Impact of the Economic Crisis on HIV AIDS

How the current economic crisis might impact HIV in low and middle income countries ? AIDS Impact Conference, Gaborone, Botswana, 23 September 2009 Economics and Development Analysis Unit, Geneva Erik Lamontagne, Robert Greener UNAIDS

Where were we before the crisis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How might the situation evolve ? Donor’s side ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How might the situation evolve ? Developing countries ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Exposed countries ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Lamontagne, Greener, UNAIDS, oct 2009

Worst scenario: if funding decreases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Worst scenario: consequences ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evidence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Crisis: the unsustainable case for vulnerable PLWHIV HIV POVERTY EXTREME POVERTY Coping strategies   Debt   Destitution  Out schooling  Riskier behaviour (CSW)  Migration … Loss of employment / income No social protection HIV => Catastrophic health expenditures Treatment inaccessibility  Food consumption

Reducing the impact of the crisis 1 ,[object Object],[object Object],[object Object],[object Object]

Reducing the impact of the crisis 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Reducing the impact of the crisis 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object]

Thank you for your attention UNAIDS, Economics and Development Analysis Unit, Geneva Contact: Erik Lamontagne: lamontagneE@unaids.org Robert Greener: greenerR@unaids.org

Evolution of ODA ,[object Object],5 years of decrease of ODA while strong economic growth (3,2% yearly) 5-8 years to recover

Correlation financial crisis –ODA

Current perception ,[object Object],[object Object],[object Object],[object Object],[object Object]

Impact of the Economic Crisis on HIV AIDS

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