WORLD BANK INSTITUTE

AIDS LEADERSHIP PROGRAM

Arlette Campbell WhiteArlette Campbell White

Elizabeth AshbourneElizabeth Ashbourne

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THE WORLD BANK

Part of the UN FamilyPart of the UN Family Alleviate Poverty through Alleviate Poverty through

Sustainable DevelopmentSustainable Development Four Agencies: IBRD, IDA, IFC, MIGAFour Agencies: IBRD, IDA, IFC, MIGA Lend only to developing country Lend only to developing country

governmentsgovernments IDA: non-interest loans to poorest of IDA: non-interest loans to poorest of

the poorthe poor

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THE WORLD BANK INSTITUTE

Supports the World Bank’s learning Supports the World Bank’s learning and knowledge agenda:and knowledge agenda: Environment, economic policy, poverty Environment, economic policy, poverty

reduction, governance, regulation, reduction, governance, regulation, finance and human developmentfinance and human development

Active in 149 countriesActive in 149 countries Delivers 500 learning programsDelivers 500 learning programs Reaches 30,000 clients externally Reaches 30,000 clients externally

(face-to-face and distance learning(face-to-face and distance learning) )

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HIV/AIDS AND THE WORLD BANK

Largest financer of AIDS activities Largest financer of AIDS activities worldwideworldwide

Lending for AIDS prevention and Lending for AIDS prevention and mitigation since 1986mitigation since 1986

113 current lending projects =$494 113 current lending projects =$494 million million

Approximately $150 million in the Approximately $150 million in the pipelinepipeline

Active in 60 countries Active in 60 countries

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WORLD BANK RESPONSE TO THE EPIDEMIC

Advocacy – position AIDS as central Advocacy – position AIDS as central development issuedevelopment issue

Expand knowledge base to help Expand knowledge base to help countries examine options, prioritize countries examine options, prioritize and develop cost-effective strategies and develop cost-effective strategies to fight AIDSto fight AIDS

Support implementation of strategies Support implementation of strategies through increased financial through increased financial resources and technical supportresources and technical support

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THE MULTI-COUNTRY HIV/AIDS PROGRAM (MAP) FOR AFRICA

US$500 million in IDA credits to scale up US$500 million in IDA credits to scale up effective HIV/AIDS prevention, care, and effective HIV/AIDS prevention, care, and treatment interventions, emphasizing the role treatment interventions, emphasizing the role of the private sector and civil societyof the private sector and civil society

CommittedCommitted to projects in: to projects in: Burkina Faso, Cameroon, Eritrea, Burkina Faso, Cameroon, Eritrea,

Ethiopia, Gambia, Ghana, Kenya, Nigeria, Ethiopia, Gambia, Ghana, Kenya, Nigeria, Uganda and ZambiaUganda and Zambia

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AAdditional US$500 million to scale up national dditional US$500 million to scale up national HIV/AIDS programs in HIV/AIDS programs in Benin, Burundi, the Central African Benin, Burundi, the Central African

Republic, Cote d'Ivoire, Guinea, Guinea-Republic, Cote d'Ivoire, Guinea, Guinea-Bissau, Madagascar, Malawi, Mauritania, Bissau, Madagascar, Malawi, Mauritania, Mozambique, Niger, Rwanda, Senegal, Mozambique, Niger, Rwanda, Senegal, Tanzania, Togo, and ZimbabweTanzania, Togo, and Zimbabwe

AAlsolso includes grant resources for cross- includes grant resources for cross-country aspects i.e. transportation corridorscountry aspects i.e. transportation corridors

THE MULTI-COUNTRY HIV/AIDS PROGRAM (MAP) FOR AFRICA

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CONDITIONALITIES FOR MAP

The national AIDS program must: Be overseen by a high level multi-sector

authoritative body Have a multi-sector national strategy that is

decentralized, participatory in manner, contains main interventions, etc.

