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The Evolution of the World Banks Response to Hiv/Aids

By The World Bank

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Book Id: WPLBN0000185250
Format Type: PDF eBook
File Size: 0.2 MB
Reproduction Date: 2005
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Title: The Evolution of the World Banks Response to Hiv/Aids  
Author: The World Bank
Language: English
Subject: Economics, Finance & business, World Bank.
Collections: Economics Publications Collection
Publication Date:
Publisher: The World Bank


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Bank, T. W. (n.d.). The Evolution of the World Banks Response to Hiv/Aids. Retrieved from


Two Phases of the World Bank Response The evolution in World Bank strategies and assistance can be divided into two phases distinguished by the strategies adopted, the size and content of the HIV/AIDS lending portfolio, international partnerships, and the degree of institutional commitment. These phases are discussed below, based on timelines of the World Bank?s HIV/AIDS lending, strategies, analytic work, and institutional response (in Appendices B-1 and B-2) and interviews conducted for this evaluation. In assessing the Bank?s response, it is important to keep in mind, first, that HIV/AIDS was a totally new disease. Little was initially known about it. The history of the past two decades has been one of an extended learning process about the characteristics of HIV, its modes of transmission, and its treatment. For example, even after the major modes of transmission were established, it was not clear how easily (or not) HIV spread sexually or how long the incubation period was.3 Some research produced seemingly conflicting policy conclusions.4 Programmatic decisions, particularly in developing countries, were often based on intuition, notional ?best practice,? or hypothetical effectiveness, with incomplete information on the true extent of infection or risk behavior. This sometimes contributed to contentious views on how the epidemic should be addressed. The learning process about the disease, both scientifically and in terms of its impacts, is ongoing. Appendix B-3 provides a timeline of some key international events, scientific developments, policy prescriptions, and spread of HIV/AIDS since the first cases were reported in 1981.


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