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92 vulnerability to the disease. But, as noted, the result was not statistically significant. • All three interaction terms: rule of law * multisectoral program, government effectiveness * multisectoral program, and decentralization * multisectoral program have negative but not significant influences on the 2005 HIV/AIDS rate. The purpose of including these interaction terms was to combine the strong political determinants that are conducive to implementing effective HIV/AIDS policies with an actual HIV/AIDS policy: the multisectoral program. Together, the inclusion of these variables should have a negative relationship with HIV/AIDS and they do but it is not a significant one. Model 2a explored several political, societal, and economic variables and it seems that a robust finding is that: the presence of a multisectoral HIV/AIDS program has a negative and significant influence on the 2005 HIV/AIDS rate, the main hypothesis for this dissertation. It is now important to look at the two-stage model (Model 2b) to ensure that there is no reverse causality between the HIV/AIDS rate and a multisectoral program. Instrumental variables chosen for this model are: the regional dummy variable for Africa (since only Africa has multisectoral programs which are funded by the World Bank), and the variable representing a new political regime over the period 1995 to 2005. These two variables both have positive and significant influences on a multisectoral program rate but should not be expected to have a significant relationship with the 2005 HIV/AIDS rate. Two tests of the instruments will also be executed to ensure their validity. The relevance test is
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 100 |
Contributing entity | University of Southern California |
Repository email | cisadmin@lib.usc.edu |
Full text | 92 vulnerability to the disease. But, as noted, the result was not statistically significant. • All three interaction terms: rule of law * multisectoral program, government effectiveness * multisectoral program, and decentralization * multisectoral program have negative but not significant influences on the 2005 HIV/AIDS rate. The purpose of including these interaction terms was to combine the strong political determinants that are conducive to implementing effective HIV/AIDS policies with an actual HIV/AIDS policy: the multisectoral program. Together, the inclusion of these variables should have a negative relationship with HIV/AIDS and they do but it is not a significant one. Model 2a explored several political, societal, and economic variables and it seems that a robust finding is that: the presence of a multisectoral HIV/AIDS program has a negative and significant influence on the 2005 HIV/AIDS rate, the main hypothesis for this dissertation. It is now important to look at the two-stage model (Model 2b) to ensure that there is no reverse causality between the HIV/AIDS rate and a multisectoral program. Instrumental variables chosen for this model are: the regional dummy variable for Africa (since only Africa has multisectoral programs which are funded by the World Bank), and the variable representing a new political regime over the period 1995 to 2005. These two variables both have positive and significant influences on a multisectoral program rate but should not be expected to have a significant relationship with the 2005 HIV/AIDS rate. Two tests of the instruments will also be executed to ensure their validity. The relevance test is |