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19
higher number of sexual partners among men but also to higher condom use, making
the overall effects less risky. For women, greater wealth and education lead both to
more condom use and less probability of an early sexual debut, both activities
decreasing the risk of contracting HIV/AIDS. Again, it seems that education and
wealth, especially for women, are important determinants of HIV/AIDS. In the case
of this study, higher wealth and education of women leads to more knowledge about
the disease and therefore less risky sexual behavior.
As will be shown below, a closer look at these studies reveals that Zambia
and Uganda seem to have experienced the most favorable changes in fighting
HIV/AIDS. Coincidentally, these countries are two out of eight in this study that
have the longest running multisectoral HIV/AIDS programs; both of which were
implemented before 2000 (all countries in Glick and Sahn (2008) except for Uganda,
Zambia, and Burkina Faso implemented a multisectoral HIV/AIDS program after
2000 and data from the DHSs do not go past 2003). Furthermore, the multisectoral
programs in Zambia and Uganda have garnered substantial support from
international donors and NGOs. Zambia, for example, was the first country ever to
have a “Joint UN Team on AIDS” which has a primary focus on facilitating a
multisectoral response to the disease.9
Some specific results from Glick and Sahn (2008) are as follows: the change
in sexual activity of 15-19 year olds between 1998 and 2003 reveal that the
probability of first intercourse for females declined in both urban and rural Zambia
9 From United Nations Development Programme (UNDP) Zambia page.
Object Description
| Title | Political determinants and economic effects of HIV/AIDS: a push for the multisectoral approach |
| Author | Davis, Dollie |
| Author email | dollieda@usc.edu; dolliesdavis@gmail.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Political Economy & Public Policy |
| School | College of Letters, Arts and Sciences |
| Date defended/completed | 2008-07-15 |
| Date submitted | 2008 |
| Restricted until | Unrestricted |
| Date published | 2008-10-30 |
| Advisor (committee chair) | Wise, Carol |
| Advisor (committee member) |
Nugent, Jeffrey B. Chi, Iris |
| Abstract | The proposed dissertation offers an explanation for the large differences in HIV/AIDS rates among 89 low and middle-income countries throughout the Sub Saharan African, Asian, and Latin American regions over a ten-year period (1995-2005). The HIV/AIDS rates in these countries vary widely and seemingly independently of economic wealth. One possible determinant of these differences is the presence and degree of development of strong multisectoral programs aimed at both prevention and cure of HIV/AIDS. The main hypothesis for this dissertation is: "A country's success in combating HIV/AIDS lies in the government's ability to implement an effective multisectoral program." This hypothesis is explored through quantitative models using data from the ten-year period (1995-2005). Results show that the presence of a multisectoral program over the ten-year period is associated with a significantly lower HIV/AIDS incidence rate by 2005. This effect is produced by controlling for various political, economic, societal, and institutional factors. Although there is some anecdotal evidence which suggests that multisectoral programs help to improve the HIV/AIDS problem in developing countries, there has been little if any empirical work done on this subject to date. |
| Keyword | multisectoral; HIV/AIDS; economic development |
| Geographic subject (region) | Carribbean |
| Geographic subject (continent) | Africa; Asia; South America |
| Coverage date | 1995/2005 |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m1724 |
| Contributing entity | University of Southern California |
| Rights | Davis, Dollie |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | cisadmin@lib.usc.edu |
| Filename | etd-Davis-2422 |
| Archival file | uscthesesreloadpub_Volume44/etd-Davis-2422.pdf |
Description
| Title | Page 27 |
| Contributing entity | University of Southern California |
| Repository email | cisadmin@lib.usc.edu |
| Full text | 19 higher number of sexual partners among men but also to higher condom use, making the overall effects less risky. For women, greater wealth and education lead both to more condom use and less probability of an early sexual debut, both activities decreasing the risk of contracting HIV/AIDS. Again, it seems that education and wealth, especially for women, are important determinants of HIV/AIDS. In the case of this study, higher wealth and education of women leads to more knowledge about the disease and therefore less risky sexual behavior. As will be shown below, a closer look at these studies reveals that Zambia and Uganda seem to have experienced the most favorable changes in fighting HIV/AIDS. Coincidentally, these countries are two out of eight in this study that have the longest running multisectoral HIV/AIDS programs; both of which were implemented before 2000 (all countries in Glick and Sahn (2008) except for Uganda, Zambia, and Burkina Faso implemented a multisectoral HIV/AIDS program after 2000 and data from the DHSs do not go past 2003). Furthermore, the multisectoral programs in Zambia and Uganda have garnered substantial support from international donors and NGOs. Zambia, for example, was the first country ever to have a “Joint UN Team on AIDS” which has a primary focus on facilitating a multisectoral response to the disease.9 Some specific results from Glick and Sahn (2008) are as follows: the change in sexual activity of 15-19 year olds between 1998 and 2003 reveal that the probability of first intercourse for females declined in both urban and rural Zambia 9 From United Nations Development Programme (UNDP) Zambia page. |
