Assessing the Financial Sustainability of Jamaica's HIV Program
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....
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| Format: | Report |
| Language: | English en_US |
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World Bank, Washington, DC
2017
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| Online Access: | http://documents.worldbank.org/curated/en/447451468262808471/Assessing-the-financial-sustainability-of-Jamaicas-HIV-Program http://hdl.handle.net/10986/26805 |
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okr-10986-26805 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
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World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACCESS TO HEALTH SERVICES ACCESS TO TREATMENT ACQUIRED IMMUNODEFICIENCY SYNDROME ADULT POPULATION AGE GROUPS AGED AIDS COMMITTEE AIDS DEATHS AIDS INTERVENTIONS AIDS MORTALITY AIDS PROGRAM AIDS SPENDING ALLOCATIVE EFFICIENCY BEHAVIORAL CHANGE BEHAVIORAL CHANGES BEHAVIOURAL CHANGE BURDEN OF DISEASE CARDIOVASCULAR DISEASES CASUAL SEX CHILD DEVELOPMENT CIVIL SOCIETY ORGANIZATIONS COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNICABLE DISEASES CONDOM CONDOM USE DEBT DEMAND FOR SERVICES DISSEMINATION DRUG REGIMEN DRUG USERS DRUGS ECONOMIC GROWTH EFFECTIVE PREVENTION EPIDEMIC EXPENDITURES EXTERNAL DEBT FEMALE FEMALE SEX WORKERS FEMALES FEWER PEOPLE FINANCIAL COMMITMENTS GROSS DOMESTIC PRODUCT HEALTH CONSEQUENCES HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HIGH-RISK GROUPS HIV HIV INFECTION HIV INFECTIONS HIV PREVENTION HIV PREVENTION INTERVENTIONS HIV TESTING HIV-POSITIVE PEOPLE HIV/AIDS HUMAN IMMUNODEFICIENCY VIRUS HUMAN RESOURCES ILLNESS IMMUNODEFICIENCY INCOME INEQUITIES INFANT INFANT DEATHS INFANT MORTALITY INFECTIONS AMONG ADULTS INJURIES INJURY INPATIENT CARE INTERVENTION LACK OF AWARENESS LEADING CAUSE OF DEATH LEGAL STATUS LIFE EXPECTANCY LIVING CONDITIONS MALARIA MINISTRY OF HEALTH MOTHER MOTHER TO CHILD MOTHER TO CHILD TRANSMISSION MOTHER-TO-CHILD MOTHERS MULTIPLE PARTNERS NATIONAL AIDS NEW CASES NEW INFECTIONS NUMBER OF AIDS DEATHS NUMBER OF NEW INFECTIONS NUMBER OF PEOPLE NUTRITIONAL DEFICIENCIES OPPORTUNISTIC INFECTIONS ORPHAN ORPHAN SUPPORT ORPHANS PALLIATIVE CARE PATIENT PATIENTS PERINATAL CONDITIONS POLICY DECISIONS POLICY MAKERS POLICY RESPONSE POPULATION GROUPS POPULATION GROWTH PREGNANT WOMEN PREVALENCE PREVALENCE RATE PREVALENCE RATES PREVENTION ACTIVITIES PREVENTION EFFORTS PREVENTION OF MOTHER-TO-CHILD TRANSMISSION PROBABILITY PROGRESS PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC HEALTH SPENDING PUBLIC SERVICES RATE OF CONDOM USE RATE OF TRANSMISSION RESOURCE NEEDS RESPECT RISK POPULATIONS SEX WITH MEN SEX WORKER SEXUAL ACTIVITY SEXUAL BEHAVIOR SEXUAL INTERCOURSE SEXUAL RISK SEXUAL RISK BEHAVIOR SEXUALLY ACTIVE SEXUALLY TRANSMITTED INFECTION SOCIAL BARRIERS SOCIAL SECURITY SOCIAL SERVICES SOCIAL SUPPORT SURVIVAL RATES THERAPY TRANSMISSION TREATMENT ACCESS TUBERCULOSIS UNAIDS UNDER-FIVE MORTALITY UNITED NATIONS POPULATION DIVISION USER FEES VULNERABLE CHILDREN WORKING-AGE POPULATION YOUNG ADULTS YOUNG PEOPLE |
| spellingShingle |
