Factor Configurations with Governance as Conditions for Low HIV/AIDS Prevalence in HIV/AIDS Recipient Countries: Fuzzy-set Analysis.
10.3346/jkms.2015.30.S2.S167
- Author:
Hwa Young LEE
1
;
Bong Min YANG
;
Minah KANG
Author Information
1. JW Lee Center for Global Medicine, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Fuzzy-set Qualitative Comparative Analysis;
HIV/AIDS;
Effectiveness of Official Development Assistance;
Corruption;
Democratic Accountability
- MeSH:
Acquired Immunodeficiency Syndrome/*epidemiology/prevention & control;
Computer Simulation;
Developing Countries/*economics/statistics & numerical data;
Economic Development/statistics & numerical data;
Fraud/economics/*statistics & numerical data;
Fuzzy Logic;
HIV Infections/*epidemiology/prevention & control;
Humans;
Models, Statistical;
Prevalence;
Risk Factors;
Socioeconomic Factors
- From:Journal of Korean Medical Science
2015;30(Suppl 2):S167-S177
- CountryRepublic of Korea
- Language:English
-
Abstract:
This paper aims to investigate whether good governance of a recipient country is a necessary condition and what combinations of factors including governance factor are sufficient for low prevalence of HIV/AIDS in HIV/AIDS aid recipient countries during the period of 2002-2010. For this, Fuzzy-set Qualitative Comparative Analysis (QCA) was used. Nine potential attributes for a causal configuration for low HIV/AIDS prevalence were identified through a review of previous studies. For each factor, full membership, full non-membership, and crossover point were specified using both author's knowledge and statistical information of the variables. Calibration and conversion to a fuzzy-set score were conducted using Fs/QCA 2.0 and probabilistic tests for necessary and sufficiency were performed by STATA 11. The result suggested that governance is the necessary condition for low prevalence of HIV/AIDS in a recipient country. From sufficiency test, two pathways were resulted. The low level of governance can lead to low level of HIV/AIDS prevalence when it is combined with other favorable factors, especially, low economic inequality, high economic development and high health expenditure. However, strengthening governance is a more practical measure to keep low prevalence of HIV/AIDS because it is hard to achieve both economic development and economic quality. This study highlights that a comprehensive policy measure is the key for achieving low prevalence of HIV/AIDS in recipient country.
