Further Reading

UNAIDS and World Bank

The Global Economic Crisis and HIV Prevention and Treatment Programmes: Vulnerabilities and Impact

The global economic crisis threatens recent gains in health and poverty reduction in developing countries. What is the effect of the crisis on HIV programmes, especially in high HIV prevalence countries? What are the possible consequences? What can be done to avoid negative impacts? Information collected in late March 2009 from respondents in 71 countries indicates that much is at risk: increased mortality and morbidity, unplanned interruptions or curtailed access to treatment, with increased risk of HIV transmission, higher future financial costs, increased burden on health systems and reversal of economic and social development gains. (2009)
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Médecins Sans Frontières

Punishing Success? Early signs of a retreat from commitment to HIV/AIDS care and treatment

Funding for HIV/AIDS treatment is not keeping up with need, and appears to be shrinking. The report by Médecins Sans Frontières (MSF) states that funding shortfalls punish the early success of the last decade of ART scale-up, and threaten to have a devastating impact on people living with HIV/AIDS as well as efforts to prevent new infections. As global health actors retreat from providing direct support for AIDS treatment, more demand is placed on the Global Fund, which is itself critically underfunded. (2009)
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Primary concern. Why primary healthcare is key to tackling HIV and AIDS

ActionAid research has identified inadequate primary healthcare as a significant barrier to meeting the universal access target, especially in poor, rural areas. Policy makers, health workers and community members that participated in this research have identified significant shortcomings in the provision of HIV services across the research countries. In order for all of the people affected by HIV and AIDS to have access to essential HIV, sexual and reproductive health and gender-based violence response services, functioning health systems are required in developing countries, particularly primary healthcare facilities and services. (2009)
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AIDS and global health

This report by UNAIDS on AIDS and Global Health examines the role that the health sector should play in helping to attain the goal of universal access to HIV prevention, treatment, care and support. AIDS and global health notes that HIV is both a health issue and a social issue. By involving the education, agriculture, business, media, labour and other social service sectors, the AIDS response has been able to leverage better health outcomes, just as efforts to eradicate polio and reduce tobacco use have done in recent years. (2009)


Management for Health Position Paper

Reversing the AIDS epidemic through third-generation health systems: A call to action

"We need a dramatic change in thinking - and action from donors, policymakers, and program managers in the public, private, and nongovernmental (NGO) sectors - to focus on strengthening health systems in the countries most affected by HIV & AIDS. To meet the Millennium Development Goal of reversing the epidemic by 2015, we must change how we design and deliver services. We learned in the 1990s and 2000s that a host of separate activities cannot be scaled up in a sustainable way and that strengthening the health system is essential for long-term sustainability." (2009)
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