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Consultation on strategic information and HIV prevention among most-at-risk adolescents. 2-4 September 2009, Geneva. Consultation report.
New York, New York, UNICEF, 2010. 65 p.The Consultation on Strategic Information and HIV Prevention among Most-at-Risk Adolescents (MARA) focused on experiences in countries where HIV infection is concentrated among men who have sex with men (MSM), injecting drug users (IDUs), and those who sell sex. The meeting facilitated the exchange of information across regions on country-level data collection regarding MARA; identified ways to use strategic information to improve HIV prevention among MARA; and suggested ways to build support for MARA programming among decision-makers.
[London, England], ActionAid, 2006 Apr 11. 5 p.Global Fund funding rounds are becoming further and further apart due to the failure of donors to commit enough resources for the Fund to do its job. At the April Board meeting, donors will decide whether Round 6 can be held this year. If it is delayed until 2007 or even later, the G8's treatment target will not be helped by one of the main sources of funding. ActionAid calls on the UK Government to continue its leadership on AIDS from 2005 and put pressure on other donors to launch Round 6 and to pay their fair share to the Fund. (excerpt)
Answering the call: The international donor community's response to the HIV / AIDS crisis in Eurasia.
CommonHealth. 2005 Spring; 19-23.On the occasion of World AIDS Day, December 1, 2003, Peter Piot, executive director of the Joint United Nations Program on HIV/AIDS (UNAIDS) had some good news to share: Spending on HIV/AIDS programs rose 50 percent in 2003, from 3.1 to 4.7 billion dollars. In large part he attributed this to the efforts of the international donor community. International donor contributions traditionally stem from UN programs, affluent governments, development banks, and quasiprivate or private organizations, such as the Bill and Melinda Gates Foundation. Various other donor agencies, including The Global Fund to Fight AIDS, Tuberculosis, and Malaria--a partnership between governments, civil society, and the private sector--are providing valuable resources in the fight against HIV/AIDS. The support provided by these groups could not come at a more critical time. According to the latest statistics, 42 million people are living with HIV/AIDS worldwide and UN Secretary-General Kofi Annan has described the pandemic as the greatest threat to the well-being of future generations. Two of the areas most affected by the disease are the World Bank's Eastern Europe and Central Asia sub-regions--which include all of the countries of the former Soviet Union--where the AIDS epidemic is growing at a faster rate than anywhere else in the world. According to a United Nations Report published in February 2004, "One out of every 100 adults walking down the streets of a city in Eastern Europe or the Commonwealth of Independent States carries the HIV virus that causes AIDS." (excerpt)
Lancet Infectious Diseases. 2006 Jun; 6(6):328.Ukraine plans to restructure a key HIV/ AIDS and tuberculosis control project to help ensure disbursement of a US$60 million loan recently suspended by the World Bank. Alla Shcherbinska (Ukrainian Centre to Combat HIV/AIDS) told journalists that it will take the government only a few weeks to "reconstruct" the project. However, Shiyan Chao, a senior health economist at the World Bank cautioned that: "resumption of the funds will hinge on the government's concrete actions to improve earlier shortcomings related to policy issues on tuberculosis control, procurement, fiduciary controls, and other important aspects of project management". The World Bank suspended the loan, complaining of poor implementation by the Ukrainian ministry of health. "At the time of suspension, which came after the first 3 years of implementation, only 2% of funds available for this project had been disbursed by the Ukrainian ministry of health", Merrell Tuck, a spokesperson of the Bank said. The Bank says "there is also concern about the government's full commitment to both condom use and harm reduction for injecting drug users [IDUs]". (excerpt)
Odessa workshop helps build capacity among Ukrainian clinicians who care for people living with HIV / AIDS.
