Publication:
Thirty Years of the HIV/AIDS Epidemic in Argentina: An Assessment of the National Health Response

Loading...
Thumbnail Image
Files in English
English PDF (7.27 MB)
2,559 downloads
Published
2015-07-08
ISSN
Date
2015-07-08
Editor(s)
Abstract
This book delves into the combination of factors that make Argentina a success story in combating HIV/AIDS. It analyzes the national and inter-provincial burden of disease, the demographics of new HIV cases, the demand and supply-sides of service delivery, and conducts a cost-benefit analysis of the Argentine National HIV/AIDS Program from 2000 to 2010. This book will be of interest to those who wish to examine key programmatic innovations that have been essential to Argentina’s success in the fight against HIV/AIDS, such as the introduction of universal free antiretroviral treatment, a comprehensive legal framework for sexual and reproductive rights, the introduction of incentives and results-based financing in the HIV/AIDS program, electronic monitoring of supplies and medicines, and implementation of an electronic clinical governance system for improving the quality of care and patient follow-up. The 1992 creation of the National HIV/AIDS Program was a fundamental step for Argentina to reach the second lowest burden of HIV/AIDS in South America in 2010. Despite these successes, the fight against the HIV/AIDS epidemic in Argentina still poses continuous challenges, including a high number of new infections among young men who have sex with men, inequalities in HIV/AIDS rates between provinces, insufficient coverage of HIV diagnostic testing, relatively low expenditure on HIV prevention, and poses the question regarding the long-term financial sustainability of the program, considering the increasing number of patients in treatment and the high comparative cost of antiretroviral treatment.
Link to Data Set
Citation
Lavadenz, Fernando; Pantanali, Carla; Zeballos, Eliana. 2015. Thirty Years of the HIV/AIDS Epidemic in Argentina: An Assessment of the National Health Response. © World Bank. http://hdl.handle.net/10986/22124 License: CC BY 3.0 IGO.
Associated URLs
Associated content
Report Series
Report Series
Other publications in this report series
  • Publication
    Democratic Republic of Congo Urbanization Review
    (Washington, DC: World Bank, 2018) World Bank; Ranarifidy, Dina
    The Democratic Republic of Congo has the third largest urban population in sub-Saharan Africa (estimated at 43% in 2016) after South Africa and Nigeria. It is expected to grow at a rate of 4.1% per year, which corresponds to an additional 1 million residents moving to cities every year. If this trend continues, the urban population could double in just 15 years. Thus, with a population of 12 million and a growth rate of 5.1% per year, Kinshasa is poised to become the most populous city in Africa by 2030. Such strong urban growth comes with two main challenges – the need to make cities livable and inclusive by meeting the high demand for social services, infrastructure, education, health, and other basic services; and the need to make cities more productive by addressing the lack of concentrated economic activity. The Urbanization Review of the Democratic Republic of Congo argues that the country is urbanizing at different rates and identifies five regions (East, South, Central, West and Congo Basin) that present specific challenges and opportunities. The Urbanization Review proposes policy options based on three sets of instruments, known as the three 'I's – Institutions, Infrastructures and Interventions – to help each region respond to its specific needs while reaping the benefits of economic agglomeration The Democratic Republic of the Congo is at a crossroads. The recent decline in commodity prices could constitute an opportunity for the country to diversify its economy and invest in the manufacturing sector. Now is an opportune time for Congolese decision-makers to invest in cities that can lead the country's structural transformation and facilitate greater integration with African and global markets. Such action would position the country well on the path to emergence.
  • Publication
    An Investment Framework for Nutrition
    (Washington, DC: World Bank, 2017-04-12) Shekar, Meera; Kakietek, Jakub; Dayton Eberwein, Julia; Walters, Dylan
    The report estimates the costs, impacts and financing scenarios to achieve the World Health Assembly global nutrition targets for stunting, anemia in women, exclusive breastfeeding and the scaling up of the treatment of severe wasting among young children. To reach these four targets, the world needs $70 billion over 10 years to invest in high-impact nutrition-specific interventions. This investment would have enormous benefits: 65 million cases of stunting and 265 million cases of anemia in women would be prevented in 2025 as compared with the 2015 baseline. In addition, at least 91 million more children would be treated for severe wasting and 105 million additional babies would be exclusively breastfed during the first six months of life over 10 years. Altogether, achieving these targets would avert at least 3.7 million child deaths. Every dollar invested in this package of interventions would yield between $4 and $35 in economic returns, making investing in early nutrition one of the best value-for-money development actions. Although some of the targets—especially those for reducing stunting in children and anemia in women—are ambitious and will require concerted efforts in financing, scale-up, and sustained commitment, recent experience from several countries suggests that meeting these targets is feasible. These investments in the critical 1000 day window of early childhood are inalienable and portable and will pay lifelong dividends – not only for children directly affected but also for us all in the form of more robust societies – that will drive future economies.
