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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ChallengeIn 2007, an assessment of HIV transmission in Afghanistan revealed a disturbing picture. The levels of high risk behavior in key populations indicated there was fertile ground for an explosiv... Show More +e HIV epidemic within these groups, as in other countries of the region. Little national capacity or resources were present to mitigate this risk, as the country grappled with the consequences of decades of war and instability. Alarmingly, a survey in 2007 had shown a sudden emergence of HIV infection in IDU, and structural amplifiers were identified that potentially heightened the risk for transmission to accelerate in other population groups. A paper published in the Lancet (Saifur-Rehman, 2007) by representatives of the Government of Islamic Republic of Afghanistan and the World Bank highlighted international concern that, without swift action, an HIV epidemic in IDU would be precipitated, with risk of significant spread to the general population. 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 -