Country case studies consider the effectiveness of the totality of country-level HIV/AIDS assistance – including policy dialogue, analytic work, and related health lending – and go more deeply into the context and timing of the Bank’s involvement. The case study methodology includes establishing a detailed timeline of national, World Bank, and donor events and assistance, in-depth interviews with key informants, and assembly and analysis of available data concerning inputs, outputs, and outcomes.
The four case study countries represent diverse stages of the HIV/AIDS epidemic, levels of national income per capita, and extent of World Bank engagement. All four are relatively large countries, with key issues in decentralization of service delivery.
 Brazil
- is an upper-middle income
country and represents the largest and
among the earliest borrowers from the
Bank for HIV/AIDS. It has a concentrated
AIDS epidemic. |
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| Ethiopia
- was selected for a case study
because it was one of the first two
countries participating in the first
African Multi-Country AIDS program,
launched in 2000. Lessons about the
Bank's engagement in HIV/AIDS or lack
thereof since the early 1990s and more
recently suggest some important lessons. |
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| Indonesia
- is a low-income
country. The Bank persuaded the government
to intervene early, before HIV had spread
widely even among risk groups, to prevent
an explosive epidemic like the one that
occurred in Thailand. Yet, for a number
of reasons, this effort was unsuccessful. |
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| Russia
- has a concentrated
epidemic. The World Bank engaged in
many years of policy dialogue and analytic
work to build government commitment
before agreement was reached on the
first lending operation, the AIDS and
TB Project, which only became effective
in late 2003. |
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