Connections. 2004 Jan;  p..A recent Anti-retroviral Therapy Training Workshop held in Odessa, Ukraine, marked the start of an ongoing collaboration between AIHA and the Los Angeles-based AIDS Healthcare Foundation (AHF). It was the first training hosted under the aegis of the newly established World Health Organization Regional HIV/AIDS Care and Treatment Knowledge Hub for which AIHA is the primary implementing partner. This Knowledge Hub was created in response to the burgeoning HIV/AIDS pandemic in Eastern Europe and Central Asia to serve as a crucial capacity-building mechanism for reaching WHO's "3 by 5" targets for the region. (excerpt)
Consultative meeting on "Accelerating an AIDS Vaccine for Developing Countries: Issues and Options for the World Bank", Paris, April 13, 1999.
[Unpublished] 1999. 7 p.The World Bank’s AIDS Vaccine Task Force sponsored a meeting at the World Bank European office in Paris on Tuesday, April 13, 1999, to consult with key shareholders, bilateral and multilateral donors, and representatives from developing countries on ways that the World Bank could accelerate the development of an AIDS vaccine that would be effective and affordable in developing countries. The 32 participants included representatives from the North and South, from AIDS control programs, foreign affairs ministries, and ministries of finance, both technical experts and policy makers. An issues paper, “Accelerating an AIDS vaccine for developing countries: Issues and options for the World Bank”, served as background for the meeting. (excerpt)
Washington, D.C., World Bank, South Central Europe Country Department, 2003 Feb 11.  p.The purpose of this paper is to review the current status of the AIDS epidemics in ECC05 countries (Bulgaria, Croatia, and Romania), to evaluate the approaches and strategies currently being used in each country, and to make recommendations both for government strategies and for the Bank’s current and potential future involvement in relation to these strategies. The paper is divided into three sections: 1) an overview of recent regional perspectives; 2) a situation analysis and evaluation for each country including current strategies and implementation arrangements, and 3) a discussion of potential actions by the Bank. (excerpt)
Africa Recovery. 2003 Dec;  p..On 28 November the British Broadcasting Corporation (BBC) posted an online audio interview with UN Secretary-General Kofi Annan about the struggle against HIV/AIDS. The transcript of this important broadcast appears below in its entirety. It has been edited slightly for clarity. The Secretary-General was speaking to Ms. Carrie Gracie on "The Interview" programme for BBC World Service radio. It is reproduced with the permission of the BBC. BBC: Over the past two weeks the BBC World Service has been running an AIDS season and we've heard many aspects of the illness. But today we want to get a sense of your personal contribution and whether you think that you're winning the battle. So I want to start by asking you about the enemy. When did you first realize what a serious enemy you were up against with AIDS? Annan: I think it was when I discussed the issue with the World Health Organization [WHO] and UNAIDS [the Joint UN Programme on HIV/AIDS] and looked at the figures and the statistics and the devastation it was causing in many African countries, and at the attitude of the leaders. We needed leadership. We needed leadership at all levels. But it was most important to get the presidents and the prime ministers speaking up and that was not happening. I thought we should do whatever we can to raise awareness and to get them involved. (excerpt)
