Tackling the World’s Fast-Growing HIV Epidemic - More Efficient HIV Responses in Eastern Europe and Central Asia

Jul 19, 2026

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Tackling the World’s Fast-Growing HIV Epidemic: More Efficient HIV Responses in Eastern Europe and Central Asia (Human Development Perspectives) presents an evidence-focused assessment of the rapidly expanding HIV epidemic and the obstacles to expanding treatment and prevention. The work examines a concentrated yet diversifying epidemic, highlights ongoing barriers to care, and explains the growing role of domestic financing. It also applies allocative efficiency analysis to compare HIV spending patterns, costs per person reached, and pathways for scaling up more effective responses in the region.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages359

Reading Time15 h 5 min

Acknowledgments

Abbreviations

Introduction

Part I: The Growing Challenge

The Fastest-Growing HIV Epidemic in the World

A Concentrated but Diversifying Epidemic

Ongoing Barriers to Treatment

The Rising Importance of Domestic Financing

Part II: Using Allocative Efficiency Analysis to Chart the Way Forward

Scaling Up Treatment and Prevention

Variations in HIV Spending Levels

Varying Costs per Person Reached

blic Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Tackling the World’s FastestGrowing HIV Epidemic HUMAN DEVELOPMENT PERSPECTIVES Tackling the World’s Fastest-Growing HIV Epidemic More Efficient HIV Responses in Eastern Europe and Central Asia Feng Zhao, Clemens Benedikt, and David Wilson, Editors © 2020 International Bank for Reconstruction and Development / The World Bank 1818 H Street NW, Washington, DC 20433 Telephone: 202-473-1000; [Internet: www.worldbank.org](Internet: www.worldbank.org)[ ](Internet: www.worldbank.org)Some rights reserved 1 2 3 4 23 22 21 20 This work is a product of the staff of The World Bank with external contributions. The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of The World Bank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries. Nothing herein shall constitute or be considered to be a limitation upon or waiver of the privileges and immunities of The World Bank, all of which are specifically reserved. Rights and Permissions This work is available under the Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO) [http://creativecommons.org/licenses/by/3.0/igo. Under](http://creativecommons.org/licenses/by/3.0/igo. Under) the Creative Commons Attribution license, you are free to copy, distribute, transmit, and adapt this work, including for commercial purposes, under the following conditions: Attribution—Please cite the work as follows: Zhao, Feng, Clemens Benedikt, and David Wilson, eds. 2020. Tackling the World’s Fastest-Growing HIV Epidemic: More Efficient HIV Responses in Eastern Europe and Central Asia. Human Development Perspectives. Washington, DC: World Bank. doi:10.1596/978- 1-4648-1523-2. License: Creative Commons Attribution CC BY 3.0 IGO Translations—If you create a translation of this work, please add the following disclaimer along with the attribution: This translation was not created by The World Bank and should not be considered an official World Bank translation. The World Bank shall not be liable for any content or error in this translation. Adaptations—If you create an adaptation of this work, please add the following disclaimer along with the attribution: This is an adaptation of an original work by The World Bank. Views and opinions expressed in the adaptation are the sole responsibility of the author or authors of the adaptation and are not endorsed by The World Bank. Third-party content—The World Bank does not necessarily own each component of the content contained within the work. The World Bank therefore does not warrant that the use of any thirdparty-owned individual component or part contained in the work will not infringe on the rights of those third parties. The risk of claims resulting from such infringement rests solely with you. If you wish to re-use a component of the work, it is your responsibility to determine whether permission is needed for that re-use and to obtain permission from the copyright owner. Examples of components can include, but are not limited to, tables, figures, or images. All queries on rights and licenses should be addressed to World Bank Publications, The World Bank Group, 1818 H Street NW, Washington, DC 20433, USA; [e-mail: pubrights@worldbank.org](e-mail: pubrights@worldbank.org). ISBN (paper): 978-1-4648-1523-2 ISBN (electronic): 978-1-4648-1524-9 DOI: 10. 1596/978-1-4648-1523-2 Cover image: © Theo Hawkins / World Bank. Further permission required for reuse. Cover design: Bill Pragluski, Critical Stages, LLC. Library of Cong

FAQs

What epidemic trends does the report describe for Eastern Europe and Central Asia?

The report characterizes the region as having the world’s fastest-growing HIV epidemic, with an epidemic that is concentrated but also diversifying over time.

What barriers to HIV treatment does the report identify?

It reviews ongoing barriers to treatment, emphasizing constraints that limit care access and affect the ability to scale up prevention and treatment.

How does the report use allocative efficiency analysis?

It applies allocative efficiency analysis to compare HIV spending levels and costs per person reached, helping chart a way forward for scaling up treatment and prevention more efficiently.

Jul 19, 2026

Upload by Quinn