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The World Bank Operations Evaluation Department Review of National Hiv/Aids Strategies for Countries Participating in the World Banks Africa Multi-Country Aids Program (Map)

By Mullen, Patrick

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Book Id: WPLBN0000032959
Format Type: PDF eBook
File Size: 0.5 MB
Reproduction Date: 2005

Title: The World Bank Operations Evaluation Department Review of National Hiv/Aids Strategies for Countries Participating in the World Banks Africa Multi-Country Aids Program (Map)  
Author: Mullen, Patrick
Volume:
Language: English
Subject: Economics, Finance & business, World Bank.
Collections: Economics Publications Collection
Historic
Publication Date:
Publisher: The World Bank

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Mullen, P. (n.d.). The World Bank Operations Evaluation Department Review of National Hiv/Aids Strategies for Countries Participating in the World Banks Africa Multi-Country Aids Program (Map). Retrieved from http://worldebooklibrary.com/


Description
Economics

Excerpt
Introduction: 1.1 The overall development objective of the World Bank?s Multi-Country HIV/AIDS Program (MAP) for the Africa Region is to increase access to HIV/AIDS prevention, care, and treatment programs, with emphasis on vulnerable groups. The specific development objectives of each country project are to be drawn from the national strategic plans. Accordingly, ?satisfactory evidence of a strategic approach to HIV/AIDS? is one of four eligibility criteria. This is to be demonstrated by ?a coherent, national, multisectoral strategy and action plan for HIV/AIDS prevention, care, and treatment that has been developed through a participatory approach using social assessment techniques. It could also be demonstrated by having a participatory strategic planning process underway, with a clear roadmap and timetable? (World Bank, 2000). 1.2 The project appraisal documents (PADs) for MAP projects typically do not feature substantive discussion of strategic priorities or include policy conditionalities. Indeed, project objectives themselves are largely determined by the national strategic plan. For example, the Ethiopia and Kenya PADs explicitly state that the projects are to fund the implementation of the countries? strategic plans (even though, in both cases, the national strategic plan document had not been finalized). Because they are so important in shaping the MAP projects, an understanding of these national plans is an essential step in evaluating the effectiveness of MAP assistance. 1.3 Accordingly, the objective of this review is to assess the extent to which national HIV/AIDS plans represent a strategic approach to addressing the epidemic. Evidence of a strategic approach includes: clear goals; explicit priorities; systematic planning, targets, timeframes, and indicators; clear plans for monitoring and evaluation; clearly specified implementing actors and responsibilities; and cost estimates and strategies for resource mobilization. 1.4 Additional characteristics of a strategic approach are the extent to which plans are efficient, equitable, relevant, and feasible. Efficiency in meeting defined goals is assessed by reviewing the extent to which national plans involve targeting of specific groups, rely on proven interventions, and reflect considerations of economic efficiency such as cost-effectiveness and the role of government in addressing aspects of market failure. Equity is considered in terms of how national plans address access to services by the poor, and whether HIV/AIDS programs are considered in the context of other health needs in the country. Relevance is assessed in terms of the extent to which national plans review and reflect the existing HIV/AIDS situation and response. Feasibility is reflected in whether the human and financial resources necessary for implementation of the plans are estimated in a realistic way, and whether implementation and absorptive capacities are considered. 1.5 National HIV/AIDS strategic plans from 21 of the 23 Sub-Saharan African countries participating in the MAP as of July 2003 are reviewed.1 Table 1 lists the countries, their populations and GNP per capita, estimated HIV prevalence (given in the plans), and timeframes of the plans. Appendix A1 lists the national strategies reviewed.

 

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