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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Policy Interventions Can Turn the Tide, Says World Bank ReportWASHINGTON, November 20, 2013 – A new World Bank report warns that risky behaviors –smoking, using illicit drugs, alcohol abuse, unhealthy... Show More + diets, and unsafe sex— are increasing globally and pose a growing threat to the health of individuals, particularly in developing countries. The report looks at how individual choices that lead to these behaviors are formed and reviews the effectiveness of interventions such as legislation, taxation, behavioral change campaigns, and cash transfers to combat them.Risking your Health: Causes, Consequences and Interventions to Prevent Risky Behaviors concludes that legislation and taxation, for example, tend to be effective, especially when combined with strong enforcement mechanisms. Cash transfers also have proven to be promising in some settings. Behavior change campaigns, such as school-based sex education and calorie-labeling laws, are often less effective on their own, unless the Show Less -
Bank Group ContributionThe WBG has been a long-term development partner with India, supporting the country’s efforts to tackle fundamental developmental challenges and build a modern economy. Since the... Show More + first IBRD loan to the Indian Railways in 1949, it has provided financing, knowledge, advisory services, and technical assistance where and when it was most needed. Over the years, IBRD/IDA/IFC have together supported India with some $160 billion in financing (at 2010 prices)—far more than any other country.IDA has contributed to improving outcomes in health, education, and rural development, with cumulative assistance totaling close to $45 billion since 1961 (2010 prices). IDA supported India’s efforts to tackle polio (there has been no case of polio since January 2011), tuberculosis, leprosy, river blindness, and HIV/AIDS, improving the lives of millions of people and contributing immensely to global efforts to control these diseases. WBG financing (particularly credits from IDA) and t Show Less -
ChallengeAt the project’s original appraisal in 2000, CAR suffered from political instability, armed conflict, and a poverty rate of 67 percent as recurrent conflicts had pushed CAR to 165 out of 173 countries... Show More + in the Human Development Report, with life expectancy an estimated 44.3 years. Periodic mutinies and coup attempts destroyed infrastructure and social services, delaying project implementation until 2007, when national elections and peace agreements with key rebel groups had been achieved. Sporadic violence persisted as IDA re-engagement focused on improving delivery of basic social services and HIV/AIDS prevention and control. In 2001, the Joint United Nations Programme on HIV/AIDS (UNAIDS) estimated 10.7 percent of the population aged 15-49 was living with HIV/AIDS, 13,000 to 23,000 of whom were killed by the disease each year. Basic healthcare, primary education and access to water and sanitation are often inaccessible. This situation drove infant mortality to 106 per 1,000 li Show Less -
ChallengeAs of 2007, an estimated 1.32 million Ethiopians were infected with HIV, with over 130,000 new infections each year. An epidemic of HIV transmission was taking place in most at-risk populations,... Show More + particularly sex workers and their clients. As a result, life expectancy was falling and expected to drop from 59 to 50 years by 2010. In 2005, 80% of the 60 million Ethiopians lived rurally, and 39% lived below the poverty line. AIDS had become the leading killer of 15-49 year olds, causing 43% of all adult deaths, severely damaging economic growth and slowing poverty alleviation. Poverty, illiteracy, widespread transactional sex, gender disparity, population movement, and traditional practices such as female genital mutilation all contributed to the epidemic.SolutionThe first Ethiopian Multisectoral HIV/AIDS Project (EMSAP1), closed in 2006, supported general awareness of HIV and AIDS, as well as increased condom use, but not at a sufficiently high level. This project, EMSAP2, set ou Show Less -