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42
Although the NAC and the NAS are important models for the successful
implementation of a multisectoral HIV/AIDS approach, problems have arisen. A
common concern is that every country has its own unique norms, values, and,
conditions, therefore, one similarly structured model will not work effectively in
every country. Recently it has been mentioned that the roles of specific jobs within
the NACs are not well defined, thus causing inefficiency in implementing many
HIV/AIDS policies. “In some sub-Saharan African countries, NACs have evolved
into complex bureaucracies with the same constraints of other public sector bodies:
poor lines of accountability, staff recruitment and retention problems, lack of
incentives to improve performance, political interference, corruption and so on.” 16
In recognition of these challenges, the World Bank does encourage a 'learning by
doing' approach and is consistently looking for ways to improve. Already, it has
been suggested in World Bank publications that NACs can improve if roles and
responsibilities are re-defined and mundane tasks (such as data collection) are
contracted out. In Kenya, for example the NAC has become more effective due to
the creation of sub-committees to handle specific responsibilities such as finance and
program management.
As mentioned above, all countries are unique and even if the blueprint for a
successful multisectoral program for MAP countries may be well laid-out and
thorough, the World Bank cannot fully control how the actual plan is implemented
by the various governments. It is quite likely that some of these developing
16 HLSP Institute Technical Brief (2006:4).
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 50 |
| Contributing entity | University of Southern California |
| Repository email | cisadmin@lib.usc.edu |
| Full text | 42 Although the NAC and the NAS are important models for the successful implementation of a multisectoral HIV/AIDS approach, problems have arisen. A common concern is that every country has its own unique norms, values, and, conditions, therefore, one similarly structured model will not work effectively in every country. Recently it has been mentioned that the roles of specific jobs within the NACs are not well defined, thus causing inefficiency in implementing many HIV/AIDS policies. “In some sub-Saharan African countries, NACs have evolved into complex bureaucracies with the same constraints of other public sector bodies: poor lines of accountability, staff recruitment and retention problems, lack of incentives to improve performance, political interference, corruption and so on.” 16 In recognition of these challenges, the World Bank does encourage a 'learning by doing' approach and is consistently looking for ways to improve. Already, it has been suggested in World Bank publications that NACs can improve if roles and responsibilities are re-defined and mundane tasks (such as data collection) are contracted out. In Kenya, for example the NAC has become more effective due to the creation of sub-committees to handle specific responsibilities such as finance and program management. As mentioned above, all countries are unique and even if the blueprint for a successful multisectoral program for MAP countries may be well laid-out and thorough, the World Bank cannot fully control how the actual plan is implemented by the various governments. It is quite likely that some of these developing 16 HLSP Institute Technical Brief (2006:4). |
