World Bank HIV Aids Interventions: Ex-Ante and Ex-Post by Julia Dayton

By Julia Dayton

The AIDS epidemic is without doubt one of the maximum improvement demanding situations of the 20 th century. due to the fact that 1986, the area financial institution has supported member international locations' efforts to struggle the epidemic in lots of methods together with committing over US$550 million to HIV/AIDS prevention and mitigation efforts. This paper, the 1st finished learn of all international financial institution HIV/AIDS-related actions, assesses the appropriateness of financial institution interventions from the viewpoint of public economies and experiences the industrial assessment and implementation of tasks.

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Appraisal must be thorough: Weak project appraisal was cited as one of the main reasons for poor project implementation in Cameroon. The Democratic Republic of Congo project did not adequately consider the possibilities of rapid macroeconomics change, which led to severe project implementation problems. Additional project experience on AIDS intervention (World Bank 1996) provided the following additional lessons: Interventions in the earlier stages of the epidemic have a greater impact and a higher benefit-cost ration that interventions at a later stage.

The assumptions listed in Table 7 indicate wide variation from project to project. The fact that no assumptions were discussed for several of the projects suggests that future project analysis should carefully document the assumptions under which the calculations were made, as they can dramatically affect the results. Only three of the nine projects identified a counterfactual for the project and presented cost-benefit or cost-effectiveness analysis comparing the various options. The project analyses Page 15 for Brazil, India and Indonesia provided extensive analysis of the alternatives.

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