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HIV and AIDS in South Asia - An Economic Development Risk (Paperback)
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HIV and AIDS in South Asia - An Economic Development Risk (Paperback)
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'HIV and AIDS in South Asia: An Economic Development Risk' offers
an original perspective on HIV and AIDS as major development issues
for the region. Although the impact of HIV and AIDS on economic
growth appears to be very small, three risks to development are
associated with HIV and AIDS in South Asia: the risk of escalating
concentrated epidemics, the economic welfare costs, and the fiscal
costs of scaling up treatment. As the authors show, South Asian
countries have relatively low estimated national HIV prevalence
rates, but prevalence is growing rapidly among vulnerable groups at
high risk, such as sex workers and their clients, men having sex
with men, and injecting drug users and their partners. The cost
benefits of targeted prevention programs are high, and the
financing of prevention measures such as comprehensive harm
reduction and condom use is a sound economic investment in
low-prevalence countries with concentrated epidemics. Interventions
that reduce the risks and stigma associated with HIV and AIDS have
benefits beyond the cost of lives saved; they improve the welfare
of those who are at risk and those who fear contracting HIV.
Treatment for AIDS in South Asia is limited at present, with weak
health systems contributing to low access to and use of services.
The challenges of a comprehensive scaling up of antiretroviral
treatment are substantial, underscoring the crucial role of
effective prevention today. The authors conclude that the limited
ability of many households to pay 'catastrophic' health expenses
associated with treatment, as well as the negative consequences
associated with poor adherence to treatment, suggest a large and
central role for the public sector in the provision of
antiretroviral therapy. 'HIV and AIDS in South Asia: An Economic
Development Risk' will be of particular value to readers with
interests in the areas of economic policy, microfinance, public
health, and epidemiology.
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