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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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 -
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 -