Geneva, Switzerland, UNAIDS, 2004 Apr.  p. (UNAIDS/04.18E)Diverse HIV epidemics are underway in Europe and Central Asia. In the East, which is experiencing the fastest-growing epidemics in the world, the number of people living with the virus has risen exponentially in just a few years—reaching 1.2-1.8 million at the end of 2003. Between 180,000 and 280,000 people were newly infected with HIV last year. Hundreds of thousands more people, the vast majority of them young, face the imminent risk of HIV infection unless prevention efforts are expanded and improved. Driving the epidemics in these countries are persistently high levels of risky behaviour—specifically injecting drug use and, increasingly, unsafe sex among young people. These epidemics are set to grow considerably still, with unsafe sex likely to become a much more prominent factor, leading to more infections among women. Meanwhile, in south-eastern Europe, high levels of (sexual and drug-related) risk behaviour point to an impending danger of HIV outbreaks in countries which, to date, have been spared the epidemic. The countries of Western Europe, by contrast, are home to older, well-trenched epidemics. There, widespread access to life-extending antiretroviral treatment has caused AIDS death rates to plummet from more than 20,000 in 1996 to between 3,400 and 3,600 in 2003. However, that trend is shadowed by ongoing signs that prevention efforts are faltering in several countries. Some 30,000-40,000 new infections occurred in Western Europe in 2003, raising the number of people living with HIV to between 520,000 and 680,000. Although injecting drug use is a prominent factor in the epidemics in several countries (notably France, Italy, Portugal and Spain), most new HIV infections in these countries are now attributable to unsafe sex (a growing proportion of them occurring among heterosexuals). Unless countered by more effective prevention efforts, these developments could spur a more vigorous new phase in the epidemic. (excerpt)
New York Times. 2004 Feb 11;  p..After a long, clumsy war against AIDS, Romania has finally declared itself the winner. "Yes — at this moment, we have a victory," said Dr. Adrian Streinu-Cercel, president of the National AIDS Committee. "Everyone who needs triple therapy is getting triple therapy." The country, which became infamous in 1990 for the squalid orphanages and babies dying of AIDS that marked the final years of Nicolae Ceausescu's dictatorship, is now being cited as a model of how governments, drug companies and international agencies can bring AIDS under control by ensuring that the necessary three-drug anti-retroviral cocktails are available and paid for. (excerpt)
Guardian Unlimited. 2003 Nov 28;  p..The world is losing the fight against the Aids epidemic, the UN secretary general, Kofi Annan, warned today. Describing the disease as a "weapon of mass destruction", Mr Annan urged governments to do more to combat its spread. In some of the countries we are talking about, AIDS is a real weapon of mass destruction - and what are we doing about that?" Mr Annan said in the interview to be broadcast tomorrow on BBC World Service radio. It does indicate a certain incredible callousness that one would not have expected in the 21st century." The UN said in a report this week that deaths and new cases of HIV/Aids reached unprecedented highs in 2003 and were set to keep rising. About five million people were infected in 2003 and more than three million died. (excerpt)
BMJ. British Medical Journal. 2003 Nov 29; 327:1246.Efforts to stem the world’s AIDS epidemic are “entirely inadequate,” warned the United Nations this week as it released figures showing that the number of people who became infected with HIV and died from AIDS hit record levels this year. An estimated 40 million people around the world, including 2.5 million children, are living with HIV, according to latest figures from the Joint United Nations Programme in HIV/AIDS and the World Health Organization issued ahead of the world AIDS day, which is on 1 December. Every day in 2003 an estimated 14 000 people contracted HIV, says the report, AIDS Epidemic Update 2003. Altogether, an estimated five million people were newly infected and three million people died from AIDS. (excerpt)
Epidemic of sexually transmitted diseases in Eastern Europe. Report of a WHO meeting, Copenhagen, Denmark, 13-15 May 1996.
