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Niger's HIV Response : Targeted Investments for a Healthy Future

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dc.contributor.authorFraser, Nicole
dc.contributor.authorCheikh, Nejma
dc.contributor.authorHaacker, Markus
dc.contributor.authorMasaki, Emiko
dc.contributor.authorKaramoko, Djibrilla
dc.contributor.authorGorgens, Marelize
dc.contributor.authorKerr, Cliff
dc.contributor.authorGray, Richard
dc.contributor.authorShattock, Andrew
dc.contributor.authorWilson, David
dc.contributor.authorFrescura, Luisa
dc.contributor.authorKonan, Claude
dc.contributor.authorAlhousseini, Zeinabou
dc.contributor.authorHarouna, Zakou
dc.date.accessioned2014-12-02T20:29:03Z
dc.date.available2014-12-02T20:29:03Z
dc.date.issued2014-06
dc.description.abstractThe main objective of the study is to provide a comprehensive analysis of HIV and health financing needs, investment opportunities, and health system development in the context of the Government of Niger's HIV National Strategic Plan (NSP) 2013-17. The analysis provides support for HIV policy decision-making, investment scenarios and programmatic targeting and prioritization. In addition, the analysis helps Niger build the case for HIV and health impact investment including delivering estimates of health care savings as a result of these investments. The analysis was implemented by the World Bank in collaboration with UNAIDS from a request for analytical support from the Government of Niger. The study involved a desk review of HIV- and health-related evidence, epidemic trends and financial modeling. The Optima model (formerly Prevtool) was used to estimate optimal resource allocation during the NSP, and the impact and cost-effectiveness of past HIV investments. A financial commitment framework was used to estimate longer-term costs and savings of the HIV program and the fiscal dimension of HIV in Niger.en
dc.description.abstractLe Niger a fait des progrès significatifs en termes de développement économique et de réduction du niveau d’extrême pauvreté. La croissance économique a été supérieure à 11% en 2012, grâce aux revenus du pétrole, de l’uranium et de la production agricole. Le pourcentage de la population vivant avec moins de $1.25/jour est passée de 66% en 2005 à 44% en 2008, ce qui place le Niger au-dessus de la moyenne Sub-saharienne de 49% en 2008. Malgré ces statistiques encourageantes, les conditions de vie de la population restent difficiles. L’insécurité alimentaire persiste y compris les années ou la production agricole est en surplus. La fourniture de services de santé est dominée par le secteur public et en 2011, les dépenses de santé ont atteint 5.1% du PNB (225 million euro, ou 303 million de USD). Au moment où le Niger progresse sur le chemin du développement, il est opportun de revoir l’ampleur et la trajectoire de l’épidémie de VIH, ainsi que les investissements nécessaires pour répondre aux coûts actuels et futurs de la morbidité engendrée par le VIH/SIDA. Il est particulièrement