Contents -- Acknowledgments -- Foreword -- Executive Summary -- Acronyms and Abbreviations -- 1 Introduction -- The Rationale for World Bank Involvement -- Objectives of the Evaluation -- Analytic Framework and Methodology -- 2 The Evolution of the World Bank's Response to HIV/AIDS -- Two Phases of the World Bank Response -- The Portfolio of World Bank Project Assistance -- 3 Findings from the First Generation of Bank HIV/AIDS Assistance -- Findings and Lessons from the Bank's Country-Level HIV/AIDS Assistance -- The Reach, Perceived Quality, and Relevance of the Bank's Analytic Work on HIV/AIDS -- 4 An Assessment of Ongoing Assistance: The Africa MAP -- The Objectives, Design, and Risks of the Africa MAP -- Were the Assumptions Valid? -- Evidence on Implementation to Date -- Did the Unanticipated Risks Materialize? -- 5 Conclusions -- 6 Recommendations -- Appendixes -- A: Conceptual Framework for the Evaluation -- B1: Timeline of Project Approvals and HIV/AIDS Strategies -- B2: An Annotated Timeline of the World Bank HIV/AIDS Response -- B3: Timeline of Global AIDS Events -- C1: HIV/AIDS Portfolio Data -- C2: Performance Ratings for Completed AIDS Projects -- D: Coverage of HIV/AIDS in Country Assistance Strategies and Poverty Reduction Strategy Papers -- E: Inventory of World Bank Analytic Work on AIDS -- F: The Reach, Quality, and Utility of the Bank's Analytic Work in HIV/AIDS -- G: Case Study Summaries -- H: Results from the MAP Self-Administered Questionnaire -- I: Survey of Task Team Leaders-Summary of Results -- J: Survey of World Bank Country Directors for African Countries Participating in the Multi-Country AIDS Program -- K: Statement of the External Advisory Panel -- L: Management Response -- M: Chairman's Summary: Committee on Development Effectiveness (CODE) -- Endnotes -- References -- Boxes -- 1.1 The Global HIV/AIDS Epidemic.

1.2 The Distribution of HIV across Risk Groups and the Stages of an Epidemic -- 1.3 Evaluation Building Blocks -- 2.1 The Bank's AIDS Strategies in Africa during the First Decade of the Response -- 2.2 The "First Generation" of World Bank HIV/AIDS Projects -- 2.3 Intensifying Action against HIV/AIDS in Africa -- 2.4 AIDS Increased as a Priority in Country Assistance Strategies -- 3.1 Government Priorities and Stage of the Epidemic -- 3.2 What Has Worked in Building Political Commitment? -- 3.3 Analytic Work Can Build Commitment, But It Is Not a Panacea -- 3.4 The Limited Usefulness of HIV Prevalence as an Indicator of Program Impact -- 3.5 The Relationship Between Public Spending, AIDS Knowledge, and Receipt of Information in India -- 4.1 The Design and Eligibility Criteria of the Africa MAP -- 4.2 Did the MAP Reduce Project Preparation Time? -- 4.3 Embedding AIDS Activities in Education and Transport Projects -- 4.4 How Strategic Are National Strategic Plans? -- 4.5 PLACE: Focusing Prevention Where People Go to Find New Partners -- 4.6 The Objectives and Modalities of Multisectoral Approaches -- Figures -- 1.1 World Bank-Supported HIV/AIDS Projects, 1988-2004 -- 2.1 New AIDS Commitments and Projects, by Fiscal Year of Approval -- 2.2 Trends in Analytic Work by Fiscal Year of Completion -- 2.3 OED Ratings for Completed Projects -- 3.1 Growth in Targeted Interventions for High-Risk Groups in Brazil, 1999-2003 -- 3.2 Activities and Interventions Supported by Closed Free-Standing AIDS Projects -- 3.3a Among Respondents Who Had Heard of AIDS, Percentage Spontaneously Reporting Condom Use as a Way to Avoid AIDS -- 3.3b Percentage of 15-19-Year-Olds Who Have Never Had Sex -- 3.4 Increase in Consistent Condom Use among High-Risk Groups in Urban Cambodia, 1997-2001 -- 3.5 Decline in AIDS Mortality in Brazil with Expanded Treatment.

4.1 Africa MAP I Projects Disbursed More Quickly Than HNP Projects in the Same Countries, on Average -- 4.2 Budgeted per Capita Public Spending on Civil Society AIDS Interventions, Africa MAP Countries -- Tables -- 1.1 Distribution of World Bank HIV/AIDS Lending by Project Status -- 2.1 Distribution of AIDS Projects and Commitments by Region, as of June 30, 2004 -- 2.2 Distribution of Closed and Active Projects by Stage of the Epidemic -- 2.3 Stated Objectives of the World Bank's HIV/AIDS Projects -- 3.1 Number of NGOs and CBOs Supported by Completed AIDS Projects -- 4.1 Linking MAP Strategy and Mechanisms to Development Effectiveness -- 4.2 Number of NGOs and CBOs Supported by Africa MAP Projects, as of July 2004 -- 5.1 GFATM Approvals and World Bank Commitments in Countries Receiving Both.

This evaluation assesses the development effectiveness of the World Bank's country-level HIV/AIDS assistance defined as policy dialogue, analytic work, and lending with the explicit objective of reducing the scope or impact of the AIDS epidemic. The evaluation identifies findings from this experience and makes recommendations to improve the relevance, efficiency and efficacy of ongoing and future activities. This is the first comprehensive evaluation of the World Bank's HIV/AIDS support to countries, from the beginning of the epidemic through mid-2004. Because the Bank's assistance is for implementation of government programs by government, it provides important insights on how national AIDS programs can be made more effective.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2018. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.