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51. Does the Private Sector Care About AIDS?

Author:
Vijaya Ramachandran, Manju Kedia Shah, and Ginger Turner
Publication Date:
01-2006
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
This paper analyzes the determinants of firms' decision to provide HIV/AIDS prevention activities. Using data from 860 firms and 4,955 workers in Uganda, Tanzania, and Kenya, it shows that larger firms, and firms with higher skilled workers tend to invest more in AIDS prevention. Firms where more than 50 percent of workers are unionized are also more likely to do more prevention activity. Finally, these characteristics are also significant in determining whether or not a firm carries out pre-employment health checks of its workers. The results shed light on the likelihood of private sector intervention and the gaps that will require public sector assistance.
Topic:
Health, Human Welfare, Humanitarian Aid, and Non-Governmental Organization
Political Geography:
Uganda, Kenya, and Tanzania

52. An Aid-Institutions Paradox? A Review Essay on Aid Dependency and State Building in Sub-Saharan Africa

Author:
Todd Moss, Nicolas Van de Walle, and Gunilla Pettersson
Publication Date:
01-2006
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
A number of proposals today support a substantial increase in foreign aid levels to sub-Saharan Africa even though this region already receives a historically unprecedented volume of aid. This essay reviews the evidence regarding the potentially negative effects of aid dependence on state institutions, a topic which has received relatively little attention. We note several pathways through which political institutions might be adversely affected and devote particular attention to fiscal and state revenue issues. In addition to reviewing the economic literature on the aid-revenue relationship, this essay brings in the long-standing political science literature on state-building to consider the potential impact of aid dependence on the relationship between state and citizen. We conclude that states which can raise a substantial proportion of their revenues from the international community are less accountable to their citizens and under less pressure to maintain popular legitimacy. They are therefore less likely to have the incentives to cultivate and invest in effective public institutions. As a result, substantial increases in aid inflows over a sustained period could have a harmful effect on institutional development in sub-Saharan Africa.
Topic:
Development, Humanitarian Aid, and Political Economy
Political Geography:
Africa