Assessing the Financial Sustainability of Jamaica's HIV Program

World Bank

Assessing the Financial Sustainability of Jamaica's HIV Program

2013

World Bank

Jamaica has made many notable achievements in the fight against HIV/AIDS, which include a robust treatment program and improved HIV prevention programs that increasingly focus on the key drivers of the HIV epidemic and which are based on evidence. These attainments have resulted in a sustained decline in the estimated incidence of HIV and in a reduction in AIDS mortality. The national response to HIV/AIDS in Jamaica is currently financed by the Government as well as by several external sources, including the World Bank, the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and the United States government. It is expected, however, that external financing will cease or be significantly reduced in the next two years. As a result, a substantial increase in domestic financing for the national HIV/AIDS response will be needed. However, public debt levels are high, and the country is feeling the repercussions of the global financial crisis, thus the availability of domestic resources is and will be very tight. Any shortfall in financing whether domestic, external or both will have serious implications for the delivery of HIV services. The Government of Jamaica requested this study so as to inform its future HIV/AIDS policy response. This study is one input in a series of actions that the Government will undertake to formulate a future sustainability plan and investment framework for the National HIV Program. This study was led and financed by the World Bank and conducted in collaboration with the Government of Jamaica and United Nations Programme on HIV/AIDS (UNAIDS). The study aimed to assess the sustainability of Jamaica's National HIV Program from a fiscal perspective. Specifically, the purpose of the study was to: 1) review current spending on HIV/AIDS and the sources of financing; 2) estimate the fiscal burden of the national HIV/AIDS response and assess the outlook for external financing of the HIV program; 3) project how the epidemic will unfold as well as what the costs would be under different potential scenarios; and 4) provide recommendations to inform policy decisions.

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Mots clés AGROVOC

acquired immunodeficiency syndrome age groups aged cardiovascular diseases child development civil society organizations communicable diseases debt drugs economic growth external debt females gross domestic product health insurance health services hiv hiv infections hiv/aids human immunodeficiency virus human resources immunodeficiency income infant legal status living conditions malaria mothers patient patients population growth pregnant women public health public services social security social services therapy tuberculosis

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D'autres materias

High-risk groups; Infant deaths; Treatment access; Commercial sex; Life expectancy; Sexual behavior; Under-five mortality; Health facilities; Sexual risk behavior; Prevalence; Injury; Health expenditures; Working-age population; Rate of condom use; Unaids; Female sex workers; Condom use; New infections; Sex worker; Drug users; Effective prevention; Number of people; Burden of disease; Number of new infections; Aids interventions; Health financing; Mother-to-child; Prevalence rates; Adult population; Drug regimen; Demand for services; Policy decisions; United nations population division; Social support; Financial commitments; Health consequences; Dissemination; Multiple partners; Risk populations; Inpatient care; Health sector; Behavioral changes; Hiv infection; Hiv-positive people; Probability; Illness; Aids committee; Behavioral change; Condom; Prevention of mother-to-child transmission; Sexual risk; Mother; Hiv prevention; Female; Commercial sex workers; Access to health services; Ministry of health; Allocative efficiency; Infant mortality; Nutritional deficiencies; Policy makers; Epidemic; Orphan; Perinatal conditions; Aids program; Policy response; Orphans; Mother to child transmission; Inequities; Health system; Aids mortality; Sexually active; Young people; Public health spending; Aids deaths; Hiv prevention interventions; Palliative care; Hiv testing; Behavioural change; Aids spending; Injuries; Intervention; Number of aids deaths; Resource needs; Mother to child; Prevalence rate; Casual sex; Progress; Sexual activity; National aids; Rate of transmission; Fewer people; Vulnerable children; Lack of awareness; Survival rates; Prevention efforts; Young adults; Infections among adults; Health outcomes; Population groups; Sex with men; Opportunistic infections; New cases; Sexual intercourse; Prevention activities; Leading cause of death; Access to treatment; Expenditures; Public health services; Transmission; Sexually transmitted infection; User fees; Social barriers; Orphan support; Respect

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anglais

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http://hdl.handle.net/10986/26805

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Assessing the Financial Sustainability of Jamaica's HIV Program

2013

Mots clés AGROVOC

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