Wednesday 19th September 2018

Appeal to World Bank to review the definition of Middle Income Country

wold bankMay 27, 2016, Kathmandu. AIDS Healthcare Foundation (AHF) together with National Association of People Living with HIV/AIDS in Nepal (NAP+N) and partners submitted an appeal to The World Bank with the request to redefine the Middle Income Country MIC).

Nepal is heading towards the MIC category and Vietnam in Asia and Venezuela already graduated to MIC. In this contest, the foreign aid diminishes and interest loan for the soft loan will be increased owing to the enhanced capacity of MIC countries.
In a program, the representatives from AHF, NAP+N and partners highlighted that there is an inherent disconnect between the implied meaning of the MIC label as “not poor” and the purchasing power of the people in them. The middle-income bracket encompasses countries with the GNI per capita of $1,045 to $12,736 (daily income of $2.86 to $34.89).

The pharmaceutical companies to set tiered pricing on medicines. For example, Vietnam as a MIC has to pay as much as 10 times more for commonly prescribed HIV drugs. Atripla (Efavirenz, Emtricitabine, and Tenofovir) a brand- accessible to LICs cost $613 ppy (while it costs MICs $422 more – i.e. $1,033).

In this context, the donors are increasingly using the MIC label to justify funding cutbacks and decrease the pool of countries eligible for the development assistance. For example, the GFATM, Tuberculosis and Malaria sets proportionately lower ceilings on funding levels for bands of countries based on their income classification. As a result, the MICs now have the largest proportion of the global HIV burden but are facing the prospect of fighting epidemic with less money.
The appeal was read by AHF Nepal Country Program Manager Deepak Dhungel in the program and all participating agencies and representatives also requested to communicate the message to The World Bank President Dr. Jim Yong Kim to further discuss possible solutions to the challenges outlined in the appeal.


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