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20 over this period. The probability of first intercourse for 15-19 year old males also declined in urban and rural Zambia, but not as significantly as that of females. The results are the same for Uganda. In Burkina Faso, another country in which a multisectoral HIV/AIDS program was implemented early on, the probability of first intercourse for males and females declined over time in rural areas but no significant changes were identified in the urban areas. The probability of using a condom at their most recent intercourse for females increased significantly overtime in the urban areas of all countries except Kenya and Nigeria. Condom use among females in rural areas also increased, especially in Zambia and Uganda but actually decreased in Kenya and Nigeria between 1998 and 2003. For males, condom use increased over time in all countries except for Kenya. Both Kenya and Nigeria joined the World Bank MAP and implemented a multisectoral program in 2001. Although thorough results of the MAP by country are scarce, interviews that I conducted with World Bank experts revealed that Kenya and Nigeria both experienced problems early on due to a strictly committed health minister and a highly populated environment respectfully.10 Finally, for females, the effects of education and wealth reveal that more education decreases the likelihood of intercourse with multiple partners in Mozambique, Nigeria, Uganda, and Zambia. However, for males, higher education increases the likelihood of promiscuity in all countries except for Uganda, Zambia, and Kenya. In the case of wealth; more assets decreases the likelihood of intercourse 10 Information from interviews is provided in Chapter 3.
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 28 |
Contributing entity | University of Southern California |
Repository email | cisadmin@lib.usc.edu |
Full text | 20 over this period. The probability of first intercourse for 15-19 year old males also declined in urban and rural Zambia, but not as significantly as that of females. The results are the same for Uganda. In Burkina Faso, another country in which a multisectoral HIV/AIDS program was implemented early on, the probability of first intercourse for males and females declined over time in rural areas but no significant changes were identified in the urban areas. The probability of using a condom at their most recent intercourse for females increased significantly overtime in the urban areas of all countries except Kenya and Nigeria. Condom use among females in rural areas also increased, especially in Zambia and Uganda but actually decreased in Kenya and Nigeria between 1998 and 2003. For males, condom use increased over time in all countries except for Kenya. Both Kenya and Nigeria joined the World Bank MAP and implemented a multisectoral program in 2001. Although thorough results of the MAP by country are scarce, interviews that I conducted with World Bank experts revealed that Kenya and Nigeria both experienced problems early on due to a strictly committed health minister and a highly populated environment respectfully.10 Finally, for females, the effects of education and wealth reveal that more education decreases the likelihood of intercourse with multiple partners in Mozambique, Nigeria, Uganda, and Zambia. However, for males, higher education increases the likelihood of promiscuity in all countries except for Uganda, Zambia, and Kenya. In the case of wealth; more assets decreases the likelihood of intercourse 10 Information from interviews is provided in Chapter 3. |