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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CHALLENGEMost of the world’s 34 million people living with HIV/AIDS are in developing countries. Worldwide, 2.5 million people became newly-infected with HIV, and 1.5 million died of HIV-related causes... Show More + in 2011—24 percent fewer deaths than in 2005. Sub-Saharan Africa accounted for 68 percent of all new infections and nearly half of all deaths globally in 2010 occurred in Southern Africa. Even where the overall HIV prevalence is low, AIDS can be a severe burden: It is the leading cause of premature death in Thailand and China. More than 8 million people living with HIV are accessing treatment globally; 7 million who need it do not have it. Moreover, for every one person on treatment, two are infected. Without effective HIV prevention, the numbers requiring treatment will become unsustainable.Despite the global increase in funding during the past decade—from US$1.6 billion in 2001 to US$16.8 billion in 2011—financing gaps persist, and available funds are mainly for treatment. As new infec Show Less -
IBRD Loan: US$67 million equivalentTerms: Maturity = 30 years; Grace = 5 yearsProject ID: P113540 Project Description: The project will increase prevention, care and treatment... Show More + services for groups most at risk of HIV/AIDS and sexually transmitted diseases (STD) in the country, and support the Government’s efforts to improve health program performance through improved governance, decentralization and results-based management. The Government has invested heavily in the prevention and treatment of HIV/AIDS and other STDs, targeting groups most at risk, and offering antiretroviral treatment – free of charge – to all identified patients who qualify for it. However, Brazil is witnessing changes in the epidemic’s profile and is seeking to fine tune its policy. In recent years, the epidemic has been spreading to women, poorer groups, and towards the interior of the country. Show Less -
The objective of the project is to enable the Government of Nepal to increase access to essential health care services and their utilization by the underserved and the poor.Health indicationsNepal’s health... Show More + sector has seen impressive progress in the past few years. Infant mortality declined from 79 deaths per 1,000 live births in 1991-94 to 48 deaths in 2001-2005. An even more impressive decline was observed in under-five mortality, which declined by 48% from 118 to 61 deaths per 1,000 live births over the same period.A recent survey (NFHP 2009) confirmed that the declining trends in mortality rates continue; both infant and under-five mortality have further declined to 41 and 50 per 1000 live births respectively in 2004-2008. Several of Nepal’s immunization and nutrition programs are also performing very well. Between 1996 and 2006, full immunization coverage rose from 43%to 83%.However, not all segments of the society equally benefit from the progress. “Inequality in health outcomes, Show Less -