Work closely with NGOs in implementing the strategy

Have developed a financial system that meets the Bank’s financial accounting and fiduciary standards

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TOGETHER WE CAN

LEADERSHIP IN A WORLD OF AIDS

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LEADERSHIP PROGRAM ON AIDS MISSION STATEMENT:

Contribute to decreasing HIV transmission and to mitigating the adverse consequences of HIVAIDS Through partnerships, equip leaders with the knowledge, skills and tools needed to design, implement and monitor an urgent effective response…

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LEADERSHIP PROGRAM ON AIDSComponentsComponents ImportanceImportance ActivitiesActivitiesUnderstanding the Understanding the impact on impact on development development

Fostering an early Fostering an early response and action response and action to slow the epidemicto slow the epidemic

Design of more Design of more effective strategieseffective strategies

--Assessing impact on --Assessing impact on households, sectors, households, sectors, firms, macro levelfirms, macro level

--Teaching analytical --Teaching analytical skillsskills

--Identify & share best --Identify & share best practicespractices

Changing behaviorChanging behavior Major intervention to Major intervention to slow the epidemic slow the epidemic

--Designing --Designing communication communication strategiesstrategies

--Creating social --Creating social cohesioncohesion

  

Building human & Building human & institutional capacity institutional capacity

Choosing the best Choosing the best options and scaling-options and scaling-up successful up successful interventions requires interventions requires increased capacityincreased capacity

--Undertaking human --Undertaking human capacity assessmentscapacity assessments

--Building skills--Building skills--Institutional reform--Institutional reform--Mobilize resources --Mobilize resources

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UNDERSTANDING & ASSESSING IMPACT Cost Per InfectionCost Per Infection

For Example: Skilled Artisan in For Example: Skilled Artisan in Company ACompany ACost per infection (US $)Cost per infection (US $)

Average annual salary (for comparison)Average annual salary (for comparison) 10,93810,938Indirect costsIndirect costs

Sick leaveSick leave 7,7057,705Other leaveOther leave 425 425Productivity loss due to illness Productivity loss due to illness 4,2534,253

Total indirect costsTotal indirect costs 12,38312,383Direct costsDirect costs

PensionPension 30,19430,194Clinic useClinic use 4343Service gratuity and death benefitService gratuity and death benefit 2,7772,777RecruitmentRecruitment 3,4103,410TrainingTraining 5,0795,079

Total direct costsTotal direct costs 41,50341,503Total cost per new infectionTotal cost per new infection 53,88653,886Total cost as multiple of average salaryTotal cost as multiple of average salary 4.934.93

Boston University, June 2000

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Acquiring knowledge about AIDS through personal networks: an important element of the Ugandan “success”

30

50

70

90

% r

ep

ort

ing

kn

ow

ing

so

me

on

e w

ith A

IDS

(w

om

en

)

0%

10%

20%

30%

40%

50%

60%

Uganda Zambia Kenya

Personal Institutional Mass

Channel for acquiring AIDS knowledge % knowing a friend/relative with AIDS

Source: Low-Beer et al

CHANGING BEHAVIOR

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2001 Action Plan for PUA HIV/AIDS Specialists Working Group

Common benchmarking standards by 2002: PUA HIV/AIDS specialists working group’s

common HIV/AIDS checklist (minimum standards for benchmarking and best practice among the PUA companies)

Source: Sabine Durier, IFC, May 2001

SCALING UP THE CAPACITY

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Step 1: Electing an HIV/AIDS committee

Step 2: Performing a needs analysis

Step 3: Drafting the policy

Step 4: Discussing and revising the draft policy

Step 5: Adopting a policy

Action Checklist

Step 6: Developing a program

Step 7: Implementing and popularizing the program

Step 8: Monitoring and evaluating the program

Step 9: Reviewing the policyStep 10: Others, e.g.

facilitation at events, research community projects, etc.Source: Sabine Durier, IFC, May 2001

2001 ACTION PLAN FOR PUA HIV/AIDS SPECIALISTS WORKING GROUP

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INITIAL PARTNERS UN family and WBGUN family and WBG Bilateral agenciesBilateral agencies International Business Leaders ForumInternational Business Leaders Forum Global Business CouncilGlobal Business Council World Economic ForumWorld Economic Forum Regional AIDS Training Network in AfricaRegional AIDS Training Network in Africa University of Natal, DurbanUniversity of Natal, Durban Boston UniversityBoston University Global CorporationsGlobal Corporations OthersOthers