national treatment programs for people living with HIV/AIDS could become unsustainable over the coming years. After decades of relentless expansion, during which HIV/AIDS claimed the lives of more than 30 million people worldwide and infected more than 60 million, HIV prevalence rates are stabilizing globally and in Africa. More than 6 million people are now on life-saving treatment worldwide, and global financing for HIV/AIDS has substantially increased, rising from US$260 million in 1996 to US$15.9 billion by 2009. However, the report war Show Less -
Like Jeanne, Cecile 25, who started sex work at the age of 13, was able to give up sex work and start a palm oil business using a grant from the same project.“With 2000 Burundi francs ($1.50), I’m able... Show More + to pay my daily food ration,”says Cecile, who is HIV-negative and glad that she no longer has to go from pub to pub in search of clients.Preventing the spread of HIV, especially among vulnerable groupsThrough the project, which covered all of Burundi’s 17 provinces, Jeanne, Bella, Cecile, and over 14,000 other female sex workers in the country have learned more about HIV and other infections.“We have been sensitized by watching movies showing that HIV/AIDS kills and we were given condoms to protect ourselves against sexually transmitted infections,”Jeanne says.As a result of this outreach and support from other donors, condom use among female sex workers covered by this project—which specifically targets vulnerable groups—has gone up by 10 percentage points, from 82 percent in 2008 to ne Show Less -
WASHINGTON, June 8, 2011 – On the eve of a UN summit to renew global efforts to reverse the HIV/AIDS pandemic, 30 years after the first discovery of the HIV virus, a new World Bank study urges governments... Show More + and their development donors to provide better HIV prevention, care, and treatment services for men who have sex with men (MSM) as an essential step toward reversing the global epidemic. More than 25 million people have died of HIV/AIDS since the virus was first clinically identified in 1981.Written in close partnership with the United Nations Development Programme (UNDP) and the Johns Hopkins Bloomberg School of Public Health, the new study―Global HIV Epidemics Among Men Who Have Sex with Men (MSM): Epidemiology, Prevention, Access to Care and Human Rights―provides the first comprehensive economic analysis of evidence that MSM are at significantly higher risk for HIV infection than other groups in many low- and middle-income countries, where fewer than 1 in 10 MSM worldwide have acce Show Less -
IDA Grant: US$15 millionPROJECT DESCRIPTION: The project aims to increase the coverage and /or utilization of a selected set of preventive and treatment services, among groups highly vulnerable to... Show More + or affected by HIV/AIDS. The National strategy includes specific indicators for each of these objectives, and a few have been selected for the Project Preparation Facility (PPF) request. A final agreement on key indicators including the scorecard indicators adopted by the Africa region will be agreed upon before appraisal. Show Less -