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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Results The Afghanistan HIV/AIDS Prevention Project (AHAPP), implemented by the Ministry of Public Health, sought to slow the spread of HIV and build national capacity to respond to the epidemic focus... Show More +ing on key populations at high risk of infection and generating epidemiological evidence. The AHAPP supported improvements in several key outcomes:- Access to HIV prevention services for IDU reached 90.2 percent in 2012 (IBBS 2012), up from 62.4 percent in 2009 (IBBS 2009). By the closure of the project, 3,479 non-imprisoned IDU had been reached.- IBBS was expanded to six sites in 2012 up from four sites in 2009. This achievement helped provide rigorous national surveillance data across a broad geographic scope and included men who have sex with men (MSM) for the first time in Afghanistan.- The number of urban centers that had completed high risk mapping doubled from a baseline of three to an end line of six, exceeding the target by 50 percent.PartnersThere is a strong partnership among development partners in Afghanistan’s health sector, namely the European Union (EU), the U.S. Agency for International Development (USAID) and the World Bank. Partners agreed that the Bank was well placed to respond to the government’s request for assistance with HIV prevention given its previous experience in assisting other countries in the region deal with HIV systematically. The Bank’s US$10 million IDA grant for AHAPP, implemented by the Ministry of Public Health, was complemented by approximately US$8.4 million for HIV prevention related activities from the Global Fund to Fight AIDS, Tuberculosis and Malaria channeled through two principle recipients, the Ministry of Public Health and Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ), the German Society for International Cooperation. One of the cornerstones of the project was the partnering with NGOs as implementers and service providers through contracting.Moving ForwardThe next phase of IDA support for the health sector in Afghanistan is the US$100 million System Enhancement for Health Action in Transition (SEHAT), approved in February, 2013. SEHAT will receive US$350 million cofinancing from the Afghanistan Reconstruction Trust Fund (ARTF). SEHAT sets out the health priorities for the country – especially Maternal and Child Health, and expanding secure provision of a basic package of health services. Several elements built under AHAPP will be continued under SEHAT, namely using the successful modality of contracting NGOs for service delivery – especially the provision of services for marginalized populations such as prisoners and HIV prevention services for target population sub-groups who are at an elevated risk for HIV-infection. 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 th... Show More +e 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 technical assistance played a key role in the Green Revolution—a landmark in India’s development that freed the country from dependency on food imports, turning it into a net food exporter and helping millions escape poverty. And in education, IDA together with the European Union and United Kingdom’s Department for International Development played an important role in universalizing primary education.As of December 2012, the WBG portfolio in India included 38 IDA and 10 IBRD/IDA blend projects with total net commitments of $9.9 billion. Of these, $4 billion were in the agriculture and rural development sector, with over $1 billion each for education, health and nutrition, transport, and water supply and sanitation. Trust Funds often complement IBRD/IDA project funding; between FY09 and FY12, Trust Funds provided India with $41.7 million of resources.PartnersIDA has leveraged its resources through closer collaboration with partners. For instance, it has partnered for over a decade with the United Kingdom’s Department for International Development (DFID) and the European Commission in the education sector, first on primary education and more recently on improving access, equity and quality at the secondary level. IDA is also co-financing three national operations in health with DFID. Collaboration with development partners (Asian Development Bank and DFID) has been particularly effective in the low-income state of Bihar. In 2007, a joint donor strategy was developed for Bihar, so that the state would benefit from coordinated support based on a shared vision of the government’s development priorities.Moving Forward The new Country Partnership Strategy (FY13-17) is guided by the Government of India’s new “Finance Plus” approach to working with multilateral institutions. The approach lays out how best to use the financing and expertise from multilateral institutions to address India’s challenges and places significant importance on the value-added of the WBG’s program that goes beyond financing. The government wants Bank support for projects that have systemic or transformational impact, those that help innovate and pilot new approaches, and finally those that introduce innovative financing instruments and leverage resources. The first theme is its increased engagement on urban development and the second is a more pronounced focus on low-income and special category states. The new approach also calls for a more pronounced focus on India’s low-income states and special category states (mostly Northern and geographically isolated), where the vast majority of India’s poor and vulnerable live. IDA’s increased engagement across all sectors in these states will aim to contribute in the medium-term to India’s goal of inclusive growth and poverty reduction. The WBG will address the specific development challenges of these diverse states with an integrated, multisectoral approach that focuses on extensive capacity building, technical assistance, as well as analytical work that underpins lending operations. Increased attention to issues related to India’s ongoing and massive rural-urban transformation is also an important strategic shift for the WBG.Beneficiaries IDA support has helped Tamil Nadu to establish a network of specialist emergency obstetric and neonatal care centers which service the entire population of the state. “I come every two weeks for a check-up and they give me the medicines and supplements I need.” Suniti, a young mother-to-be, in the state.Fully equipped ambulances are now available to rush women from their homes to hospitals, often making a difference between life and death for mothers and their newborns.“Pregnant women come for ante-natal checkups from the 12th week of pregnancy, with one check-up every month. I deliver babies day or night. I have all the facilities here and can do normal deliveries. If there is a problem, I refer the case to the Medical Officer. If it cannot be handled at the Public Health Center, then they call 108 and refer it to a Comprehensive Emergency Obstetric & Newborn Care (CEmONC) Services,” said K.B. Kalaiarasi, Village Health Nurse, Tamil Nadu. Show Less -