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Rethinking international and domestic financing for HIV in low†and middle†income countries

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  • Richard Manning
  • Olivier Sterck

Abstract

The scaling up of treatment for HIV across the world has been one of the most significant recent achievements in international health. But the commitment on antiretroviral treatment also creates a financial liability which is large and insufficiently recognized. In this article, we explore how this financial liability could be met by domestic and international sources. We argue that (1) governments and donors should recognize the magnitude of the problem and develop tools to manage the liability, (2) allocation of aid should be more rational, transparent and sustainable, (3) more fiscal space should be created domestically, (4) borrowing offers some limited potential for prevention interventions characterized by high returns on investment, and (5) efficiency gains, while not in themselves likely to bridge the resourcing gap, should be energetically pursued.

Suggested Citation

  • Richard Manning & Olivier Sterck, 2018. "Rethinking international and domestic financing for HIV in low†and middle†income countries," Development Policy Review, Overseas Development Institute, vol. 36(4), pages 433-444, July.
    • Handle: RePEc:bla:devpol:v:36:y:2018:i:4:p:433-444
    DOI: 10.1111/dpr.12232
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    References listed on IDEAS

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    1. François Bourguignon & Mark Sundberg, 2007. "Aid Effectiveness – Opening the Black Box," American Economic Review, American Economic Association, vol. 97(2), pages 316-321, May.
    2. Paul Collier & Olivier Sterck, 2018. "The moral and fiscal implications of antiretroviral therapies for HIV in Africa," Oxford Economic Papers, Oxford University Press, vol. 70(2), pages 353-374.
    3. Remme, Michelle & Siapka, Mariana & Sterck, Olivier & Ncube, Mthuli & Watts, Charlotte & Vassall, Anna, 2016. "Financing the HIV response in sub-Saharan Africa from domestic sources: Moving beyond a normative approach," Social Science & Medicine, Elsevier, vol. 169(C), pages 66-76.
    4. Elizabeth Lule & Markus Haacker, 2012. "The Fiscal Dimension of HIV/AIDS in Botswana, South Africa, Swaziland, and Uganda," World Bank Publications - Books, The World Bank Group, number 2382.
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    Cited by:

    1. Olivier C. Sterck, 2018. "What goes wrong with the allocation of domestic and international resources for HIV?," Health Economics, John Wiley & Sons, Ltd., vol. 27(2), pages 320-332, February.

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