  • Publication
    At a Crossroads
    (World Bank, Washington, DC, 2017-05-02) Ferreyra, Maria Marta; Avitabile, Ciro; Botero Álvarez, Javier; Haimovich Paz, Francisco; Urzúa, Sergio
    Higher education (HE) has expanded dramatically in Latin America and the Caribbean (LAC) since 2000. While access became more equitable, quality concerns remain. This volume studies the expansion, as well as HE quality, variety and equity in LAC. It investigates the expansion’s demand and supply drivers, and outlines policy implications.
  • Publication
    Options for Aged Care in China
    (Washington, DC: World Bank, 2018-11-20) Glinskaya, Elena; Feng, Zhanlian; Glinskaya, Elena; Feng, Zhanlian
    China is aging at an unprecedented rate. Improvements in life expectancy and the consequences of the decades-old family planning policy have led to a rapid increase in the elderly population. According to the United Nations World Population Prospects, the proportion of older people age 65 and over will increase by about one-fourth by 2030, and the elderly will account for about one quarter of the total population by 2050. Population aging will not only pose challenges for elder care but also have an impact on the economy and all aspects of society (World Bank, 2016a). The government is aware of the need to develop an efficient and sustainable approach to aged care. To this end, the General Office of the State Council issued the 12th Five-Year Plan for the Development of Aged Care Services in China and the Development Plan for a System of Social Services for the Aged (2011-2015). It is now in the process of formulating the 13th Five-Year National Plan on Aging, which will further elaborate and finalize the reform roadmap for 2016 to 2020. The Plan is expected to be finalized and launched by June 2016. The National Development and Reform Commission (NDRC) helped draft these plans and is now leading the development of policy measures for the provision of social services for the elderly. This volume has been prepared to support the translation of the broad ideas on aged care provision expressed in the 12th and 13th Five-Year Plans and other government plans into reality and to help the government tackle the challenges described above. It strives to identify a policy framework that fits the Chinese context and can be put in place gradually. Specifically, it aims to provide an up-to-date understanding of the evolving aged care landscape in China; review international experiences in long-term care provision, financing, and quality assurance and assess their relevance to China’s current situation; discuss implications of current developments and trends for the future of aged care in China; and propose policy options based on available evidence and best practices.
  • Publication
    Transforming Karachi into a Livable and Competitive Megacity
    (Washington, DC: World Bank, 2018-02-27) World Bank
    With a population of 16 million, Karachi is the largest megacity in Pakistan. Despite being a large city that is home to many, it has seen a substantial decline in quality of life and economic competitiveness in recent decades. Basic service delivery is very poor, with very low indicators for water supply, sanitation, public transport and public spaces. Pollution levels are high, and the city is vulnerable to disasters and climate change. A highly complex political economy, institutional fragmentation, land contestation, crime and security issues and social exclusion exacerbate these issues and make city management challenging. The Karachi City Diagnostic and Transformation Strategy attempts to present detailed data on the economy, livability and key urban services of the city, by identifying and quantifying the requirements to bridge the services gap in the city. It also proposes pathways towards the transformation of Karachi into a more livable, inclusive and economically competitive city by outlining policy actions that the city can undertake. The first part of the report provides an in-depth review of Karachi and is organized into three themes focused on key aspects of city management: (i) city growth and prosperity – discussing city economy, competitiveness, business environment and poverty; (ii) city livability – discussing urban and spatial planning, urban governance and municipal service delivery (water and sanitation, public transport and solid waste); and (iii) sustainability and inclusiveness – discussing the city’s long term resilience based on fiscal management, disaster resilience and climate change, and social inclusion. In each section, a diagnostic is provided on the issues, along with possible prioritized actions to resolve them. The second part of the report concludes by identifying four pillars for city transformation. These include: (i) building inclusive, coordinated and accountable institutions; (ii) greening Karachi for sustainability and resilience; (iii) leveraging on the city's economic, social and environmental assets; and (iv) creating a smart city through smart policies and technology.
Journal
Journal Volume
Journal Issue

