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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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 -
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 -