Uganda - HIV Prevention Response and Modes of Transmission Analysis (PDF 797kb)
March 2009
This study synthesizes existing and new data to characterize Uganda's HIV epidemic, and briefly reviews the prevention response and funding. It assesses how well prevention efforts align with evidence on sources of new infections, and identifies how the emphasis and targeting of prevention could be shifted to where most new infections are occurring. The greatest need for HIV prevention exists among people with multiple partners whether in casual or long-term martial or cohabiting relationships. Also, HIV prevention programmes for sex workers and their clients, fishing communities and other groups with high prevalence/incidence rates are poorly funded. (This is part of a program of work led by National AIDS Authorities and UNAIDS Country Office teams with support from the UNAIDS Regional Support Team for Eastern and Southern Africa, UNAIDS Geneva and the Bank's Global HIV/AIDS Program.)
Lesotho - HIV Prevention Response and Modes of Transmission Analysis(PDF 1.39MB)
March 2009
This study synthesizes existing and new data to characterize Lesotho's HIV epidemic, and briefly reviews the prevention response and funding. It assesses how well prevention aligns with evidence on sources of new infections. Recommendations to enhance the effectiveness of prevention are offered. The data show that exceptionally high prevalence of multiple concurrent sexual relationships before and during marriage, together with low levels of full male circumcision are major risk factors in Lesotho’s hyperendemic HIV situation. (This is part of a program of work led by National AIDS Authorities and UNAIDS Country Office teams with support from the UNAIDS Regional Support Team for Eastern and Southern Africa, UNAIDS Geneva and the Bank's Global HIV/AIDS Program.)
Kenya - HIV Prevention Response and Modes of Transmission Analysis (PDF 2.20MB)
March 2009
This study synthesizes existing and new data to characterize Kenya's HIV epidemic, and briefly reviews the prevention response and funding. It assesses how well prevention aligns with evidence on sources of new infections. Recommendations to enhance the effectiveness of prevention are offered. The data show that most new infections in Kenya occur in heterosexual couples, in which one or both have other sexual partners as well. (This is part of a program of work led by National AIDS Authorities and UNAIDS Country Office teams with support from the UNAIDS Regional Support Team for Eastern and Southern Africa, UNAIDS Geneva and the Bank's Global HIV/AIDS Program.)
Swaziland - HIV Prevention Response and Modes of Transmission Analysis (PDF 1.70MB)
March 2009
This study synthesizes existing and new data to characterize Swaziland's HIV epidemic, and briefly review the prevention response and funding allocation (drawing on the 2008 National AIDS Spending Assessment). It assesses how well prevention aligns with evidence on sources of new infections. Recommendations to enhance the effectiveness of prevention are offered. The data confirm the hypothesis that multiple, concurrent long-term heterosexual relationships, in a context of implicitly permissive social norms, gender inequality and economic need, are a key contributor to HIV transmission in Swaziland. (This is part of a program of work led by National AIDS Authorities and UNAIDS Country Office teams with support from the UNAIDS Regional Support Team for Eastern and Southern Africa, UNAIDS Geneva and the Bank's Global HIV/AIDS Program.)
West Africa HIV/AIDS Epidemiology and Response Synthesis (PDF 2.51MB)  en français (PDF 1.95MB) Portuguese (PDF 120KB)
November 2008
This synthesis paper analyses all available relevant data to carefully characterise the HIV epidemics in 15 West African countries. The aim is to improve understanding of HIV transmission dynamics in this sub-region, assess the extent to which existing responses address these specific transmission dynamics, and recommend ways to improve the effectiveness of West Africa’s epidemic response.
Building on Evidence: A Situational Analysis of the HIV Epidemic and Policy Response in Honduras (PDF 462kb)
October 2008
This paper summarizes key findings of the epidemiological, response and policy synthesis done in Honduras in 2007, presenting HIV prevalence data and estimates of the sources of infection and likely patterns and future trends It briefly explains how this analysis informed the design of Honduras’ new national HIV/AIDS strategy, PENSIDA III, 2008-2012
Knowledge, attitudes, and behavior related to HIV/AIDS among transport sector workers: a case study of Georgia (PDF 1.22MB)
September 2008
Reports on results of surveys of attitudes and approaches to HIV prevention and care among health and transport sector institutions, NGOs, transport workers (trucking and maritime) and sex workers. A better understanding of the unique needs of transport workers with respect to HIV prevention can help authorities foster an enabling environment for developing specific strategies and targeted HIV intervention programs.
