Confronting AIDS: Public Priorities in a Global EpidemicTwo decades after the appearance of human immunodeficiency virus (HIV), the HIV/AIDS epidemic has spread across the industrialized and developing world. Of the estimated 30 million people, who have contracted the virus, 6 million have died of AIDS. About 90 percent of worldwide infections occur developing countries, where disease has already reduced life expectancy in some cases by more than a decade. HIV, already widespread among the general population of many Sub-Saharan African countries, many be on the verge of exploding in other regions; the number of new infections occurring each year in Asia may already have surpassed those in Africa. Because most people who contract HIV are adults in the prime of life, AIDS extracts a heavy toll on surviving family, especially children and the elderly, and is likely to exacerbate poverty and inequality. Clearly, the human and economic toll of the epidemic is great. But efforst to combat HIV use resources that could also have been applied to other pressing human needs, especially in the lowest income countries. How should developing country governments and the international community respond? This book provides strategy for policymakers, development specialists, public health experts, and others in a position to influence the public response to the epidemic to consider how society and governments in particular should intervene to confront HIV/AIDS. In doing so it draw upon three bodies of knowledge: the epidemiology of HIV: public health insights into disease control; and especially public economics, which focuses on assessing tradeoffs in the allocation of scarce resources. The report argues that AIDS is a large and growing problem and that governments can and should actively confront the epidemic. It finds that some policies will be much more effective than others, and it disticnguishes between activities that should be left to households and the private sector, including non-governmental organizations (NGOs); those that should be initiated by developing governments; and those that can best be undertaken by the international development community. |
Contents
Summary | 1 |
11b Declining HIV Prevalence among Young Thai Army Conscripts | 3 |
A Challenge for Government | 13 |
Copyright | |
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AIDS death AIDS epidemic average background paper benefits blood Brazil Burkina Faso capita casual sex chapter commercial sex condom contract and spread cost-effectiveness costs Côte d'Ivoire demic developing countries donors economic effective estimated example expenditure figure funding groups high-risk behavior HIV epidemic HIV infection HIV prevalence HIV prevention HIV transmission HIV-negative HIV-positive HIV/AIDS HIV/AIDS epidemic households impact of AIDS income India individuals infected with HIV infection rates injecting drug users injecting equipment interventions Kagera Kenya levels ment nascent national AIDS NGOs opportunistic illnesses orphans partner change patients percent percentage policies poor population poverty prevent HIV prevention programs prime-age adult death Rakai District rates of partner reduce response risky behavior safer behavior sex workers spread HIV spread of HIV STD treatment STDs Sub-Saharan Africa subpopulations subsidy survey Tanzania Thailand tion transfusion Uganda urban vaccine virus women World Bank Zambia Zimbabwe