ACCESS TO HEALTH SERVICES ACCESS TO TREATMENT ACQUIRED IMMUNODEFICIENCY SYNDROME ADULT POPULATION AGE GROUPS AGED AIDS COMMITTEE AIDS DEATHS AIDS INTERVENTIONS AIDS MORTALITY AIDS PROGRAM AIDS SPENDING ALLOCATIVE EFFICIENCY BEHAVIORAL CHANGE BEHAVIORAL CHANGES BEHAVIOURAL CHANGE BURDEN OF DISEASE CARDIOVASCULAR DISEASES CASUAL SEX CHILD DEVELOPMENT CIVIL SOCIETY ORGANIZATIONS COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNICABLE DISEASES CONDOM CONDOM USE DEBT DEMAND FOR SERVICES DISSEMINATION DRUG REGIMEN DRUG USERS DRUGS ECONOMIC GROWTH EFFECTIVE PREVENTION EPIDEMIC EXPENDITURES EXTERNAL DEBT FEMALE FEMALE SEX WORKERS FEMALES FEWER PEOPLE FINANCIAL COMMITMENTS GROSS DOMESTIC PRODUCT HEALTH CONSEQUENCES HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HIGH-RISK GROUPS HIV HIV INFECTION HIV INFECTIONS HIV PREVENTION HIV PREVENTION INTERVENTIONS HIV TESTING HIV-POSITIVE PEOPLE HIV/AIDS HUMAN IMMUNODEFICIENCY VIRUS HUMAN RESOURCES ILLNESS IMMUNODEFICIENCY INCOME INEQUITIES INFANT INFANT DEATHS INFANT MORTALITY INFECTIONS AMONG ADULTS INJURIES INJURY INPATIENT CARE INTERVENTION LACK OF AWARENESS LEADING CAUSE OF DEATH LEGAL STATUS LIFE EXPECTANCY LIVING CONDITIONS MALARIA MINISTRY OF HEALTH MOTHER MOTHER TO CHILD MOTHER TO CHILD TRANSMISSION MOTHER-TO-CHILD MOTHERS MULTIPLE PARTNERS NATIONAL AIDS NEW CASES NEW INFECTIONS NUMBER OF AIDS DEATHS NUMBER OF NEW INFECTIONS NUMBER OF PEOPLE NUTRITIONAL DEFICIENCIES OPPORTUNISTIC INFECTIONS ORPHAN ORPHAN SUPPORT ORPHANS PALLIATIVE CARE PATIENT PATIENTS PERINATAL CONDITIONS POLICY DECISIONS POLICY MAKERS POLICY RESPONSE POPULATION GROUPS POPULATION GROWTH PREGNANT WOMEN PREVALENCE PREVALENCE RATE PREVALENCE RATES PREVENTION ACTIVITIES PREVENTION EFFORTS PREVENTION OF MOTHER-TO-CHILD TRANSMISSION PROBABILITY PROGRESS PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC HEALTH SPENDING PUBLIC SERVICES RATE OF CONDOM USE RATE OF TRANSMISSION RESOURCE NEEDS RESPECT RISK POPULATIONS SEX WITH MEN SEX WORKER SEXUAL ACTIVITY SEXUAL BEHAVIOR SEXUAL INTERCOURSE SEXUAL RISK SEXUAL RISK BEHAVIOR SEXUALLY ACTIVE SEXUALLY TRANSMITTED INFECTION SOCIAL BARRIERS SOCIAL SECURITY SOCIAL SERVICES SOCIAL SUPPORT SURVIVAL RATES THERAPY TRANSMISSION TREATMENT ACCESS TUBERCULOSIS UNAIDS UNDER-FIVE MORTALITY UNITED NATIONS POPULATION DIVISION USER FEES VULNERABLE CHILDREN WORKING-AGE POPULATION YOUNG ADULTS YOUNG PEOPLE World Bank Assessing the Financial Sustainability of Jamaica's HIV Program |
| geographic_facet |
Latin America & Caribbean Jamaica |
| description |
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. |
| format |
Report |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Assessing the Financial Sustainability of Jamaica's HIV Program |
| title_short |
Assessing the Financial Sustainability of Jamaica's HIV Program |
| title_full |
Assessing the Financial Sustainability of Jamaica's HIV Program |
| title_fullStr |
Assessing the Financial Sustainability of Jamaica's HIV Program |
| title_full_unstemmed |
Assessing the Financial Sustainability of Jamaica's HIV Program |
| title_sort |
assessing the financial sustainability of jamaica's hiv program |
| publisher |