HIV/AIDS in Ethiopia: An Epidemiological Synthesis (PDF 1.8MB)
May 2008
This first synthesis and analysis of all epidemiological and response data available for Ethiopia enhances understanding of HIV trends and heterogeneity. (Done by the Federal Ministry of Health HIV/AIDS Prevention and Control Office of Ethiopia with the World Bank and other partners.)
Blood Services in Central Asian Health Systems: A Clear & Present Danger of Spreading HIV/AIDS & Other Infectious Diseases (PDF 3.54MB)
May 2008
Until recently, little was known about blood transfusion systems in Central Asia and their contribution to disease transmission. This study (with the CDC), in collaboration with four Ministries of Health, reveals the extent of the risk that unsuspecting doctors in health facilities may be administering contaminated blood to unsuspecting patients. It recommends actions to take to improve blood safety.
(also available in  Russian)
Rapid Analysis of HIV Epidemiological and HIV Response Data About Vulnerable Populations in the Great Lakes Region of Africa (PDF 3.37MB)
January 2008
GAMET, with the Great Lakes Initiative on AIDS (GLIA), has analyzed the HIV epidemic and response among vulnerable populations in the sub-region. The report offers 5 policy implications that are informing GLIA's new HIV Strategic Plan (being developed with ASAP support).  en Français (PDF 4.18MB) Planning & Managing for HIV/AIDS Results: A Handbook (PDF 3.51MB)
This Handbook introduces an approach to HIV strategic thinking and planning that is guided by evidence and oriented to results. It provides "how to" suggestions for each stage of the results cycle: analysing the country's epidemic and response, choosing results and targets to aim for, idenitfying indicators, then activities, and monitoring, managing and improving programs.
(also available in  French, PDF 2.65MB;   Russian, PDF 2.62MB;  Spanish, PDF 4.72MB) This set of studies summarizes the epidemiology and national response to HIV and AIDS in Costa Rica, Guatemala, Honduras, El Salvador, Panama and Nicaragua (and a regional overview). The work establishes a baseline for measuring progress and identifying new challenges for the Central America HIV/AIDS Regional Project. It also provides an evidence base for policy dialogue to prepare a regional HIV action plan with common policies and coordinated strategies. Evidence of discrimination against people with HIV in the legal framework and in practice is presented, and successful and promising treatment, prevention and care interventions are described.
Australia's Successful Response to AIDSÂ and the Role of Law Reform
June 2006
Australia’s successful response to HIV and AIDS included significant policy and legal reform relating to homosexual acts, age of consent, anti-discrimination and anti-vilification, drugs, prostitution, prisons and immigration. This paper describes Australia's epidemic and response, noting the role community groups played, and discusses the law reforms (with examples and links to source documents).
Accelerating the Education Sector Response to HIV/AIDS in Africa: A Review of World Bank Assistance (pdf 518 KB)
August 2005
This report examines World Bank financing for the Education Sector HIV/AIDS Response in Sub-Saharan Africa up to mid-2004, through the MAP projects and World Bank support for the education sector. Documents and data were reviewed, and key informants interviewed. The review responds to a need for information identified during a consultation with African countries in December 2003.
Lessons Learned to date from HIV/AIDS Transport Corridor Projects (pdf 557 KB)
August 2005
Drawing on documents and interviews with key stakeholders, the paper reviews the expereinces and challenges faced in preparing and beginning to implement the Abijan-Lagos HIV/AIDS project. The project aims to increase access along the corridor to HIV/AIDS prevention, basic treatment, support and care services. The paper also reviews other transport corridors where HIV/AIDS interventions are needed.
Lessons from World Bank-Supported Initiatives to Fight HIV/AIDS in Countries with IBRD Loans and IDA Credits in Nonaccrual (PDF 412kb)
May 2005. World Bank Global HIV/AIDS Program Discussion Paper
Using examples drawn from case studies on six countries: the Central African Republic, the Democratic Republic of Congo, Somalia, Sudan, Togo, and Zimbabwe, this paper describes how Bank country teams have supported HIV/AIDS work in countries whose IBRD loans and/or IDA credits have been placed in nonaccrual status. |
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