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M94A2252.TXT
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1994-10-25
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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).