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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| 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 |
| Summary: | 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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