Publication:
Economic Impact of HIV and Antiretroviral Therapy on Education Supply in High Prevalence Regions

Loading...
Thumbnail Image
Files in English
Journal Article (1.12 MB)
200 downloads
Published
2012-11-16
ISSN
Date
2015-12-03
Author(s)
Risley, Claire L.
Drake, Lesley J.
Editor(s)
Abstract
We set out to estimate, for the three geographical regions with the highest HIV prevalence, (sub-Saharan Africa [SSA], the Caribbean and the Greater Mekong sub-region of East Asia), the human resource and economic impact of HIV on the supply of education from 2008 to 2015, the target date for the achievement of Education For All (EFA), contrasting the continuation of access to care, support and Antiretroviral therapy (ART) to the scenario of universal access.
Link to Data Set
Digital Object Identifier
Associated content
Report Series
Other publications in this report series
Journal
Journal Volume
Journal Issue

Related items

Showing items related by metadata.

  • Publication
    Courage and Hope : Stories from Teachers Living with HIV in Sub-Saharan Africa
    (World Bank, 2009) Aduda, David; Bundy, Donald; Woolnough, Alice; Drake, Lesley; Manda, Stella; Bundy, Donald; Aduda, David; Woolnough, Alice; Drake, Lesley; Manda, Stella
    It is estimated that there are currently approximately 122,000 teachers in Sub-Saharan Africa who are living with HIV, the vast majority of whom have not sought testing and do not know their HIV status. Stigma remains the greatest challenge and the major barrier to accessing and providing assistance to these teachers. The idea to collect stories from teachers living with HIV was inspired during the Association for the Development of Education in Africa (ADEA) biennial meeting in Libreville, Gabon, in March 2006. At the conclusion of the meeting, Margaret Wambete shared a moving account of her life as a teacher living with HIV in Kenya. Margaret's presentation alluded to the fact that teachers living positively, in part due to their leadership role and in part due to their visibility in society, experience a unique set of challenges related to their HIV-positive status. To emphasize the human dimension of these stories, the technical team worked with journalists rather than researchers. A seasoned journalist responsible for the education section of a major Kenyan newspaper led eight local journalists in documenting these stories. Working with teacher unions and networks of HIV-positive teachers in various countries, a number of HIV-positive teachers were identified as willing participants for this project. The journalists each interviewed teachers living with HIV from their home country and recorded their stories. Once collected, the stories were vetted for accuracy of interpretation and then reviewed more widely at the meeting of the African networks of ministry of education HIV&AIDS focal points in Nairobi in November 2007. From the interactions, the journalists learned that news conferences, reports, or press statements they rely on for information about HIV are not enough. Understanding the HIV challenge requires close association with those living with the HIV virus. These individuals have moving personal testimonies that cannot be captured through hard facts and figures. Only through close interaction can people living with HIV express their fears, needs, and aspirations. Personal testimonies from the teachers are a powerful tool for spreading the message on HIV. Facts and figures are important, but listening to those who have lived through the experiences telling their stories makes the message more potent. The lessons journalists learned from the exercise will surely help them and readers of this book in redefining their perception about HIV, especially in relation to professionals such as teachers.
  • Publication
    School Health, Nutrition and HIV/AIDS Programming : Promising Practice in the Greater Mekong Sub-Region
    (World Bank, Washington, DC, 2009-06) O'Connell, Tara; Bundy, Donald; Drake, Lesley; Baker, Simon; Abrioux, Emmanuelle; Bundy, Donald; O'Connell, Tara; Drake, Lesley; Baker, Simon; Abrioux, Emmanuelle
    In low income countries, poor health and malnutrition are critical underlying factors for low school enrolment, absenteeism, poor classroom performance and dropout; all of which act as important constraints in countries efforts to achieve Education for All (EFA) and the education Millennium Development Goals (MDGs). In the Greater Mekong Sub-Region (GMSR), the education and health sectors have long recognized that school health and nutrition programs can address the basic health problems faced by their schoolchildren. More recently, life skills modules and HIV prevention education are being introduced to promote positive and healthy behaviors. The currently low levels of HIV infection in the GMSR make a focus on prevention all the more timely. The aim of this document is to share emerging promising practice in the field of school health and nutrition within the GMSR and to inform governments, development partners and other organizations that recognize the need to harmonize activities and align assistance. It aims to strengthen the network of school health, nutrition and HIV/AIDS Ministry of Education Focal Points and further the establishment of a sound community of good practice in the sub-region. The document includes descriptions a wide range of different activities from the six GMSR countries of Cambodia, China (Yunnan Province), Lao People's Democratic Republic (PDR), Myanmar, Thailand and Vietnam.