Copenhagen, Denmark, WHO, Regional Office for Europe, 1996. , 14 p. (EUR/ICP/CMDS 08 01 01)In response to the alarming rise in sexually transmitted diseases (STDs) in the newly independent states, the WHO Regional Office for Europe, WHO headquarters and the Joint United Nations Programme on AIDS organized a meeting of experts from the most affected countries to exchange information and to identify priority actions for the control of the epidemic. The participants included 15 experts from Belarus, Kazakhstan, Latvia, the Republic of Moldova, the Russian Federation and Ukraine. The participants called for urgent action, including a careful assessment of the existing systems for STD control, reallocation of resources among the various activity areas and strong advocacy to generate awareness at the top level of government and strengthen its support for the recommended initiatives. They also urged that national coordination of programmes to promote sexual health and prevent STDs and HIV be strengthened, that statutory services be made more accessible and acceptable to patients and that efforts be made to ensure that all health workers managing patients with STDs, including those in the private sector, provide high-quality care. (author's)
Washington, D.C., Population Action International, 2001 May 4. 2 p.The shortfall in contraceptives is a serious crisis. Why? Because these reproductive health supplies that save the lives of men, women, and children are in high demand and short supply. This theme was expressed repeatedly during the opening of "Meeting the Reproductive Health Challenge: Securing Contraceptives, and Condoms for HIV/AIDS Prevention." This unprecedented global meeting of key international organizations and leaders opened on Thursday in Istanbul, Turkey. (excerpt)
[Berne], Switzerland, Aide Suisse contre le SIDA, 1988 Apr.  p. (Documentation 1)This document contains 12 brief and nontechnical articles by experts on different aspects of AIDS diagnosis and control. The 1st 3 articles, on AIDS information and communications, include a discussion of the international exchange of information on AIDS, an outline of worldwide activities of the World Health Organization Special Program Against AIDS, and a discussion of information policy on AIDS. The next several articles, on AIDS transmission, include articles explaining why mosquitoes do not transmit AIDS and why AIDS is not spread by kissing. An article calls for fighting AIDS instead of using it as a vehicle for social control or discrimination against marginal groups. 3 others call for greater understanding and compassion rather than fear in dealing with AIDS patients. A more detailed article on means of contamination and the unlikelihood of infection through casual contact is followed by a work suggesting that screening for HIV be limited primarily to blood donors and individuals with symptoms suggesting HIV infection. The final article analyzes why Switzerland has the highest per capita prevalence of AIDS in Europe and explores the epidemiology of AIDS in Switzerland.
Recommendation R (87) 25 of the Committee of Ministers to member states concerning a common European public health policy to fight the acquired immunodeficiency syndrome (AIDS). Adopted by the Committee of Ministers on 26 November 1987 at its 81st Session.
INTERNATIONAL DIGEST OF HEALTH LEGISLATION. 1988; 39(1):22-7.Recommendation R (87) 25 of the Committee of Ministers recommends that the Council of Europe adopt a common action against the HIV and AIDS. This recommendation is based on the facts that there is no cure or vaccine for AIDS and that an epidemic of serious proportions will inevitably result if preventive action is not taken. It is therefore recommended that the governments of the member states: 1) declare the fight against AIDS an urgent national priority; 2) devise a strategy of preventive measures, including the formation of coordinating committees, the formation of a public health policy to achieve behavioral changes through widespread educational programs, and the implementation of public health measures, including screening, confidential reporting of seropositivity, strengthening of health care services, training of staff, and program evaluation and research; and 3) intensify cooperation among European governments by mutual assistance and avoidance of duplication.
[Unpublished] 1988 Jan. 3 p.The London Declaration On AIDS Prevention, of the World Summit of Ministers of Health on Programmes for AIDS Prevention, contains 15 declarations. 1) Since AIDS is a global problem urgent action by all governments is needed to implement WHO's Global AIDS Strategy. 2) We shall do all we can to ensure that our governments undertake such urgent action. 3) All governments are recommended to form a high level committee coordinating all sectors involved in control of HIV infections. 4) Information and education is the single most important component of national AIDS programs at the present time. 5 Programs must be aimed at the general public and at specific groups, always respecting cultural values and human and spiritual values. 6) AIDS prevention programs must protect human rights and human dignity, avoiding discrimination or stigmatization. 7) The media are urged to fulfill their important social responsibility to provide factual and balanced information to the general public. 