Belgium, Benin, Burundi, China, Ethiopia, Georgia, Ireland, Kyrgyzstan, Lesotho, Malawi, Mozambique
Peru, South Africa, Sweden, Tanzania, Uganda, Ukraine, United Kingdom, USA, Vietnam, Zambia
Researching National & Subnational Effects of Global HIV/AIDS Initiatives at the Country Level
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Ainsworth M. Vaillancourt D. Gaubatz J.
HIV/AIDS services, health systems strengthening, human resources, Governance, access, vulnerable groups, funding, civil society
An internal evaluation and assessment.
To evaluate and assess the development effectiveness of the World Banks country-level HIV/AIDS assistance. To identify lessons from this experience and make recommendations to improve the relevance, efficiency, and efficacy of ongoing and future activities.
A combination of desk reviews, which included compiling an inventory of analytic research; surveys of and structured interviews with Africa MAP Task Team Leaders (TTLs) and Country Directors; self-administered questionnaires; and field-based studies.
The principal findings of this internal evaluation of the World Bank are: National AIDS strategies were not always prioritised or costed; supervision, and monitoring and evaluation (M&E), were weak; civil society had not been engaged; political commitment and capacity had been overestimated, and mechanisms for political mobilisation were weak; and bank research and analysis, whilst perceived to be useful, was not reaching policy makers in Africa.
The report recommends that the Bank continues to exploit its comparative advantage in institution-building, improve the local evidence base, and help governments to prioritize and cost AIDS strategies.