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World Bank Publications
HIV and AIDS in South Asia: An Economic Development Risk

HIV and AIDS in South Asia: An Economic Development Risk

by Markus Haacker, Mariam Claeson


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Product Details

ISBN-13: 9780821378007
Publisher: World Bank Publications
Publication date: 02/19/2009
Series: Directions in Development
Pages: 272
Product dimensions: 5.90(w) x 8.90(h) x 0.70(d)

Table of Contents

Foreword xiii

Acknowledgments xv

Executive Summary xvii

Part I The Epidemiology of HIV and Prevention Strategies 1

Chapter 1 Dynamics of the HIV Epidemic in South Asia David Wilson Mariam Claeson 3

Introduction 3

The Global Context 4

HIV Transmission Patterns in South Asia 12

What Works-Lessons from HIV Prevention Interventions and Programs 27

Conclusions: Prevention Priorities for South Asia 32

References 36

Chapter 2 Responding to HIV in Afghanistan Jed Friedman Edit V. Velenyi 41

Introduction 41

The State of the Epidemic in Afghanistan 42

Evidence on the Effectiveness and Cost-Effectiveness of HIV Prevention 47

HIV Prevention in Afghanistan-An Economic Perspective 50

Conclusions 56

Notes 65

References 66

Part II The Economic and Development Impacts of HIV and AIDS 73

Chapter 3 Development Impact of HIV and AIDS in South Asia Markus Haacker 75

Introduction 75

Health and Demographic Impacts of HIV and AIDS 77

The Economic Impact of HIV and AIDS: Aggregate Approaches 84

Beyond Aggregate Measures of the Impact of HIV and AIDS 90

Economic Development Aspects of the Response to HIV and AIDS 99

Summary and Conclusions 112

Notes 114

References 117

Chapter 4 Economic Cost of HIV and AIDS in India Sanghamitra Das Abhiroop Mukhopadhyay Tridip Ray 123

Introduction 123

Context 125

A Survey of Households Affected by HIV and AIDS 127

Outline of the Model 141

Estimating the Costs of HIV and AIDS 143

Concluding Remarks 147

Notes 149

References 151

Part III The Burden of HIV and AIDS on the Health Sector 155

Chapter 5 The Fiscal Burden of AIDS Treatment on South Asian Health Care Systems Mead Over 157


Overview of AIDS Cases and Treatment in South Asia 158

Future Growth of South Asian Treatment Costs 163

Health Care Financing in South Asian Countries 167

Access to Private Health Care and the Risk of Poverty 170

Quality of Private vs. Public ART 175

Conclusions 177

Notes 187

References 189

Chapter 6 Recurrent Costs of India's Free ART Program Indrani Gupta Mayur Trivedi Subodh Kandamuthan 191

Introduction 191

India's Free ART Program 193

Methodology and Data Collection 196

Overview of the Selected Sites 201

Key Assumptions and Parameters 205

Costs of the ART Program 210

Out-of-pocket Expenditure 216

Projected Costs of India's Free ART Program 218

Discussion of Findings 220

Outlook 223

Notes 234

References 236

Index 239

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