Assessing the Financial Sustainability of Jamaica's HIV Program

World Bank

World Bank, Washington, DC

关键词: ACCESS TO HEALTH SERVICES;    ACCESS TO TREATMENT;    ACQUIRED IMMUNODEFICIENCY SYNDROME;    ADULT POPULATION;    AGE GROUPS;   

RP-ID  :  74547

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

Jamaica has made many notableachievements in the fight against HIV/AIDS, which include arobust treatment program and improved HIV preventionprograms that increasingly focus on the key drivers of theHIV epidemic and which are based on evidence. Theseattainments have resulted in a sustained decline in theestimated incidence of HIV and in a reduction in AIDSmortality. The national response to HIV/AIDS in Jamaica iscurrently financed by the Government as well as by severalexternal sources, including the World Bank, the Global Fundto Fight AIDS, Tuberculosis and Malaria (Global Fund) andthe United States government. It is expected, however, thatexternal financing will cease or be significantly reduced inthe next two years. As a result, a substantial increase indomestic financing for the national HIV/AIDS response willbe needed. However, public debt levels are high, and thecountry is feeling the repercussions of the global financialcrisis, thus the availability of domestic resources is andwill be very tight. Any shortfall in financing whetherdomestic, external or both will have serious implicationsfor the delivery of HIV services. The Government of Jamaicarequested this study so as to inform its future HIV/AIDSpolicy response. This study is one input in a series ofactions that the Government will undertake to formulate afuture sustainability plan and investment framework for theNational HIV Program. This study was led and financed by theWorld Bank and conducted in collaboration with theGovernment of Jamaica and United Nations Programme onHIV/AIDS (UNAIDS). The study aimed to assess thesustainability of Jamaica's National HIV Program from afiscal perspective. Specifically, the purpose of the studywas to: 1) review current spending on HIV/AIDS and thesources of financing; 2) estimate the fiscal burden of thenational HIV/AIDS response and assess the outlook forexternal financing of the HIV program; 3) project how theepidemic will unfold as well as what the costs would beunder different potential scenarios; and 4) providerecommendations to inform policy decisions.