  • Publication
    Rethinking School Feeding Social Safety Nets, Child Development, and the Education Sector
    (World Bank, 2009) Burbano, Carmen; Bundy, Donald; Gelli, Aulo; Grosh, Margaret; Jukes, Matthew; Drake, Lesley
    This review highlights three main findings. First, school feeding programs in low-income countries exhibit large variation in cost, with concomitant opportunities for cost containment. Second, as countries get richer, school feeding costs become a much smaller proportion of the investment in education. For example, in Zambia the cost of school feeding is about 50 percent of annual per capita costs for primary education; in Ireland it is only 10 percent. Further analysis is required to define these relationships, but supporting countries to maintain an investment in school feeding through this transition may emerge as a key role for development partners. Third, the main preconditions for the transition to sustainable national programs are mainstreaming school feeding in national policies and plans, especially education sector plans; identifying national sources of financing; and expanding national implementation capacity. Mainstreaming a development policy for school feeding into national education sector plans offers the added advantage of aligning support for school feeding with the processes already established to harmonize development partner support for the education for all-fast track initiative.
  • Publication
    Accelerating the Education Sector Response to HIV : Five Years of Experience from Sub-Saharan Africa
    (World Bank, 2010) Patrikios, Anthi; Bundy, Donald; Mannathoko, Changu; Tembon, Andy; Manda, Stella; Sarr, Bachir; Drake, Lesley
    The work described in this review shows the commitment of education teams throughout Africa to contribute to the multisectoral response to HIV/AIDS. It is also a testament to the leadership shown by ministries of education, in helping the new generation of children and youth grow up better able to challenge HIV, and in providing care and support for the educators who often represent more than half the public sector workforce. The work described in this review does not suggest any single solution. Instead, the approach is based on the recognition that Africa is a diverse continent, and countries need to find their own local approaches to the epidemic. The Regional Economic Communities (RECs) of the African Union have been instrumental in encouraging locally specific responses, and recognizing that HIV knows no frontiers, in coordinating responses among neighbors. The countries of East, Central, and West Africa, working through the RECs, have created sub-regional networks of ministry of education HIV/AIDS focal points; these networks have been key to sharing information and developing capacity, and so to accelerating and strengthening responses at the national level. The review shows how, over the last five years, the leadership in ministries of education has been crucial in mobilizing these activities, and also emphasizes that effective implementation depends on the full participation of all stakeholders. Education staff, educators, and learners all have a role to play, as do parent-teacher associations, teachers' unions and the many civil society organizations, including faith-based organizations that are so important in the non-formal sector. The review also demonstrates the commitment of the development partners, and their efforts to harmonize their contribution toward strengthening the education agenda.
  • Publication
    Global School Feeding Sourcebook
    (London: Imperial College Press, 2016-05) Drake, Lesley; Woolnough, Alice; Burbano, Carmen; Bundy, Donald; Drake, Lesley; Woolnough, Alice; Burbano, Carmen; Bundy, Donald
    This sourcebook documents and analyzes a range of government-led school meals programs to provide decision-makers and practitioners worldwide with the knowledge, evidence and good practice they need to strengthen their national school feeding efforts. The sourcebook includes a compilation of concise and comprehensive country case-studies. It highlights the trade-offs associated with alternative school feeding models and analyzes the overarching themes, trends and challenges which run across them.

