Recommendations for meeting the Global HIV Prevention challenge.The Global HIV HIV (Human Immunodeficiency Virus), either of two closely related retroviruses that invade T-helper lymphocytes and are responsible for AIDS. There are two types of HIV: HIV-1 and HIV-2. HIV-1 is responsible for the vast majority of AIDS in the United States. Prevention Working Group* made these recommendations at the International AIDS Conference Education, networking and the promotion of best practice are essential to enhancing the response to HIV/AIDS. IAS conferences provide opportunities to share experience, and increase the knowledge and expertise of professionals working in HIV/AIDS. to scale up strategies to reach those in need and reverse the epidemic's projected course. They include:
Substantially Increasing and Sustaining Prevention Funding
* Increase international resources. Annual investment in HIV prevention in low- and middle-income countries should quadruple quad·ru·ple
1. Consisting of four parts or members.
2. Four times as much in size, strength, number, or amount.
3. Music Having four beats to the measure.
n. by 2004--from approximately $1.2 billion in 2002 to $4.8 billion in 2004.
* Enable countries to prioritize resources for HIV/AIDS HIV/AIDS Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome . Every effort should be made to give countries the ability to prioritize resources for HIV/AIDS, especially resource- poor countries financially encumbered Encumbered
A property owned by one party on which a second party reserves the right to make a valid claim, e.g., a bank's holding of a home mortgage encumbers property. 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 Strategic planning is an organization's process of defining its strategy, or direction, and making decisions on allocating its resources to pursue this strategy, including its capital and people. . 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 HIV test Various tests have been used to detect HIV and production of antibodies thereto; some HTs shown below are no longer actively used, but are listed for completeness and context. See HIV, Immunoblot. 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 buttress, mass of masonry built against a wall to strengthen it. It is especially necessary when a vault or an arch places a heavy load or thrust on one part of a wall. 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 Transnational organizations of private citizens that maintain a consultative status with the Economic and Social Council of the United Nations. Nongovernmental organizations may be professional associations, foundations, multinational businesses, or simply groups with a common interest in should work together on an ongoing basis to identify obstacles to acceleration of HIV vaccine HIV vaccine AIDS As of mid-2005, there is no viable anti-HIV vaccine. See AIDS. 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 Bill and Melinda Gates Foundation, philanthropic institution founded in 1994 by Microsoft chairman Bill Gates and his wife, Melinda, to improve the lives of the poor throughout the world, primarily through grants for projects relating to global health care, and the Henry J. Kaiser Henry John Kaiser (May 9, 1882—August 24, 1967) was an American industrialist who became known as the father of modern American shipbuilding. Early life
Beginning as a cashier in a dry-goods shop in Utica, New York, Kaiser moved many times as he pursued the Family Foundation to generate a greatly expanded commitment to preventing HIV transmission. For more information, go to www.gatesfoundation.org or www.kff.org