8) All sectors must cooperate to allow a supportive social environment for the effective implementation of AIDS prevention programs, and the humane care of affected people. 9) The importance of governments providing the human and financial resources necessary is essential to national health. 10) An appeal is made to all United Nations organizations, multilateral organizations and voluntary organizations to cooperate in the struggle against AIDS. 11) We appeal to those bodies to assist developing nations to set up their own programs in light of their particular needs. 12) Those involved with drug abuse must intensify their efforts, and thus impede the spread of infection. 13) WHO is called on to take several specific actions to coordinate and lead the international effort against AIDS. 14) 1988 shall be a Year of Communication and Cooperation about AIDS. 15 we are convinced that through these efforts we can and will slow the spread of HIV infection. (author's modified)
Bulletin of the World Health Organization. 2002; 80(1):78.According to the AIDS Epidemic Update released in November 2001 by the Joint UN Program on HIV/AIDS (UNAIDS), HIV/AIDS infection is escalating globally. The disease is spreading most quickly in Eastern Europe and Central Asia, where an estimated 1 million people are now infected with the disease. Furthermore, statistics show that about 5 million people were infected with HIV in 2001 (versus 5.3 million in 2000) and an estimated 40 million (versus 36.1 million) are believed to be living with the virus worldwide. In response to this threat, prevention and aggressive harm-reduction programs are at work, according to the Director-General of WHO, Dr. Gro Harlem Brundtland. He cited several Asian countries, like Thailand and Cambodia, whose efforts of prevention are effectively working in reducing the incidence of HIV/AIDS. Poland and several African states have also shown exemplified actions in controlling the epidemic. Dr. Jesus Maria Garcia Calleja, a UNAIDS epidemiologist stressed the need of will and commitment from all sectors to prevent further outbreak. In Eastern Europe and Central Asia, since the spread is still in its early stages, a comprehensive response is needed to reduce risky sexual and drug-injecting behavior among young people, and to tackle the socioeconomic and other factors that promote the spread of the virus.
[Unpublished] 1988. 4 p. (WHO/GPA/INF/88.1)On March 7-9, 1988, the Global Programme on AIDS and the Nursing Unit of the Division of Health Manpower Development jointly organized a technical consultation meeting on nursing and HIV infection in Geneva. There were 17 participants from 14 countries included nursing officers, midwives and the church council. The meeting endorsed the WHO/International Council of Nurses (ICN) Guidelines for nursing management of HIV infection, and the AIDS basic nursing education modules. The following recommendations were made during the consultation: the participants should stress the urgent need for strengthening the leadership role of nurses in caring for HIV-infected people; the participants, in conformity with WHO's Global Programme on AIDS, urge the ICN and the International Confederation of Midwives to take their part in the implementation of the guidelines and to encourage the integration of the modules into the curricula of nursing schools; and lastly the participants request the involvement of the WHO to recognize the importance of nursing in the prevention of HIV/AIDS.
[Unpublished] .  p.This paper presents information on the Joint UN Programme on HIV/AIDS (UNAIDS) organization, the UN responses to AIDS, and on the UNAIDS Structures. It is noted that the UNAIDS Secretariat in Geneva is composed of the Executive Director of UNAIDS, four departments and one group. Its staff consists of Country Program Advisers and Junior Professional Officers who work in collaboration with the UN Theme Groups on HIV/AIDS. Several of the Secretariat's core functions in Geneva, at inter-country and country levels, are presented. However, a list of documents in which a detailed description about the Secretariat's functions and organization structure as well as the roles and responsibilities of each department is included in this paper. The UNAIDS Secretariat evolves on a regular basis in response to the changing needs of the Program. In order to know where to go for help and to get the most out of the resources available, it is important to understand how the Secretariat is structured, as well as the distinction between country and regional structures.
AFRICA HEALTH. 2001 May; 23(4):37.Since AIDS has been considered the greatest public health challenge, the encouragement of the participation of drug companies and other "partners" in the fight against AIDS will be the personal priority of UN Secretary-General Kofi Annan. During a meeting in Amsterdam, where he met with top executives from the biggest drug companies--companies such as Boehringer Ingelheim, Bristol-Myers Squibb, Glaxo SmithKline, Hoffman-La Roche, Abbot Laboratories, and Pfizer--he was promised an improvement in the accessibility to AIDS treatments in developing countries. This commitment has achieved price reductions of HIV/AIDS treatment drugs, with Bristol-Myers Squibb having achieved the biggest price reductions. A guide on the use of antiretroviral treatments for HIV/AIDS patients lists methods of undertaking these treatments in resource-limited settings.
