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This paper for senior World Bank management and staff describes the current status and impact of the HIV (human immunodeficiency virus) and tuberculosis (TB) epidemic in southern Africa, the strategic role the Bank has played to date, and puts forward an action plan for deeper Bank engagement with the middle-income countries (MICs) in this subregion, especially in light of the new political commitment by the government of South Africa.
Southern Africa continues to bear a disproportionate share of the global burden of HIV: 35% of HIV infections and 38% of AIDS-related deaths in 2007 occurred in this sub-region. Southern Africa also experiences high levels of population movement, voluntary or forced, and comprises a diversity of people, including contract labor migrants, irregular migrants, families of migrants, refugees, trafficked persons and mobile workers such as truck drivers and mine workers. Furthermore, migrants have loved ones back home, who may face their own vulnerabilities, as the family breadwinner is away. …
This Report discusses the state of human development in Lesotho at the turn of this new millennium. Almost seven years into this century, Lesotho has been faced with a combination of problems that do not seem to be amenable to easy solution, and that threaten to hold back, even reverse, its socio -economic progress. The nexus of the mutually reinforcing effects of chronic poverty, inequality and food insecurity is being compounded by the impact of the pervasive and growing HIV epidemic.