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The HIV PandemicLocal and Global Implications$
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Eduard J. Beck, Nicholas Mays, Alan W. Whiteside, and José M. Zuniga

Print publication date: 2007

Print ISBN-13: 9780199237401

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780199237401.001.0001

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Fiscal and macroeconomic aspects of the HIV pandemic

Fiscal and macroeconomic aspects of the HIV pandemic

Chapter:
(p.642) Chapter 43 Fiscal and macroeconomic aspects of the HIV pandemic
Source:
The HIV Pandemic
Author(s):

Markus Haacker

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199237401.003.0043

This chapter is concerned with the implications of HIV on ‘public policy’, which comprises all areas of government activities, including but beyond the administration of health systems, the delivery of public health services, or the national response to HIV. The first section describes the impact of HIV on the ability of governments to provide public services. In countries facing an HIV epidemic, this is compromised because HIV results in a slowdown in government revenues and higher deaths among public servants. The subsequent section discusses the fiscal dimension of the national response to HIV. In particular, the financing of health expenditures in low-income countries, both generally and in the context of HIV, is considered. The response to HIV also has important macroeconomic implications, beyond mitigating the macroeconomic costs of the epidemic, owing to reduced incidence of infections and improved availability of treatment, which are addressed in the third section.

Keywords:   public policy, public health services, national response, fiscal dimension, macroeconomic implications

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