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58
multisectoral program has been difficult. Madagascar was mentioned as having a
sound national strategy, and Eritrea was identified as providing superior monitoring
of its multisectoral program. Burkina Faso got high marks for having a very involved
president, which shows the significance of leadership for a strong strategy, a factor
that has also worked in Uganda’s favor. Malawi pools money from all donors into
one pot so as to avoid donors’ biases in formatting its own multisectoral approach.
Finally, Rwanda was noted for the professional management of its funding through
donor coordination.
When asked about the most important aspects of the multisectoral approach,
interviewees identified the need for strong political institutions and their ability to
interface effectively with NGOs and grass roots organizations. Emphasis was also
placed on the need for organizations that can perform work that goes beyond the
capability of the health ministry, for example, going door to door in villages and
offering medicine and information to those without access to care. Moreover, health
ministries in some countries will not reach out to or treat vulnerable groups in
society such as commercial sex workers and drug users. Hence, these groups will
only be identified and treated through multisectoral programs. Finally, the policy of
learning by doing (highlighting those parts of the program that work well in each
country and paring down those that do not) was also emphasized for program
success.
Going beyond the specific features of multisectoral HIV/AIDS program
within the MAP, my next questions addressed the allocation of World Bank funds to
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 66 |
| Contributing entity | University of Southern California |
| Repository email | cisadmin@lib.usc.edu |
| Full text | 58 multisectoral program has been difficult. Madagascar was mentioned as having a sound national strategy, and Eritrea was identified as providing superior monitoring of its multisectoral program. Burkina Faso got high marks for having a very involved president, which shows the significance of leadership for a strong strategy, a factor that has also worked in Uganda’s favor. Malawi pools money from all donors into one pot so as to avoid donors’ biases in formatting its own multisectoral approach. Finally, Rwanda was noted for the professional management of its funding through donor coordination. When asked about the most important aspects of the multisectoral approach, interviewees identified the need for strong political institutions and their ability to interface effectively with NGOs and grass roots organizations. Emphasis was also placed on the need for organizations that can perform work that goes beyond the capability of the health ministry, for example, going door to door in villages and offering medicine and information to those without access to care. Moreover, health ministries in some countries will not reach out to or treat vulnerable groups in society such as commercial sex workers and drug users. Hence, these groups will only be identified and treated through multisectoral programs. Finally, the policy of learning by doing (highlighting those parts of the program that work well in each country and paring down those that do not) was also emphasized for program success. Going beyond the specific features of multisectoral HIV/AIDS program within the MAP, my next questions addressed the allocation of World Bank funds to |
