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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A pending debtWhile the future looks bright, one aspect is still pending: increased investment in prevention activities. Whereas the region as a whole allocates 15 percent of the HIV budget to this ar... Show More +ea, Argentina invests just 1.2 percent.Nevertheless, Argentine youth seem to be more willing to receive information. “Young people have the highest level of knowledge on HIV transmission and prevention of the whole region,” says Lavadenz.According to the World Bank, 84% of young men and 89% of young women (ages 15-24) in Argentina accurately identify prevention methods and major misconceptions about HIV transmission.However, the challenge is not only prevention, but also “improving program efficiency, increasing early, timely diagnosis and reducing treatment costs,” says Lavandenz.Argentina has an estimated 110,000 people living with HIV, of which at least 30% remain unaware of their condition. Show Less -
ResultsThe following results were achieved under the Jamaica Second HIV/AIDS Project.Prevention91% of female sex workers reporting condom use with their most recent client (target: maintain more than ... Show More +90%).59.2% of female sex workers who received HIV testing in the last 12 months and who know the results (target: 50%).40,445 female sex workers and 22,145 men who have sex with men reached through prevention activities (target: FSW 14,955; MSM 14,059).19% of prison inmates reached through prevention activities (target: 15%)Treatment, Care, and Support10,469 men, women and children with advanced HIV receiving antiretroviral combination therapy according to national guidelines (target: 9,000)85.8% of HIV positive pregnant women receiving a complete course of antiretroviral (ARV) prophylaxis to reduce the risk of mother-to-child transmission (target: maintain more than or equal to 80%)1.4% of infants born to HIV infected mothers who are also HIV infected (target: less than 5.0%)More than 95% of antenatal clinic clients counseled and tested for HIV (target: maintain more than 90%)Strengthening Institutional Capacity for Legislative Reform, Policy Formulation, Program Management, Monitoring and Evaluation100% of reported cases of HIV-related discrimination receiving redress (target: 70%)100% of institutions/organizations reached adopting HIV/AIDS policies (target: 93%)Bank Group ContributionThe Bank’s total investment contributions in support of Jamaica’s response to HIV/AIDS include the first loan for US$15 million, which was implemented between March 2002 and May 2008, and the follow-on Second HIV/AIDS Project for US$10 million, implemented between May 2008 and March 2013. PartnersThe project was implemented by the Ministry of Health, its four decentralized regional health authorities, four non-health line ministries, civil society organizations, and the Jamaica Business Council. The project was critical in helping the Government leverage additional donor funds, which included US$44.22 million from the Global Fund and US$26 million from the United States Agency for International Development, President’s Emergency Plan for AIDS Relieve (USAID/PEPFAR). Based on the sustainability study conducted by the Bank in collaboration with the Government and the United Nations Program on HIV/AIDS (UNAIDS), the Global Fund has provided an additional grant of approximately US$2 million to assist Jamaica during the transition from external to domestic financing of the National HIV/AIDS Program. Show Less -
The economic losses from such discriminatory laws and practices are costly. A study last year found that women’s low economic participation created income losses of 27 percent in the Middle East and N... Show More +orth Africa. The same study estimated that raising female employment and entrepreneurship to male levels could improve average income by 19 percent in South Asia and 14 percent in Latin America.Discrimination based on other factors, such as age, race or sexual orientation, has similarly bad outcomes. Legislation restricting sexual rights, for instance, can hurt a country’s competitiveness by discouraging multinational companies from investing or locating their activities in those nations.These recent anti-gay laws, and many others that have been on the books for years, are acutely ironic. Just 15 years ago, a small band of gay men and women — largely in the United States but also in Europe and parts of Africa — fought with all their intellect, energy and creativity to expand access to treatment for all people with HIV/AIDS. In 2000, just 50,000 people in the developing world received AIDS treatment. Today, largely thanks to the work of these gay activists and others, more than 10 million people are being treated with AIDS drugs — most of them African.At the World Bank Group, we will have a full internal discussion over the coming months about discrimination more broadly and how it would affect our projects and our gay and lesbian staff members. My view is that the fight to eliminate all institutionalized discrimination is an urgent task.After all, the bottom line is clear: Eliminating discrimination is not only the right thing to do; it’s also critical to ensure that we have sustained, balanced and inclusive economic growth in all societies — whether in developed or developing nations, the North or the South, America or Africa. Show Less -