important d’analyser comment le Niger peut s’assurer que ses investissements sont pérennes et ont un fort impact, et comment ils peuvent soutenir au mieux le système de santé global et les priorités de développements. L’objectif premier de cette analyse est de fournir aux autorités nigériennes des données complètes concernant les besoins et les possibilités d’investissement pour la lutte contre le VIH dans le contexte du Plan stratégique national de lutte contre le VIH-sida 2013-2017 (PSN), du financement de la santé et du développement du système sanitaire. Une telle analyse éclaire les décisions relatives aux options de politique et aux scénarios d’investissement, au ciblage et à la priorisation des programmes relatifs au VIH.fr
dc.identifierhttp://documents.worldbank.org/curated/en/2014/06/20272636/niger-allocative-efficiency-financial-sustainability-study-niger s-hiv-response-targeted-investments-healthy-future
dc.identifier.doi10.1596/20600
dc.identifier.urihttps://hdl.handle.net/10986/20600
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectADULT POPULATION
dc.subjectAGE GROUPS
dc.subjectAGED
dc.subjectAGRICULTURAL PRODUCTION
dc.subjectAID
dc.subjectAIDS CARE
dc.subjectAIDS DEATHS
dc.subjectAIDS MORBIDITY
dc.subjectAIDS MORTALITY
dc.subjectAIDS SPENDING
dc.subjectANEMIA
dc.subjectANTENATAL CARE
dc.subjectANTENATAL SERVICES
dc.subjectBABY
dc.subjectBEHAVIOR CHANGE
dc.subjectBIOLOGICAL VULNERABILITY
dc.subjectBISEXUAL
dc.subjectBLEEDING
dc.subjectBREASTFEEDING
dc.subjectBURDEN OF DISEASE
dc.subjectC SECTION
dc.subjectCAPACITY BUILDING
dc.subjectCELL COUNT
dc.subjectCHILD HEALTH
dc.subjectCHILD-TRANSMISSION
dc.subjectCIRCUMCISION
dc.subjectCLINICS
dc.subjectCOMMUNICABLE DISEASES
dc.subjectCOMMUNITY HEALTH
dc.subjectCONDOM
dc.subjectCONDOM PROMOTION
dc.subjectCONDOMS
dc.subjectCULTURAL PRACTICE
dc.subjectDEMOGRAPHIC GROWTH
dc.subjectDEVELOPING COUNTRIES
dc.subjectDEVELOPMENT POLICY
dc.subjectDIARRHEA
dc.subjectDIARRHEAL DISEASES
dc.subjectDISABILITY
dc.subjectDISCRIMINATION
dc.subjectDISEASE BURDEN
dc.subjectDRINKING WATER
dc.subjectDRUG ADHERENCE
dc.subjectDRUG COSTS
dc.subjectDRUGS
dc.subjectECONOMIC GROWTH
dc.subjectECONOMIC OPPORTUNITIES
dc.subjectEFFECTIVE USE
dc.subjectEPIDEMIC
dc.subjectEPIDEMICS
dc.subjectEPIDEMIOLOGICAL DATA
dc.subjectEPIDEMIOLOGY
dc.subjectFAMILIES
dc.subjectFAMILY PLANNING
dc.subjectFAMILY SUPPORT
dc.subjectFEMALE
dc.subjectFEMALE SEX WORKERS
dc.subjectFEMALES
dc.subjectFERTILITY
dc.subjectFEWER BIRTHS
dc.subjectFINANCIAL COMMITMENT
dc.subjectFIRST CHILD
dc.subjectFOOD INSECURITY
dc.subjectFOOD SECURITY
dc.subjectFOOD SHORTAGES
dc.subjectGENITAL MUTILATION
dc.subjectGLOBAL HEALTH
dc.subjectGROSS DOMESTIC PRODUCT
dc.subjectGROSS NATIONAL INCOME
dc.subjectGROSS NATIONAL PRODUCT
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH INITIATIVES
dc.subjectHEALTH INTERVENTIONS
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH PROFESSIONAL
dc.subjectHEALTH PROVIDERS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH WORKERS
dc.subjectHEALTH-SEEKING BEHAVIOR
