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43
countries that have implemented the MAP lack the necessary political capacities to
successfully implement a multisectoral program. Because many of the countries
responsible in the MAP sample have had tenuous political histories, their institutions
are still weak and problematic. One has to hope for the correct combination of
political institutions in each country (such as a decentralized environment and a
strong connection between government and NGOs/Civil Society) that can ideally
foster the adoption of a multisectoral HIV/AIDS program. This is not to argue that a
multisectoral program will not work in a weaker political environment: it should
merely work better in a strong one.
The guidelines provided by Bodiang (2001), the Commonwealth Secretariat
(2003), and the World Bank MAP Generic Operations Manual (2004) specify the
tools for governments to use in creating successful multisectoral HIV/AIDS
programs. All three works point to the need to work broadly with NGOs and
vulnerable groups in society, to establish representation at sub-national and national
levels, and to practice ongoing monitoring of each country’s multisectoral
HIV/AIDS program.
An assessment of the effectiveness of the World Bank’s MAP to date and
examples of those developing countries with successful HIV/AIDS multisectoral
programs are described in Chapter 3. Specifically, the programs in Thailand,
Ethiopia, and Uganda are highlighted as they have experienced successful
multisectoral HIV/AIDS programs in different regions with variations on program
implementation.
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 51 |
| Contributing entity | University of Southern California |
| Repository email | cisadmin@lib.usc.edu |
| Full text | 43 countries that have implemented the MAP lack the necessary political capacities to successfully implement a multisectoral program. Because many of the countries responsible in the MAP sample have had tenuous political histories, their institutions are still weak and problematic. One has to hope for the correct combination of political institutions in each country (such as a decentralized environment and a strong connection between government and NGOs/Civil Society) that can ideally foster the adoption of a multisectoral HIV/AIDS program. This is not to argue that a multisectoral program will not work in a weaker political environment: it should merely work better in a strong one. The guidelines provided by Bodiang (2001), the Commonwealth Secretariat (2003), and the World Bank MAP Generic Operations Manual (2004) specify the tools for governments to use in creating successful multisectoral HIV/AIDS programs. All three works point to the need to work broadly with NGOs and vulnerable groups in society, to establish representation at sub-national and national levels, and to practice ongoing monitoring of each country’s multisectoral HIV/AIDS program. An assessment of the effectiveness of the World Bank’s MAP to date and examples of those developing countries with successful HIV/AIDS multisectoral programs are described in Chapter 3. Specifically, the programs in Thailand, Ethiopia, and Uganda are highlighted as they have experienced successful multisectoral HIV/AIDS programs in different regions with variations on program implementation. |
