title: Factor Configurations with Governance as Conditions for Low HIV/AIDS Prevalence in HIV/AIDS Recipient Countries: Fuzzy-set Analysis.
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.
authors.affiliation: JW Lee Center for Global Medicine, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Hwa-Young
authors.initials: HY
authors.lastname: Lee
authors.affiliation: Graduate School of Public Health, Seoul National University, Seoul, Korea.
authors.forename: Bong-Min
authors.initials: BM
authors.lastname: Yang
authors.affiliation: Department of Public Administration, College of Social Sciences, Ewha Womans University, Seoul, Korea.
authors.forename: Minah
authors.initials: M
authors.lastname: Kang
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology* / Q000517:prevention & control; D003198:Computer Simulation; D003906:Developing Countries / Q000191:economics* / Q000706:statistics & numerical data; D057217:Economic Development / Q000706:statistics & numerical data; D005607:Fraud / Q000191:economics / Q000706:statistics & numerical data*; D017143:Fuzzy Logic; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D015233:Models, Statistical; D015995:Prevalence; D012307:Risk Factors; D012959:Socioeconomic Factors
keywords: Corruption; Democratic Accountability; Effectiveness of Official Development Assistance; Fuzzy-set Qualitative Comparative Analysis; HIV/AIDS