dc.subjectHEAVILY INDEBTED POOR COUNTRIES INITIATIVE
dc.subjectHERPES
dc.subjectHIV
dc.subjectHIV INFECTION
dc.subjectHIV INFECTIONS
dc.subjectHIV POSITIVE
dc.subjectHIV PREVENTION
dc.subjectHIV TESTING
dc.subjectHIV/AIDS
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHYGIENE
dc.subjectINFANT
dc.subjectINFANT HEALTH
dc.subjectINFECTIOUS DISEASES
dc.subjectINFORMED CONSENT
dc.subjectINFRASTRUCTURE CONSTRUCTION
dc.subjectINFRASTRUCTURE DEVELOPMENT
dc.subjectINTERNATIONAL EFFORTS
dc.subjectINTERVENTION
dc.subjectIRON
dc.subjectLABOR MIGRANTS
dc.subjectLEADING CAUSES
dc.subjectLIFE EXPECTANCY
dc.subjectLITERACY RATES
dc.subjectLIVING CONDITIONS
dc.subjectMALARIA
dc.subjectMALE CIRCUMCISION
dc.subjectMALE SEX
dc.subjectMALNUTRITION
dc.subjectMATERNAL CAUSES
dc.subjectMATERNAL HEALTH
dc.subjectMEASLES
dc.subjectMEDICAL RECORD
dc.subjectMENINGITIS
dc.subjectMIGRANT
dc.subjectMIGRANTS
dc.subjectMIGRATION
dc.subjectMILLENNIUM DEVELOPMENT GOAL
dc.subjectMORBIDITY
dc.subjectMORBIDITY AND MORTALITY
dc.subjectMORTALITY
dc.subjectMOTHER
dc.subjectMOTHER-TO-CHILD
dc.subjectMOTHER-TO-CHILD HIV TRANSMISSION
dc.subjectMOTHER-TO-CHILD TRANSMISSION
dc.subjectNATIONAL AIDS
dc.subjectNATIONAL DEVELOPMENT
dc.subjectNATIONAL PRIORITIES
dc.subjectNEONATAL HEALTH
dc.subjectNEW INFECTIONS
dc.subjectNEWBORN
dc.subjectNUMBER OF AIDS DEATHS
dc.subjectNUMBER OF PEOPLE
dc.subjectNUTRITION
dc.subjectOFFICIAL DEVELOPMENT ASSISTANCE
dc.subjectORPHAN
dc.subjectOUTREACH ACTIVITIES
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPOLICY BRIEF
dc.subjectPOLITICAL PARTIES
dc.subjectPOOR HEALTH
dc.subjectPOPULATION GROUPS
dc.subjectPOPULATION GROWTH
dc.subjectPOST-EXPOSURE PROPHYLAXIS
dc.subjectPREGNANCY
dc.subjectPREGNANT MOTHERS
dc.subjectPREGNANT WOMEN
dc.subjectPREVALENCE
dc.subjectPREVENTION EFFORTS
dc.subjectPREVENTION OF MOTHER-TO-CHILD TRANSMISSION
dc.subjectPRISONS
dc.subjectPROGRESS
dc.subjectPROSTITUTION
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH PROBLEM
dc.subjectPURCHASING POWER
dc.subjectPURCHASING POWER PARITY
dc.subjectQUALITY SERVICES
dc.subjectRADIO
dc.subjectRATES OF INFECTION
dc.subjectREAGENTS
dc.subjectREPRODUCTIVE HEALTH
dc.subjectREPRODUCTIVE HEALTH INTERVENTIONS
dc.subjectRESOURCE ALLOCATION
dc.subjectRESOURCE ALLOCATIONS
dc.subjectRESOURCE NEEDS
dc.subjectRESOURCE STREAMS
dc.subjectRISK BEHAVIORS
dc.subjectRISK FACTORS
dc.subjectRISK POPULATIONS
dc.subjectRURAL AREAS
dc.subjectRURAL DEVELOPMENT
dc.subjectRURAL WOMEN
dc.subjectSANITATION
dc.subjectSCHOOL ENROLMENT
dc.subjectSCREENING
dc.subjectSECONDARY EDUCATION
dc.subjectSECONDARY SCHOOL
dc.subjectSERVICE AREAS
dc.subjectSERVICE PROVISION
dc.subjectSEX
dc.subjectSEX INDUSTRY
dc.subjectSEX WITH MEN
dc.subjectSEX WORK
dc.subjectSEX WORKER
dc.subjectSEX WORKERS
dc.subjectSEXUAL BEHAVIOR
dc.subjectSEXUAL NETWORKS
dc.subjectSEXUAL RISK
dc.subjectSEXUAL RISK BEHAVIORS
dc.subjectSEXUAL VIOLENCE
dc.subjectSEXUALLY TRANSMITTED INFECTION
dc.subjectSM
dc.subjectSOCIAL DEVELOPMENT
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSOCIAL MARKETING
