Document 2252
 DOCN  M94A2252
 TI    The state of the world's response to the HIV/AIDS pandemic.
 DT    9412
 AU    Tarantola D; Mann J; Francois-Xavier Bagnoud Center for Health and Human
       Rights,; Harvard School of Public Health, Cambridge MA 02138.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):346 (abstract no. PC0322). Unique
       Identifier : AIDSLINE ICA10/94370323
 AB    OBJECTIVE: Information on the state of the global pandemic and of the
       response to it was collected and analyzed in view of the forthcoming
       publication of AIDS in the World, Vol. 2. METHODS: Surveys were carried
       out with 207 Government National AIDS Programs (GNAPs), 24 major
       NGOs/AIDS Service Organizations (ASOs) and 13 Official Development
       Agencies (ODAs) providing over 90% of the international funding to
       developing country AIDS programs. Information was collected and analyzed
       on epidemiological trends, national policies, programs, financing, major
       achievements and shortcomings, and anticipated future developments.
       RESULTS: Questionnaires were returned by over 100 GNAPs; 20 major
       national ASOs/NGOs and 11 ODAs. A preliminary analysis of returns show
       that a gap exists between stated national policies and their reported
       application: certain discriminatory policies are reported to not have
       been enforced while certain protective actions towards people with
       HIV/AIDS or defined population groups are reported to have been taken in
       the absence of policy guidance. Human rights violations have come to the
       knowledge of GNAPs less frequently than of ASOs. Programs have been
       integrated in a growing number of countries, a trend which has reduced
       the capacity of GNAP Managers to account on activities and resources.
       The international transfer of funds to Developing Country AIDS programs
       has remained virtually unchanged in the last 3 years at a global total
       of about $250 million. Successful initiatives continue to demonstrate
       that the prevention of HIV is feasible but that national and
       international commitment, structures and action remain insufficient. The
       final results of this effort to gather information on the global
       response to HIV/AIDS will be presented succinctly. CONCLUSION: The
       expanding gap between the HIV/AIDS pandemic and the global response,
       already documented in 1992, is now associated with compounding
       difficulties: the pandemic has become fragmented; the disparity in
       prevention and care efforts challenges coordination and accountability;
       the global solidarity on HIV/AIDS must be revitalized. A worldwide
       strategy must address immediate prevention and care needs, but also the
       underlying societal causes of vulnerability to HIV/AIDS.
 DE    Acquired Immunodeficiency Syndrome/EPIDEMIOLOGY/*PREVENTION &
       CONTROL/TRANSMISSION  Comparative Study  *Cross-Cultural Comparison
       Developing Countries  Disease Outbreaks/*STATISTICS & NUMER DATA  Health
       Services Needs and Demand  Human  HIV
       Infections/EPIDEMIOLOGY/*PREVENTION & CONTROL/TRANSMISSION  HIV
       Seroprevalence/*TRENDS  *International Cooperation  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).