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close this bookAIDS, Poverty Reduction and Debt Relief - A Toolkit for Mainstreaming HIV/AIDS Programmes into Development Instruments (UNAIDS, 2001, 48 p.)
View the document(introduction...)
View the documentAcronyms and abbreviations
View the documentForeword
View the documentSummary
Open this folder and view contents1. Introduction
Open this folder and view contents2. The National AIDS Programme as a Contribution to Poverty Reduction
Open this folder and view contents3. The Essential HIV/AIDS Content in the PRSP and HIPC Documents
Open this folder and view contents4. Uses of Funds Released Through HIPC - Earmarking, Channeling, and Accountability
Open this folder and view contents5. Influencing Policies
Open this folder and view contents6. Conclusions
View the documentReferences
View the documentAppendix 1. Links between HIV/AIDS and Poverty
View the documentAppendix 2. Indicators
View the documentAppendix 3. Selected Websites on AIDS, Poverty and Debt Relief
View the documentBack Cover


In the past two years we have seen unprecedented levels of political and institutional interest in reversing the course of the HIV/AIDS epidemic. Political leadership has improved significantly in some of the worst-affected countries, thus providing a more favourable environment for the fight against the epidemic and its negative effects on development. At the same time, we know that other key elements necessary for a successful response to HIV/AIDS are: (i) a concerted effort to put the HIV/AIDS agenda into major development instruments, (ii) a massive mobilization of additional resources, (iii) a multisectoral approach and (iv) a scaling up of interventions that are based on the best available evidence.

The Highly Indebted Poor Countries (HIPC) Debt Initiative provides a unique opportunity to bring together these four elements to address the threat posed by HIV/AIDS. Proposed by the World Bank and the IMF and agreed to by governments around the world in 1996, the Initiative is a coordinated approach among official creditors to bring down debtor countries’ external debt to sustainable levels. An enhanced version of the Initiative was put in place in September 1999 to simplify and accelerate the process, deepen the amount of debt relief, and tighten the link to poverty reduction. The Initiative puts emphasis on structural and social policy reforms, particularly to enhance the delivery of basic health care and education services, facilitated where needed with additional financing under the HIPC Initiative. Further, governments benefiting from the debt relief are expected to make their plans for poverty reduction explicit through the preparation of a Poverty Reduction Strategy Paper (PRSP). Given the adverse effects of HIV/AIDS on poverty, plans to address the epidemic are a natural feature in most if not all PRSPs.

This toolkit adds to the knowledge base to support analysts and decision-makers in their work to: (a) mainstream HIV/AIDS as a major item on countries’ development agenda, and (b) mobilize the resources needed to expand promising interventions and approaches in the fight against the epidemic. Developed by a team comprising staff from the UNAIDS Secretariat and the World Bank, the toolkit offers a unifying framework for analysing HIV/AIDS in the context of PRSP s, as well as examples of how the issue has been treated in the first generation of PRSP s, interim PRSPs and debt relief agreements. As such, it gives country officials and their partners highly relevant information that they can use in developing inputs for similar documents in their own countries.

The PRSP process is still in its infancy today and we expect that many lessons will emerge as countries adapt to this new approach in development assistance. This toolkit should therefore be viewed as a living document into which new insights and information would be incorporated as experience is gained in addressing HIV/AIDS in the context of PRSPs. This first edition of the toolkit consolidates the extensive knowledge that already exists in this regard. As such, it is a very welcome addition to the menu of practical tools that our clients, partner institutions as well as others can use to develop effective responses to the HIV/ADS epidemic.

Awa-Marie Coll-Seck

Birger Fredriksen


Sector Director, Human Development

Department of Policy, Strategy and Research

Africa Region


The World Bank