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South Africa - Results-Based Financing and the Book Supply Chain: Motivating Writers and Publishers to Create Quality Storybooks(World Bank, Washington, DC, 2019-12) World Bank GroupLiteracy serves as an essential building block for learning, so when children master reading, they are more likely to succeed in school generally. To support the South African government’s campaign to improve literacy rates and foster a love of reading among children, room to read implemented an initiative that included results-based elements to increase the availability of affordable, quality storybooks in African languages. The project brought together public and private sector players in the book supply chain to develop new national standards on storybooks and translations, and helped to identify and build capacity of smaller publishers and writers to publish African-language storybooks. In doing so, the project demonstrated how results-based financing can be effective in the production and procurement stages of the book chain in South Africa. Results-based financing motivated and engaged publishers and writers to participate and stay engaged in the two-year project, which armed them with the skills and knowledge they need to continue to create and publish quality storybooks on their own. The success of the South Africa project underscores the potential of using innovative models such as pooled procurement, open licensing, and one day one book workshops along with results-based financing to increase the availability of quality children’s books in a cost-efficient manner. By strengthening the book chain, the project ultimately helped to foster children’s love of reading and helped them to become better learners.
Ending AIDS in Johannesburg: An Analysis of the Status and Scale-Up Towards HIV Treatment and Prevention Targets(World Bank, Washington, DC, 2016-10) World Bank GroupJohannesburg, one of South Africa’s metropolitan municipalities and one of the 52 health districts has more people living with HIV (PLHIV) than any other city worldwide at ~600,000. This brief provides the key results of a modeling analysis estimating what it would take in terms of programmatic targets and costs for Johannesburg to meet the Fast-Track targets and demonstrate the impact that this would have. The Optima HIV epidemic and resource allocation model was used, distinguishing 26 sub-populations and populated with the available demographic, epidemiological, behavioral, programmatic and financial data. The analysis demonstrated that Johannesburg has rapidly expanded HIV diagnosis and treatment between 2010 and 2015, reaching 267,236 PLHIV with the ART program in 2015. In 2015, an estimated 70 percent knew about their positive status, about 64 percent of diagnosed PLHIV accessed treatment, and about 54 percent of them were known to be virally suppressed. The analysis suggested that the health impact of successfully scaling-up HIV testing, treatment and ART adherence to the 2020 and 2030 Sustainable Development Goals target levels is very large in Johannesburg. The increase in PLHIV on treatment will result in reductions in new HIV infections (an estimated cumulative difference of ~327 thousand infections from 2016-30). It will also results in reductions in HIV-related deaths (a cumulative difference of ~104 thousand deaths from 2016-30).