Related items

Showing items related by metadata.

  • Publication
    Reducing the HIV/AIDS Epidemic
    (World Bank, Washington, DC, 2014-09) Miachon, Lais; Lavadenz, Fernando
    Argentina reduced its HIV/AIDS burden by 21 percent from 2000 to 2010, saving an estimated 4,379 lives. This makes Argentina s HIV/AIDS burden the second lowest in South America after Chile. Argentina reduced the mother-to-child HIV/AIDS transmission rate by 62 percent from 2000 to 2011. The National HIV/AIDS Program was created in 1995 and has since introduced key innovations that have contributed to the reduction of the HIV/AIDS burden in Argentina. As of 2010, the National HIV/AIDS Program is entirely domestically funded, and a World Bank study has found the Program to be cost-beneficial.
  • Publication
    Using Budgeting for Results in HIV/AIDS Programs : Lessons from Peru
    (World Bank Group, Washington, DC, 2014-10) Medici, Andre; Vargas, Veronica; Lavadenz, Fernando; Miachon, Lais
    Peru reduced its HIV/AIDS burden by 43 percent from 2000 to 2010 due to the introduction of free antiretroviral drug therapy in 2004, and the successful execution of the 2007-2011 HIV/AIDS Strategy and budgeting for results since 2011. The national HIV program received significant external support from bilateral and international organizations until 2010. The program s share of domestic public funding has since increased substantially. Since 2011, the Ministry of Finance has worked to improve allocative efficiency of HIV/AIDS public funding for high-risk groups, using budgeting for results and transferring resources directly to the Regions. The HIV/AIDS prevalence in 2010 was estimated at 0.4 percent, below the Latin American and the Caribbean regional prevalence of 0.5 percent.
  • Publication
    Sudan's HIV Response : Value for Money in a Low-Level HIV Epidemic
    (World Bank, Washington, DC, 2014-09-01) Fraser, Nicole; Benedikt, Clemens; Obst, Michael; Masaki, Emi; Görgens, Marelize; Stuart, Robyn; Shattock, Andrew; Gray Richard; Wilson, David
    This report summarizes the findings of an allocative efficiency analysis on Sudan s national HIV epidemic and response conducted in 2014. HIV allocative efficiency studies are generally trying to answer the question How can HIV funding be optimally allocated to the combination of HIV response interventions that will yield the highest impact . In the first half of 2014, the Sudan National AIDS Programme has reviewed its national strategic plan (NSP) on HIV and AIDS, while at the same time preparing a concept note for submission to the Global Fund for AIDS, Tuberculosis and Malaria, the single largest funding partner of the national HIV response. In this context the government of Sudan approached the World Bank with a request to conduct an allocative efficiency analysis to inform both the prioritization of the national HIV response and the concept note development.
  • Publication
    Evidence-based Implementation Efficiency Analysis of the HIV/AIDS National Response in Colombia
    (World Bank, Washington, DC, 2012-08) Moreno, Antonio; Álvarez-Rosete, Arturo; Luque Nuñez, Ricardo; del Carmen Moreno Chavez, Teresa; Rodriguez-García, Rosalía; Montenegro, Fernando; Moreno, Luis Ángel; Suarez Lissi, Alejandra; Magne Concardo, Pedro; Gaillard, Michel Eric
    This study on the implementation efficiency of the HIV/AIDS national response in Colombia seeks to examine how it has been implemented -- whether it has been done according to the available evidence about the epidemic and as the response was originally planned. The study approaches three specific dimensions of implementation efficiency: (i) programmatic; (ii) budgetary; and (iii) service delivery. The study uses a range of research techniques, including: (i) documentary analysis of key policies, official publications and reports; (ii) semi-structured interviews with representatives of the central government and territorial entities, international and community-based organizations, insurers, care providers, etc.; and (iii) case-study analysis to visualize the ways in which people are cared for in practice. The available data suggest that the HIV/AIDS response is succeeding in keeping the prevalence low and the epidemic concentrated. In recent years, the level of health coverage has increased and the quality of care services has improved. The identified problems in service delivery (mostly related to coverage and access) are linked to system fragmentation and integration, and to the nature of the coordination mechanisms, both at the national and the territorial level. The effectiveness of the response would benefit from re-energized leadership at both the national and local levels -- articulated through the existing programmatic framework and coordinating mechanisms. The complexity of the system and the lack of budgetary and expenditure information have impeded the evaluation of the budgetary efficiency of the HIV/AIDS response.
  • Publication
    The World Bank's Commitment to HIV/AIDS in Africa : Our Agenda for Action, 2007-2011
    (Washington, DC : World Bank, 2008) World Bank
    The World Bank is committed to support Sub-Saharan Africa in responding to the HIV/AIDS epidemic. This Agenda for Action (AFA) is a road map for the next five years to guide Bank management and staff in fulfilling that commitment. It underscores the lessons learned and outlines a line of action. HIV/AIDS remains and will remain for the foreseeable future an enormous economic, social, and human challenge to Sub-Saharan Africa. This region is the global epicenter of the disease. About 22.5 million Africans are HIV positive, and AIDS is the leading cause of premature death on the continent. HIV/AIDS affects young people and women disproportionately. Some 61 percent of those who are HIV positive are women, and young women are three times more likely to be HIV positive than are young men. As a result of the epidemic, an estimated 11.4 million children under age 18 have lost at least one parent. Its impact on households, human capital, the private sector, and the public sector undermines the alleviation of poverty, the Bank's overarching mandate. In sum, HIV/AIDS threatens the development goals in the region unlike anywhere else in the world.