Users also downloaded

Showing related downloaded files

  • Publication
    Ukraine Country Environmental Analysis
    (World Bank, Washington, DC, 2016-01) World Bank
    The objective of the Country Environmental Analysis (CEA) is to assess the adequacy and performance of the policy, legal, and institutional framework for environmental management in Ukraine, in light of the decentralization process of environmental governance and wider reform objectives, and to provide recommendations to government to address the key gaps identified. Ukraine is the second largest country in Europe and has a population of 43 million, the majority of whom live in urban areas. It is a lower middle income country, with the services, industry and agriculture sectors being main contributors to the country’s Gross Domestic Product (GDP). Ukraine faces a number of environmental challenges, as identified in its National Environmental Strategy 2020 (NES). Key among these are: air pollution; quality of water resources and land degradation; solid waste management; biodiversity loss; human health issues associated with environmental risk factors; in addition to climate change. The scope of Ukrainian environmental legislation is quite broad and comprehensive (more than 300 legal acts) and covers most areas of environmental protection and natural resources management. However, the environmental legislation faces a number of weaknesses:The environmental legislation is largely declaratory in nature and does not have all the essential enforcement mechanisms for the implementation of legal acts and international agreements; Many of the acts are not coordinated with each other; and Legislation undergoes limited analysis of its impact—for example, no in-depth analysis such as Regulatory Impact Analysis is conducted for proposed pieces of legislation.
  • Publication
    Thailand Monthly Economic Monitor, October 2025
    (Washington, DC: World Bank, 2025-10-22) World Bank
    Fiscal conditions remained stable, with a modest widening of the deficit to 3.1 percent of GDP. New stimulus measures are expected to support short-term demand without breaching the public debt ceiling. Inflation stayed negative, reflecting lower energy and food prices amid subdued domestic demand. The central bank kept the policy rate unchanged, citing limited policy space. Thailand’s growth momentum has slowed further as manufacturing activity and services weakened as projected. Tourism remained subdued, largely due to fewer Chinese visitors. Goods exports also slowed as earlier front-loaded orders faded, particularly in agriculture and industrial goods. The Thai baht depreciated in early October as the US dollar appreciated and the current account turned negative.
  • Publication
    Digital Africa
    (Washington, DC: World Bank, 2023-03-13) Begazo, Tania; Dutz, Mark Andrew; Blimpo, Moussa
    All African countries need better and more jobs for their growing populations. "Digital Africa: Technological Transformation for Jobs" shows that broader use of productivity-enhancing, digital technologies by enterprises and households is imperative to generate such jobs, including for lower-skilled people. At the same time, it can support not only countries’ short-term objective of postpandemic economic recovery but also their vision of economic transformation with more inclusive growth. These outcomes are not automatic, however. Mobile internet availability has increased throughout the continent in recent years, but Africa’s uptake gap is the highest in the world. Areas with at least 3G mobile internet service now cover 84 percent of Africa’s population, but only 22 percent uses such services. And the average African business lags in the use of smartphones and computers as well as more sophisticated digital technologies that catalyze further productivity gains. Two issues explain the usage gap: affordability of these new technologies and willingness to use them. For the 40 percent of Africans below the extreme poverty line, mobile data plans alone would cost one-third of their incomes—in addition to the price of access devices, apps, and electricity. Data plans for small- and medium-size businesses are also more expensive than in other regions. Moreover, shortcomings in the quality of internet services—and in the supply of attractive, skills-appropriate apps that promote entrepreneurship and raise earnings—dampen people’s willingness to use them. For those countries already using these technologies, the development payoffs are significant. New empirical studies for this report add to the rapidly growing evidence that mobile internet availability directly raises enterprise productivity, increases jobs, and reduces poverty throughout Africa. To realize these and other benefits more widely, Africa’s countries must implement complementary and mutually reinforcing policies to strengthen both consumers’ ability to pay and willingness to use digital technologies. These interventions must prioritize productive use to generate large numbers of inclusive jobs in a region poised to benefit from a massive, youthful workforce—one projected to become the world’s largest by the end of this century.
  • Publication
    Regional Poverty and Inequality Update: Latin America and the Caribbean, October 2025
    (Washington, DC: World Bank, 2025-10-23) World Bank
    This brief summarizes recent facts related to poverty and inequality in Latin America and the Caribbean (LAC) using the latest wave of harmonized household surveys from the Socio-Economic Database for LAC (SEDLAC). This brief was produced by the Poverty Global Practice in the LAC Region of the World Bank.
  • Publication
    Fiscal Policy’s Role in Economic Resilience to Climate Shocks
    (Washington, DC: World Bank, 2024-11-22) Rezai, Armon; Ruch, Franz; Choudhary, Rishabh; Francois, John Nana Darko
    The impacts of climate change on developing economies are becoming increasingly severe, creating challenges for risk management and requiring enhanced levels of resilience. This paper explores how to mitigate the effects of such climate shocks on developing economies, placing a particular focus on the role fiscal policy in creating and strengthening an economy’s resilience. Using data on natural disasters, the analysis shows that economies with constrained fiscal space experience more pronounced negative effects. In an application to a small open economy, the paper tests the presence of the non-linearity of short- and long-run disaster impacts in the World Bank’s macroeconomic and fiscal model and illustrates the importance of fiscal policy in mitigating shocks.