dc.subjectSOCIAL SECTOR
dc.subjectSPECIALIST
dc.subjectSPOUSES
dc.subjectSUSTAINABLE ACCESS
dc.subjectSUSTAINABLE DEVELOPMENT
dc.subjectTB
dc.subjectTELEVISION
dc.subjectTETANUS
dc.subjectTHERAPY
dc.subjectTREATMENT
dc.subjectTUBERCULOSIS
dc.subjectUNAIDS
dc.subjectUNPROTECTED SEXUAL ACTS
dc.subjectURBAN AREAS
dc.subjectURBAN CENTERS
dc.subjectURBAN DEVELOPMENT
dc.subjectURBAN POPULATION
dc.subjectURBAN POPULATIONS
dc.subjectURBAN WOMEN
dc.subjectURBANIZATION
dc.subjectVERTICAL TRANSMISSION
dc.subjectVICIOUS CYCLE
dc.subjectVIOLENCE
dc.subjectVIRAL LOAD
dc.subjectVULNERABILITY
dc.subjectVULNERABLE CHILDREN
dc.subjectWASTE
dc.subjectWOMAN
dc.subjectWORKERS
dc.subjectWORKING CONDITIONS
dc.subjectWORKPLACE
dc.subjectWORLD HEALTH ORGANIZATION
dc.titleNiger's HIV Response : Targeted Investments for a Healthy Futureen
dc.titleInvestissements ciblés pour un avenir durable de la riposte au VIH du Niger : Résultats de l'étude de l'efficacité de l'allocation et de la durabilité des ressources financières au VIHfr
dc.title.alternativeInvestissements ciblés pour un avenir durable de la riposte au VIH du Niger : résultats de l étude de l efficacité de l allocation et de la durabilité des ressources financières au VIHen
dc.title.alternativeInvestissements cibles pour un avenir durable de la riposte au VIH du Niger : resultats de l'etude de l'efficacite de l'allocation et de la durabilite des ressources financieres au VIHfr
dspace.entity.typePublication
okr.crossref.titleNiger's HIV Response : Targeted Investments for a Healthy FutureInvestissements ciblés pour un avenir durable de la riposte au VIH du Niger : résultats de l étude de l efficacité de l allocation et de la durabilité des ressources financières au VIH
okr.date.disclosure2014-10-08
okr.date.doiregistration2025-05-05T12:43:15.167217Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2014/06/20272636/niger-allocative-efficiency-financial-sustainability-study-niger s-hiv-response-targeted-investments-healthy-future
okr.globalpracticeHealth, Nutrition, and Population
okr.guid371341468292232723
okr.guid988131468097181147
okr.identifier.externaldocumentum090224b08785364c_2_0
okr.identifier.internaldocumentum20272636
okr.identifier.report90998
okr.identifier.reportAUS8144
okr.language.supporteden
okr.language.supportedfr
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/10/08/000350881_20141008115726/Rendered/PDF/909980WP0Niger00Box385327B00PUBLIC0.pdfen
okr.pdfurlhttp://documents.worldbank.org/curated/en/675651468124148977/pdf/AUS81140FRENCH0140WB0UNSW0CISLS0020.pdffr
okr.region.administrativeAfrica
okr.region.countryNiger
okr.topicHealth Monitoring and Evaluation
okr.topicHealth, Nutrition and Population::HIV AIDS
okr.topicGender::Gender and Health
okr.topicDisease Control and Prevention
okr.topicHealth, Nutrition and Population::Population Policies
okr.txturlhttp://documents.worldbank.org/curated/en/675651468124148977/text/AUS81140FRENCH0140WB0UNSW0CISLS0020.txtfr
okr.unitHDNHE Africa
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