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The Fiscal Dimension of HIV/AIDS in Botswana, South Africa, Swaziland,and Uganda

Publication year: 
Author (s): 
Lule, Elizabeth; Haacker, Markus
Corporate author: 
World Bank
Publication details: 
Washington, World Bank, 2012

This book analyses the fiscal implications of HIV/AIDS in Southern Africa, the epicenter of the epidemic. It uses the toolbox of public finance to assess the sustainability of HIV/AIDS programs. Importantly, it highlights the long-term nature of the fiscal commitments implied by HIV/AIDS programs, and explicitly discusses the link between HIV infections and the resulting commitments of fiscal resources. It assesses HIV/AIDS on national governments and fiscal risks associated with scaling-up national HIV/AIDS responses. The study complements and contributes to the agenda on identifying and creating fiscal space for HIV/AIDS and other development expenditures. The findings from this study, and the analytical tools developed in it, could help governments in defining policy objectives, improving fiscal planning, and conducting their dialogue with donor agencies. Study findings could also contribute to the World Bank’s policy advice on implementing the HIV/AIDS response, notably in the area of fiscal management and fiscal sustainability. The study is primarily directed toward professionals involved in planning and implementing national and international HIV/AIDS responses. This could include, for example, government officials in ministries of
finance; staff from international organizations such as UNAIDS or GFATM who are directly involved in supporting HIV/AIDS-related programs; staff from other international organizations who are implementing or have an interest in aspects of the HIV/AIDS response; and the broader development community.