World Bank, Washington, DC |
| publishDate |
2017 |
| url |
http://documents.worldbank.org/curated/en/447451468262808471/Assessing-the-financial-sustainability-of-Jamaicas-HIV-Program http://hdl.handle.net/10986/26805 |
| _version_ |
1764462672954261504 |
| spelling |
okr-10986-268052021-06-14T10:29:05Z Assessing the Financial Sustainability of Jamaica's HIV Program World Bank ACCESS TO HEALTH SERVICES ACCESS TO TREATMENT ACQUIRED IMMUNODEFICIENCY SYNDROME ADULT POPULATION AGE GROUPS AGED AIDS COMMITTEE AIDS DEATHS AIDS INTERVENTIONS AIDS MORTALITY AIDS PROGRAM AIDS SPENDING ALLOCATIVE EFFICIENCY BEHAVIORAL CHANGE BEHAVIORAL CHANGES BEHAVIOURAL CHANGE BURDEN OF DISEASE CARDIOVASCULAR DISEASES CASUAL SEX CHILD DEVELOPMENT CIVIL SOCIETY ORGANIZATIONS COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNICABLE DISEASES CONDOM CONDOM USE DEBT DEMAND FOR SERVICES DISSEMINATION DRUG REGIMEN DRUG USERS DRUGS ECONOMIC GROWTH EFFECTIVE PREVENTION EPIDEMIC EXPENDITURES EXTERNAL DEBT FEMALE FEMALE SEX WORKERS FEMALES FEWER PEOPLE FINANCIAL COMMITMENTS GROSS DOMESTIC PRODUCT HEALTH CONSEQUENCES HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HIGH-RISK GROUPS HIV HIV INFECTION HIV INFECTIONS HIV PREVENTION HIV PREVENTION INTERVENTIONS HIV TESTING HIV-POSITIVE PEOPLE HIV/AIDS HUMAN IMMUNODEFICIENCY VIRUS HUMAN RESOURCES ILLNESS IMMUNODEFICIENCY INCOME INEQUITIES INFANT INFANT DEATHS INFANT MORTALITY INFECTIONS AMONG ADULTS INJURIES INJURY INPATIENT CARE INTERVENTION LACK OF AWARENESS LEADING CAUSE OF DEATH LEGAL STATUS LIFE EXPECTANCY LIVING CONDITIONS MALARIA MINISTRY OF HEALTH MOTHER MOTHER TO CHILD MOTHER TO CHILD TRANSMISSION MOTHER-TO-CHILD MOTHERS MULTIPLE PARTNERS NATIONAL AIDS NEW CASES NEW INFECTIONS NUMBER OF AIDS DEATHS NUMBER OF NEW INFECTIONS NUMBER OF PEOPLE NUTRITIONAL DEFICIENCIES OPPORTUNISTIC INFECTIONS ORPHAN ORPHAN SUPPORT ORPHANS PALLIATIVE CARE PATIENT PATIENTS PERINATAL CONDITIONS POLICY DECISIONS POLICY MAKERS POLICY RESPONSE POPULATION GROUPS POPULATION GROWTH PREGNANT WOMEN PREVALENCE PREVALENCE RATE PREVALENCE RATES PREVENTION ACTIVITIES PREVENTION EFFORTS PREVENTION OF MOTHER-TO-CHILD TRANSMISSION PROBABILITY PROGRESS PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC HEALTH SPENDING PUBLIC SERVICES RATE OF CONDOM USE RATE OF TRANSMISSION RESOURCE NEEDS RESPECT RISK POPULATIONS SEX WITH MEN SEX WORKER SEXUAL ACTIVITY SEXUAL BEHAVIOR SEXUAL INTERCOURSE SEXUAL RISK SEXUAL RISK BEHAVIOR SEXUALLY ACTIVE SEXUALLY TRANSMITTED INFECTION SOCIAL BARRIERS SOCIAL SECURITY SOCIAL SERVICES SOCIAL SUPPORT SURVIVAL RATES THERAPY TRANSMISSION TREATMENT ACCESS TUBERCULOSIS UNAIDS UNDER-FIVE MORTALITY UNITED NATIONS POPULATION DIVISION USER FEES VULNERABLE CHILDREN WORKING-AGE POPULATION YOUNG ADULTS YOUNG PEOPLE 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. 2017-05-31T19:34:09Z 2017-05-31T19:34:09Z 2013 Report http://documents.worldbank.org/curated/en/447451468262808471/Assessing-the-financial-sustainability-of-Jamaicas-HIV-Program http://hdl.handle.net/10986/26805 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Economic & Sector Work Economic & Sector Work :: Other Health Study Latin America & Caribbean Jamaica |