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Financing HIV/AIDS responses in Africa: Impact evidence from Uganda

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  • Kabajulizi, Judith
  • Ncube, Mthuli

Abstract

Although HIV/AIDS has been tamed medically into a chronic disease through advances in treatment drugs, the full economic costs of keeping people on treatment and implementing prevention measures are still not fully quantified and are still unfolding. This paper assesses the long-term economic impact of domestic and external sources of financing HIV responses using a dynamic computable general equilibrium model. Taking Uganda as a case study for analysis, our study shows that increasing government HIV funding facilitates higher GPD growth and lower government debt relative to the baseline. Earmarked taxes and foreign-aid are potential sources of fiscal space for HIV.

Suggested Citation

  • Kabajulizi, Judith & Ncube, Mthuli, 2017. "Financing HIV/AIDS responses in Africa: Impact evidence from Uganda," Journal of Policy Modeling, Elsevier, vol. 39(5), pages 843-860.
    • Handle: RePEc:eee:jpolmo:v:39:y:2017:i:5:p:843-860
    DOI: 10.1016/j.jpolmod.2017.08.003
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    1. Paul Collier & Olivier Sterck, 2018. "The moral and fiscal implications of antiretroviral therapies for HIV in Africa," Oxford Economic Papers, Oxford University Press, vol. 70(2), pages 353-374.
    2. Thurlow, James, 2007. "Is HIV/AIDS undermining Botswana's ‘success story'? implications for development strategy," IFPRI discussion papers 697, International Food Policy Research Institute (IFPRI).
    3. Haacker, Markus, 2011. "HIV/AIDS as a Fiscal Liability," Proceedings of the German Development Economics Conference, Berlin 2011 35, Verein für Socialpolitik, Research Committee Development Economics.
    4. Manuel Stagars, 2015. "Impact Investment Funds for Frontier Markets in Southeast Asia," Palgrave Studies in Impact Finance, Palgrave Macmillan, number 978-1-137-50727-3, December.
    5. Bos, Eduard & Bulatao, Rodolfo A., 1992. "The demographic impact of AIDS in sub-Saharan Africa : Short- and long-term projections," International Journal of Forecasting, Elsevier, vol. 8(3), pages 367-384, November.
    6. Ms. Silvia Sgherri & Mr. Maitland MacFarlan, 2001. "The Macroeconomic Impact of HIV/AIDS in Botswana," IMF Working Papers 2001/080, International Monetary Fund.
    7. Mr. Markus Haacker, 2001. "Providing Health Care to HIV Patients in Southern Africa," IMF Policy Discussion Papers 2001/003, International Monetary Fund.
    8. R Bonnel, 2000. "HIV/AIDS and Economic Growth: A Global Perspective*(1)," South African Journal of Economics, Economic Society of South Africa, vol. 68(5), pages 360-379, December.
    9. McDonald, Scott & Roberts, Jennifer, 2006. "AIDS and economic growth: A human capital approach," Journal of Development Economics, Elsevier, vol. 80(1), pages 228-250, June.
    10. Peter Amico & Christian Aran & Carlos Avila, 2010. "HIV Spending as a Share of Total Health Expenditure: An Analysis of Regional Variation in a Multi-Country Study," PLOS ONE, Public Library of Science, vol. 5(9), pages 1-8, September.
    11. Bloom, David E. & Mahal, Ajay S., 1997. "Does the AIDS epidemic threaten economic growth?," Journal of Econometrics, Elsevier, vol. 77(1), pages 105-124, March.
    12. Vijay P. Ojha & Basanta K. Pradhan, 2006. "The Macro-Economic and Sectoral Impacts of HIV and AIDS in India," Macroeconomics Working Papers 22134, East Asian Bureau of Economic Research.
    13. John Anyanwu & Yaovi Gassesse Siliadin & Ejikeme Okonkwo, 2013. "Role of Fiscal Policy in Tackling the HIV/AIDS Epidemic in Southern Africa," African Development Review, African Development Bank, vol. 25(3), pages 256-275.
    14. Robalino, David A. & Voetberg, Albertus & Picazo, Oscar, 2002. "The macroeconomic impacts of AIDS in Kenya estimating optimal reduction targets for the HIV/AIDS incidence rate," Journal of Policy Modeling, Elsevier, vol. 24(2), pages 195-218, May.
    15. Channing Arndt & Jeffrey D. Lewis, 2001. "The HIV|AIDS pandemic in South Africa: sectoral impacts and unemployment," Journal of International Development, John Wiley & Sons, Ltd., vol. 13(4), pages 427-449.
    16. Lofgren, Hans & Cicowiez, Martin & Diaz-Bonilla, Carolina, 2013. "MAMS – A Computable General Equilibrium Model for Developing Country Strategy Analysis," Handbook of Computable General Equilibrium Modeling, in: Peter B. Dixon & Dale Jorgenson (ed.), Handbook of Computable General Equilibrium Modeling, edition 1, volume 1, chapter 0, pages 159-276, Elsevier.
    17. Edwin M. Truman, 2010. "Sovereign Wealth Funds: Threat or Salvation?," Peterson Institute Press: All Books, Peterson Institute for International Economics, number 4983.
    18. World Bank, 2001. "Botswana : Selected Development Impact of HIV/AIDS," World Bank Publications - Reports 15536, The World Bank Group.
    19. Cuddington, John T, 1993. "Modeling the Macroeconomic Effects of AIDS, with an Application to Tanzania," The World Bank Economic Review, World Bank, vol. 7(2), pages 173-189, May.
    20. Mr. Markus Haacker, 2002. "The Economic Consequences of HIV/AIDS in Southern Africa," IMF Working Papers 2002/038, International Monetary Fund.
    21. C Arndt & J D Lewis, 2000. "The Macro Implications of HIV/AIDS in South Africa: A Preliminary Assessment," South African Journal of Economics, Economic Society of South Africa, vol. 68(5), pages 380-392, December.
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    More about this item

    Keywords

    Economic development; HIV/AIDS; HIV financing; Computable general equilibrium; Uganda;
    All these keywords.

    JEL classification:

    • D58 - Microeconomics - - General Equilibrium and Disequilibrium - - - Computable and Other Applied General Equilibrium Models
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private

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