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46
Putzel (2004) cites Uganda as an example of having a successful
multisectoral HIV/AIDS program but also argues that it works well because it is
located within the ministry of health. The program is an innovative one created by
the president in 1992, although no parallel program consisting of sectors and
ministries was established. This framework has not changed, which means that the
multisectoral approach was simply tacked on to the health sector program. Putzel
(2004) expresses concern for the future of multisectoral programs like MAP because
their framework lacks this interconnectivity to the health sector.
It is clear that there is still plenty of room for additional studies on
multisectoral HIV/AIDS programs. To date much of the work has addressed their
importance and in some early cases, their success, e.g. in Uganda, Brazil, and
Thailand. My intention in this dissertation is not only to add to the limited amount of
literature on the subject but also to provide further evidence for the importance of
such multisectoral programs.
Conclusion
The literature on the economic effects of HIV/AIDS, the societal and political
determinants of HIV/AIDS, and multisectoral HIV/AIDS programs has been
reviewed in this chapter. Through this review it is evident that there are negative
economic effects from the disease, such as a fall in labor productivity caused by
illness and then death. Several determinants of HIV/AIDS have been identified,
including a lack of education and a closed political environment, both of which can
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 54 |
| Contributing entity | University of Southern California |
| Repository email | cisadmin@lib.usc.edu |
| Full text | 46 Putzel (2004) cites Uganda as an example of having a successful multisectoral HIV/AIDS program but also argues that it works well because it is located within the ministry of health. The program is an innovative one created by the president in 1992, although no parallel program consisting of sectors and ministries was established. This framework has not changed, which means that the multisectoral approach was simply tacked on to the health sector program. Putzel (2004) expresses concern for the future of multisectoral programs like MAP because their framework lacks this interconnectivity to the health sector. It is clear that there is still plenty of room for additional studies on multisectoral HIV/AIDS programs. To date much of the work has addressed their importance and in some early cases, their success, e.g. in Uganda, Brazil, and Thailand. My intention in this dissertation is not only to add to the limited amount of literature on the subject but also to provide further evidence for the importance of such multisectoral programs. Conclusion The literature on the economic effects of HIV/AIDS, the societal and political determinants of HIV/AIDS, and multisectoral HIV/AIDS programs has been reviewed in this chapter. Through this review it is evident that there are negative economic effects from the disease, such as a fall in labor productivity caused by illness and then death. Several determinants of HIV/AIDS have been identified, including a lack of education and a closed political environment, both of which can |