Users also downloaded

Showing related downloaded files

  • Publication
    Gender and Agriculture in Sub-Saharan Africa
    (World Bank, Washington, DC, 2023-07-13) Buehren, Niklas
    Raising agricultural is essential to boosting gross domestic product (GDP), reducing poverty, improving food security, and achieving structural transformation across Africa. Yet, Africa’s agricultural intensification has not kept pace with that of other developing regions. One significant and costly inefficiency undermining the region’s progress is the pervasive gender gap in agricultural productivity. This gender gap represents not only a substantial impediment to growth in the agricultural sector but, moreover, a forgone opportunity to increase national income and reduce poverty at the regional level. To address the productivity gender gap and realize the potential of African agriculture, establishing a clear understanding of the gender specific constraints hindering the productivity of women farmers is crucial. This paper develops a conceptual framework for thinking about the gender gap in agricultural productivity, reviews evidence on the effectiveness of policies and interventions designed to address the constraints faced by women farmers and proposes a research agenda to move the policy debate forward. Section II provides an overview of the agricultural gender gap in Sub-Saharan Africa. Section III presents a framework that establishes linkages between the choices that women farmers make, the constraints and contextual factors influencing their decisions, and the agricultural outcomes they achieve. Section IV identifies the constraints that women farmers face, reviews the evidence on the levels of severity and relative impact of these constraints on productivity, and highlights existing approaches and interventions that tackle these constraints. Section V outlines a research agenda to fill knowledge gaps and generate evidence useful to policymakers in Sub-Saharan Africa and beyond. Section VI concludes.
  • Publication
    Global Economic Prospects, January 2025
    (Washington, DC: World Bank, 2025-01-16) World Bank
    Global growth is expected to hold steady at 2.7 percent in 2025-26. However, the global economy appears to be settling at a low growth rate that will be insufficient to foster sustained economic development—with the possibility of further headwinds from heightened policy uncertainty and adverse trade policy shifts, geopolitical tensions, persistent inflation, and climate-related natural disasters. Against this backdrop, emerging market and developing economies are set to enter the second quarter of the twenty-first century with per capita incomes on a trajectory that implies substantially slower catch-up toward advanced-economy living standards than they previously experienced. Without course corrections, most low-income countries are unlikely to graduate to middle-income status by the middle of the century. Policy action at both global and national levels is needed to foster a more favorable external environment, enhance macroeconomic stability, reduce structural constraints, address the effects of climate change, and thus accelerate long-term growth and development.
  • Publication
    Gender Gaps in Agriculture Productivity and Public Spending in Nigeria
    (Washington, DC: World Bank, 2023-09-25) World Bank
    Women farmers produce 30 percent less per hectare than their male counterparts. Among various factors, there are three key drivers of gender gaps in agriculture productivity in Nigeria: women use fewer inputs and have limited participation in extension services, farm less-valuable crops, and hire less productive labor. The four value chains receiving the largest budget allocations are among those with the lowest participation of women farmers. These gaps can be closed via adjustments at fundamental stages of budget allocation and policy formulation. This technical note aims to analyze the gender dimensions of participation, input distribution, and budget allocation across various crop value chains supported by the Federal Ministry of Agriculture and Rural Development (FMARD). Specifically, the underlying analysis aims to (i) examine women’s participation in the crop value chains for which FMARD provides input support; (ii) quantify the gender gaps in agricultural input use, extension services, and labor productivity; (iii) examine women’s participation and inputs use against budget allocations; and (iv) thereby, formulate recommendations for increasing fiscal space and investments to close the agricultural gender productivity gaps in Nigeria.
  • Publication
    What Is State Capacity?
    (World Bank, Washington, DC, 2019-02) Khemani, Stuti
    Reform leaders who want to pursue technically sound policies are confronted with the problem of getting myriad government agencies, staffed by thousands of bureaucrats and state personnel, to deliver. This paper provides a framework for thinking about the problem as a series of interdependent principal-agent relationships in complex organizations, where one type of actor, the agent, takes actions on behalf of another, the principal. Using this framework to review and forge connections across a large literature, the paper shows how the crux of state capacity is the culture of bureaucracies -- the incentives, beliefs and expectations, or norms, shared among state personnel about how others are behaving. Although this characterization might apply generally to any complex organization, what distinguishes agencies of the state is the fundamental role of politics -- the processes by which the leaders who exercise power over bureaucracies, starting from the lowest village levels, are selected and sanctioned. Politics shapes not only the incentives of state personnel, but perhaps more importantly, it coordinates their beliefs and expectations, and thereby the performance of government agencies. Recognizing these roles of politics, the paper offers insights for what reform leaders can do to strengthen state capacity for public goods.
  • 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.