AIDS ANALYSIS AFRICA. 1999 Oct-Nov; 10(3):15-6.The call of UN leaders and other international agencies for an international partnership in the fight against AIDS in Africa was emphasized during the 11th International Conference on AIDS and Sexually Transmitted Diseases. It has been estimated that countries spend as much as half of their health budget in AIDS prevention and treatment. The proposed partnership would intensify programs against AIDS and assist the coordinated work of international agencies. The partnership has 4 main plans: 1) encouraging visible and sustained political support; 2) helping to develop nationally-negotiated joint plans of action; 3) increasing financial resources; and 4) strengthening national and regional technical capacity. The European Union expressed their support for the program and feels that the highest level of the government must act to contain HIV focusing on prevention of new infections as the primary priority of the program. The US government also stated their intention to help through provision of financial resources and continuous development of AIDS vaccine. It has been recommended that HIV/AIDS lending must depend on the political commitment of the country.
AIDS ACTION. 1988 Mar; (2): p..This article presents the declaration of the 1988 London Summit of Health Ministers focusing on AIDS prevention and control. Over 148 countries were represented and a total of 114 ministers of health were present. The summit adopted the year to be the Year of Communication and Cooperation to Combat AIDS. About 98 ministers and delegates spoke on the prevention and control of AIDS. 15 declarations were announced, which were: actions by all governments and people all over the world to take heed of the serious threat of AIDS to humanity and implement the WHO's Global AIDS Strategy; shall do all in power to ensure that the government undertake such action; planning and implementation of programs by nongovernmental organizations and the government should conform with the Global AIDS Strategy; education and information on HIV transmission programs should be brought about to the general public taking account of the social and cultural patterns, different lifestyles and human and spiritual values; establishment of human rights and human dignity; media's responsibility in providing factual and balanced information on these matters to the public; social support from governmental agencies and NGOs; availability of human and financial resources; health and social services with well-trained personnel; UN assembly's support against the struggle on AIDS; provide a well-coordinated support to developing countries in setting up and carrying out these programs; a call on the WHO to continue their support and implementation programs and lastly with all these, the summit is confident the beginning of the slow spread of the disease.
Task force for the urgent response to the epidemics of sexually transmitted diseases in Eastern Europe and Central Asia.
INTERNATIONAL JOURNAL OF STD AND AIDS. 1999 Jan; 10(1):60-2.The unprecedented rise in syphilis and other sexually transmitted diseases (STDs) in large parts of eastern Europe and central Asia poses a significant threat of an immediate HIV epidemic in the region. Because of this problem, the WHO Europe and the Joint UN Program on HIV/AIDS created an international task force (TF) to mobilize an urgent and well-coordinated multiagency response to the crisis. The participating agencies during its first meeting came up with the TF mission and tasks. The mission of the TF includes 1) ensuring external support to the region in both timely and well coordinated manner; 2) ensuring mobilization of international and national resources; and 3) ensuring that the local capacity to respond to the STD epidemics is enhanced. Overall, the TF shall undergo activities that will help reduce the STD epidemics in the eastern Europe and central Asia.
WORLD HEALTH. 1998 Nov-Dec; 51(6):26-7.Young people must be given opportunities to participate in decision-making at all levels. Some UN organizations have acknowledged the importance of such participation in a wide range of activities, including caring for the environment, teaching each other about life skills, and encouraging peers to adopt healthy behaviors. A direct commitment to young people's participation is also clear in international conferences where young people have been asked to speak. However, youth participation in such conferences is far from enough, for young speakers are typically limited to only telling about their own experiences. Rather, young people need to be encouraged and allowed to make recommendations which will be given serious consideration. Especially to reduce new HIV infections and discrimination against people living with HIV/AIDS, young people need to be involved in planning, making decisions, and conducting and evaluating relevant policies and programs at the local, national, and international levels. Examples are presented of political, media, and sexual and reproductive health programs involving youth in Zambia, the UK, the US, Malawi, and Thailand.