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Afghanistan - HIV/AIDS Prevention Project (Inglês)

Ratings for the Human Immunodeficiency Virus Infection / Acquired Immunode Ficiency Syndrome (HIV/AIDS) Prevention Project for Afghanistan were as follows: outcomes were moderately satisfactory; risk to development outcome was substantial; bank performance was moderately satisfactory; borrower performance was moderately satisfactory. Some lessons learned included: preparation and effective implementation of an HIV/AIDS project in Afghanistan demonstrated that innovative programming is possible even in situations of extreme fragility and low counterpart capacity; the use of Non-Government Organization (NGO) contracting for service delivery, although challenged by delays in defining and implementing a selection process in a limited field of potential candidates, built on solid experience in this innovative approach and helped form the model for future projects; the efficiency of HIV prevention programs is greatly enhanced by the generation of epidemiological data to guide allocations to those populations and regions at greatest risk; the effectiveness of HIV prevention programs depends on technical strength of evidence-based interventions, adequate coverage of target populations with services and a permissive legal and policy framework; and the World Bank has been a global leader in providing services to vulnerable and marginalized populations in the HIV epidemic.


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    Afghanistan - HIV/AIDS Prevention Project

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    men who have sex with men;basic package of health services;general population;economic and financial analysis;risk of hiv transmission;ip disbursements archived;delivery of health services;broad range of stakeholders;quality of service delivery;maternal and child health;Information, Education and Communication;spread of hiv;HIV and AIDS;high risk group;hiv prevalence;provision of service;population at risk;needle and syringe;assessment of risk;quality at entry;AIDS prevention programs;assessment of outcome;sterile injection equipment;hiv prevention intervention;Southern and Eastern;sexual risk behavior;transmission of hiv;prevalence hiv;Human Immunodeficiency Virus;decades of war;outputs by components;data collection activity;exchange rate;availability of finance;delivery of service;cost of service;burden of disease;implementation of surveillance;Exchange Rates;female sex workers;medical waste management;Health workers indicators;annual operating budget;Sexually Transmitted Disease;aids treatment services;annual sentinel surveillance;global best practice;primarily due;fragile and conflict;quality of supervision;rates of infection;high risk behaviors;Sexually Transmitted Infection;incentives for performance;hiv epidemic;harm reduction;vulnerable group;vulnerable population;truck driver;baseline cost;targeted intervention;prevention services;advocacy activity;national capacity;epidemiological data;regional experience;health facility;behavior change;road transport;security situation;prison inmate;political opposition;injecting equipment;monitoring data;development partner;epidemiological evidence;substitution therapy;international ngos;security environment;heavy reliance;government capacity;efficient mechanism;hiv positive;reducing stigma;local ngo;prevention effort;aid target;surveillance service;promoting growth;project finance;contract services;regional strategy;regional variation;surveillance activity;inherent risk;mitigation measure;Contracting Mechanism;international consultant;enabling environment;political barriers;regular surveillance;mission documents;coordinate system;Health Promotion;condom distribution;program monitoring;emergency response;multiple donor;health interventions;targeted population;human rights;macroeconomic context;pilot site;health program;public health;hygiene promotion;rural livelihood;rural economy;core functions;medical support;Drug use;generalized epidemic;young people;blood bank;aids response;national risk;unsafe blood;Street Children;epidemiological basis;population size;primary purpose;research quality;research purposes;national strategic;local production;political opinion;political sensitivity;security concern;aid control;baseline data;geographic area;primary author;financing agreement;intermediate outcome;rigorous analysis;program efficiency;social context;biological datum;representative sample;safe practice;concentrated epidemics;real time;external partner;social support;project impact;Fragile Countries;limited capacity;funding support;high-risk group;social mapping;prison staff;demand reduction;procedural delays;international standard;political context;



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