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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
[object Object]
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]

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Impact of the Economic Crisis on HIV AIDS

  • 1. 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
  • 2.
  • 3.
  • 4.
  • 5.
  • 7.
  • 8.
  • 9.
  • 10. 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
  • 11.
  • 12.
  • 13.
  • 14.
  • 15. Thank you for your attention UNAIDS, Economics and Development Analysis Unit, Geneva Contact: Erik Lamontagne: lamontagneE@unaids.org Robert Greener: greenerR@unaids.org
  • 16.
  • 17.
  • 19.