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Lancet. 2011 Jul 16; 378(9787):226.This letter to the editor finds fault with an editorial that portrayed a new leadership role for UNAIDS in global health, with AIDS at the leading edge of a new movement for integrating health responses to disease. The author perceives the editorial as a self-serving way to reposition UNAIDS given that international funding is shifting from HIV to health systems development.
Hamilton, Canada, McMaster Health Forum, 2011 Mar.  p.Calls for reform have recently grown louder to change the way that global health efforts are coordinated, financed and prioritized. These calls recognize that global health is not being governed as effectively as possible and that innovative solutions are necessary to achieve the health-related Millennium Development Goals, global health security, and other priorities of the international community. This edited volume offers evidence-based assessments of thirteen existing proposals for global health governance reform. Each chapter relies on an extensive review of the available research evidence and a broad range of insights to: (a) summarize the key elements of each proposed global health governance reform; (b) identify the needs it seeks to address; (c) examine the extent to which it could strengthen global health governance and ameliorate known weaknesses in its existing architecture; (d) analyze the proposal's political attractiveness; (e) raise implementation considerations such as costs, risks, possible harms, feasibility and equity; and (f) offer recommendations on whether the proposal should be further explored for possible implementation. (Excerpts)
[Johannesburg, South Africa], University of the Witwatersrand, Centre for Health Policy, Health Systems Knowledge Network, 2006 Feb.  p. (Health Systems Knowledge Network (KN) Discussion Document No. 1)During July and August 2005 the Health Systems Knowledge Network Hub produced a wide-ranging literature review for discussion at a meeting in India between Hubs and the rest of the Commission on the Social Determinants of Health (Doherty, Gilson and EQUINET 2005). The review was based on literature sourced from within the consortium managing the hub as well as from institutions networked with the consortium members. Some key references from existing materials were also followed up. Given the wide scope of work on health systems, it was not feasible to conduct a general electronic search. Nor was it possible to access substantial quantities of grey literature, given the difficulties associated with identifying and locating copies of this type of literature. Because of time constraints, the review focused on reviews of international experience and articles documenting new lines of investigation. Articles that were, at the time, in press were specifically sought out to ensure as up-todate an evidence base as possible. The review began by presenting data showing that health services tend to be used proportionately more by richer than poorer social groups. It analysed the social factors affecting access to, and uptake of, health services and showed how these interact with inequitable features of the health care system. Overall, the review argued that the interaction between household health-seeking behaviour and experience of the health system generates differential health and economic consequences across social groups. The long-term costs of seeking care often impoverish poorer households, reinforcing preexisting social stratification. The review then examined in some detail the features of the health care system that contribute to inequity (such as certain approaches to priority-setting, resource allocation, financing, organisation, human resources, and management and regulation). (Excerpt)
Progress towards implementation of the Declaration of Commitment on HIV/AIDS. Report of the Secretary-General.
New York, New York, United Nations, General Assembly, 2003 Jul 25. 21 p. (A/58/184)The present report is submitted pursuant to paragraph 100 of the Declaration of Commitment on HIV/AIDS (General Assembly resolution S-26/2, annex), adopted by the Assembly at its special session on the human immunodeficiency virus/ acquired immunodeficiency syndrome (HIV/AIDS) on 27 June 2001. The year 2003 is especially significant since it is the year in which the first of the time-bound targets set out in the Declaration of Commitment fall due. The majority targets in 2003 pertain to the establishment of an enabling policy environment, which set the stage for the programme and impact targets of 2005 and 2010. The report is based primarily on responses provided by 100 Member States on 18 global and national indicators developed by the Joint United Nations Programme on AIDS to measure progress towards implementation of the Declaration. The regional breakdown of States that responded is as follows: sub-Saharan Africa — 29; Asia and the Pacific — 15; Latin America and the Caribbean — 21; Eastern Europe and Central Asia — 13; North Africa and the Middle East — 8; high-income countries — 14. Virtually all heavily affected countries provided information relating to policy issues addressed by the indicators. The activities cited in the report are intended to be illustrative and not a comprehensive listing of all activities that have been undertaken in order to implement the Declaration. (excerpt)
Follow up on the United Nations General Assembly Special Session on HIV/AIDS. Work of WHO: progress report - July 2002.
Geneva, Switzerland, WHO, 2002. 28 p. (HIV/2002.12)As a result of the United Nations General Assembly Special Session on HIV/ AIDS, held in June 2001, many WHO Member States want to intensify the capacity of the health sector to withstand and respond more effectively to the HIV epidemic. They are looking to the international community – specifically UNAIDS cosponsors such as WHO – for support as they plan to scale up health sector action in response to HIV/AIDS. National officials require assistance in articulating evidence-based health-sector policies and implementing key interventions; building the capacity to monitor epidemiological and behavioural trends; developing a critical mass of trained health professionals; mobilizing resources and negotiating alliances with private or voluntary entities, and undertaking advocacy on a scale proportionate to the size of the task being faced. They want to ensure that research is innovative and relevant to developing countries. They require guidance on procuring quality commodities (such as condoms, HIV-related drugs and diagnostics) at the best possible prices, and in using them most effectively. This report provides an overview of the extensive program of HIV/AIDS activities now being undertaken by WHO - with an emphasis on the work being conducted at headquarters in Geneva, but including some activities being conducted at regional level - to assist countries in addressing these challenges and meeting the targets set out in the UNGASS Declaration of Commitment. (excerpt)