1. WORLD BANK INSTITUTE AIDS LEADERSHIP PROGRAM Arlette Campbell White Elizabeth Ashbourne

2. 2 THE WORLD BANK Part of the UN Family Part of the UN Family Alleviate Poverty through Sustainable Development Alleviate Poverty through Sustainable Development Four Agencies: IBRD, IDA, IFC, MIGA Four Agencies: IBRD, IDA, IFC, MIGA Lend only to developing country governments Lend only to developing country governments IDA: non-interest loans to poorest of the poor IDA: non-interest loans to poorest of the poor

3. 3 THE WORLD BANK INSTITUTE Supports the World Bank’s learning and knowledge agenda: Supports the World Bank’s learning and knowledge agenda:  Environment, economic policy, poverty reduction, governance, regulation, finance and human development Active in 149 countries Active in 149 countries Delivers 500 learning programs Delivers 500 learning programs Reaches 30,000 clients externally (face-to-face and distance learning ) Reaches 30,000 clients externally (face-to-face and distance learning )

4. 4 HIV/AIDS AND THE WORLD BANK Largest financer of AIDS activities worldwide Largest financer of AIDS activities worldwide Lending for AIDS prevention and mitigation since 1986 Lending for AIDS prevention and mitigation since 1986 113 current lending projects =$494 million 113 current lending projects =$494 million Approximately $150 million in the pipeline Approximately $150 million in the pipeline Active in 60 countries Active in 60 countries

5. 5 WORLD BANK RESPONSE TO THE EPIDEMIC Advocacy – position AIDS as central development issue Advocacy – position AIDS as central development issue Expand knowledge base to help countries examine options, prioritize and develop cost-effective strategies to fight AIDS Expand knowledge base to help countries examine options, prioritize and develop cost-effective strategies to fight AIDS Support implementation of strategies through increased financial resources and technical support Support implementation of strategies through increased financial resources and technical support

6. 6 THE MULTI-COUNTRY HIV/AIDS PROGRAM (MAP) FOR AFRICA US$500 million in IDA credits to scale up effective HIV/AIDS prevention, care, and treatment interventions, emphasizing the role of the private sector and civil society US$500 million in IDA credits to scale up effective HIV/AIDS prevention, care, and treatment interventions, emphasizing the role of the private sector and civil society Committed to projects in: Committed to projects in:  Burkina Faso, Cameroon, Eritrea, Ethiopia, Gambia, Ghana, Kenya, Nigeria, Uganda and Zambia

7. 7 A dditional US$500 million to scale up national HIV/AIDS programs in A dditional US$500 million to scale up national HIV/AIDS programs in  Benin, Burundi, the Central African Republic, Cote d'Ivoire, Guinea, Guinea- Bissau, Madagascar, Malawi, Mauritania, Mozambique, Niger, Rwanda, Senegal, Tanzania, Togo, and Zimbabwe A lso includes grant resources for cross- country aspects i.e. transportation corridors A lso includes grant resources for cross- country aspects i.e. transportation corridors THE MULTI-COUNTRY HIV/AIDS PROGRAM (MAP) FOR AFRICA

8. 8 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

9. 9

10. TOGETHER WE CAN LEADERSHIP IN A WORLD OF AIDS

11. 11 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…

12. 12 LEADERSHIP PROGRAM ON AIDSComponentsImportanceActivities Understanding the impact on development Fostering an early response and action to slow the epidemic Design of more effective strategies --Assessing impact on households, sectors, firms, macro level --Teaching analytical skills --Identify & share best practices Changing behavior Major intervention to slow the epidemic --Designing communication strategies --Creating social cohesion Building human & institutional capacity Choosing the best options and scaling- up successful interventions requires increased capacity --Undertaking human capacity assessments --Building skills --Institutional reform --Mobilize resources

13. 13 UNDERSTANDING & ASSESSING IMPACT Cost Per Infection For Example: Skilled Artisan in Company A Cost per infection (US $) Average annual salary (for comparison)10,938 Indirect costs Sick leave7,705 Other leave 425 Productivity loss due to illness 4,253 Total indirect costs12,383 Direct costs Pension30,194 Clinic use43 Service gratuity and death benefit2,777 Recruitment3,410 Training5,079 Total direct costs41,503 Total cost per new infection53,886 Total cost as multiple of average salary4.93 Boston University, June 2000

14. 14 Acquiring knowledge about AIDS through personal networks: an important element of the Ugandan “success” Channel for acquiring AIDS knowledge% knowing a friend/relative with AIDS Source: Low-Beer et al CHANGING BEHAVIOR

15. 15 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

16. 16 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 policy Step 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

17. 17 INITIAL PARTNERS UN family and WBG UN family and WBG Bilateral agencies Bilateral agencies International Business Leaders Forum International Business Leaders Forum Global Business Council Global Business Council World Economic Forum World Economic Forum Regional AIDS Training Network in Africa Regional AIDS Training Network in Africa University of Natal, Durban University of Natal, Durban Boston University Boston University Global Corporations Global Corporations Others Others