Recommendations for meeting the Global HIV Prevention challenge.
Substantially Increasing and Sustaining Prevention Funding
* Increase international resources. Annual investment in HIV prevention in low- and middle-income countries should quadruple by 2004--from approximately $1.2 billion in 2002 to $4.8 billion in 2004.
* Enable countries to prioritize resources for HIV/AIDS. Every effort should be made to give countries the ability to prioritize resources for HIV/AIDS, especially resource- poor countries financially encumbered by debt.
Building Capacity and Scaling Up Proven Prevention Strategies
* Increase local capacity. Resources should be devoted to training local personnel and providing necessary technology so that affected countries can rapidly and sustainably scale up prevention programs.
* Expand existing prevention strategies. With additional resources and access to training and prevention tools, countries should rapidly bring to scale key prevention interventions that can work together to achieve maximum prevention impact.
Encouraging Vocal Political Leadership
* Make HIV/AIDS a priority. Political leaders should speak often and forcefully about the importance of HIV prevention, support policies that effectively fight AIDS and stigma, and make HIV/AIDS a permanent agenda item at important global and regional political gatherings.
Using Prevention Resources More Strategically
* Improve tracking of HIV/AIDS. Developing countries should receive training and financial and technical assistance to enhance their ability to track HIV/AIDS and plan prevention interventions accordingly.
* Ensure strategic planning. By 2003, every country should have a strategic HIV prevention plan.
* Coordinate funds. By 2003, all low-income countries should convene annual "donor roundtables," bringing together all key funders to measure available resources, identify resource gaps, and enhance program coordination.
Expanding Access to Key Prevention Tools
* Ensure an adequate supply of prevention tools. Donor nations should ensure an adequate global supply of high-quality HIV prevention tools (e.g., condoms and HIV test kits) for use in developing countries.
* Increase access to treatment. Access to HIV treatments, including anti-retrovirals, should be dramatically expanded--both to reduce HIV-related sickness and death and to buttress HIV prevention efforts by reducing stigma and encouraging knowledge of HIV status.
Accelerating Research into New Prevention Technologies
* Increase funding. Public sector funding for research and development should increase by $1 billion for HIV/AIDS vaccines and $1 billion for microbicides by 2007, and grow substantially for other new prevention technologies.
* Coordinate efforts. Industry, donors, multilateral agencies, and nongovernmental organizations should work together on an ongoing basis to identify obstacles to acceleration of HIV vaccine and microbicide research and development, and agree on approaches to overcoming such obstacles.
* Ensure access. Donor nations, developing countries, and multilateral agencies should immediately develop and implement strategies to ensure future access to HIV/AIDS vaccines and microbicides.
Confronting Social Factors That Facilitate the Spread of HIV
* Fight stigma. Countries should enact HIV-specific human rights protections, and people living with HIV/AIDS should be involved at every stage in the planning and implementation of HIV prevention programs.
* Reduce poverty. Accelerated efforts are needed to reduce the poverty that facilitates HIV transmission and worsens the social and economic impact of HIV infection.
* Empower women. Global efforts to empower women must be dramatically expanded.
* The Global HIV Prevention Working Group was convened by the Bill and Melinda Gates Foundation and the Henry J. Kaiser Family Foundation to generate a greatly expanded commitment to preventing HIV transmission. For more information, go to www.gatesfoundation.org or www.kff.org