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  1. 1
    312212
    Peer Reviewed

    Responding to the global HIV / AIDS crisis: A peace corps for health.

    Mullan F

    JAMA. 2007 Feb 21; 29(7):744-746.

    HIV disease is essentially the black death of the 21st century, killing on a massive scale and threatening to cripple economies and topple governments. However, the continued spread of the HIV epidemic and the new availability of lifesaving antiretroviral drugs have triggered an extraordinary response by governments, international organizations, philanthropies, pharmaceutical companies, religious organizations, and individuals. Campaigning against HIV/AIDS has no precedent in the history of medicine. Smallpox was eliminated by a globally coordinated strategy that required a single patient encounter to deliver the vaccine. In contrast, the directly observed therapy strategy at the core of modern tuberculosis treatment necessitates daily patient contact over much of the treatment course and, therefore, a much larger health workforce. Treating AIDS requires the daily delivery of medications as well as the clinical management of patients-- for the rest of their lives. Antiretroviral medications can help control disease, but do not cure it. More problematic yet, stopping treatment once started promotes the emergence of resistant strains of the virus, making halfway programs hazardous to public health. The sheer volume of health workers needed to tackle HIV disease--and the health systems to support their work--is off the scale of any previous public health campaign. (excerpt)
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  2. 2
    305191

    Strengthening country responses to HIV and AIDS.

    SAfAIDS News. 2005 Sep; 11(3):11-12.

    The AIDS epidemic has become a genuine global emergency with rising numbers of new infections, increasing numbers of deaths and the impact of the epidemic increasingly being felt particularly by the rising numbers of children made orphans or vulnerable by AIDS. The scale of the emergency has resulted in an unprecedented response by African countries, civil society and the international community. Today, there are more resources for HIV prevention, care, support and treatment than ever before. This increase in resources is coupled with an increasing number of actors becoming involved in the AIDS response, often leading to unclear roles and leadership and dispersed authority that may undermine national plans and priorities. Furthermore, resources are often dissipated and scattered, transaction costs have increased, capacities are distracted and weakened while monitoring and evaluation remains fragmented. The result has been that a substantial amount of available resources are not being used effectively and not getting to the people that need them most. (excerpt)
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