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  1. 1
    327690

    Local Voices: a community perspective on HIV and hunger in Zambia.

    Duck N; Swan SH

    London, United Kingdom, ACF International Network, [2008]. 80 p. (Hunger Watch Publication)

    This report documents the findings of Local Voices, a six month qualitative research project that provided HIV orphans, vulnerable children and their carers with the opportunity to discuss and document the difficulties they face providing food, water and healthcare for their families. Through meetings, detailed interviews and discussions the project initiated and developed an ongoing dialogue with 20 families in four areas of the Kitwe district in the Copperbelt province of Zambia: Chimwemwe, Kwacha, Chipata and Zamtan. The discourse that developed over the course of the project has given Action Against Hunger (ACF-UK) and CINDI insight in two key areas. Firstly, the research has added a household perspective to existing ideas and analysis of food security in an HIV/AIDS context. Secondly, the project highlights the knowledge and learning that can be gained when people living with a positive HIV diagnosis are seen as 'experts' and their experiences are used to help identify and address the problems they face. Through the voices of the project's participants, the testimonies and images that are the core of this document explore the social and economic impact HIV/AIDS has on families affected by the disease. ACF-UK and CINDI pioneered this work because we believe HIV/AIDS can no longer be seen as just a medical issue. Within this report we demonstrate that HIV/AIDS has a direct impact on the economic and social well-being of both households and communities; and as such it must be tackled using an integrated approach where food, livelihoods and social protection are highlighted as solutions alongside access to medical care. This report opens with statistics that outline current rates of HIV/AIDS and poverty in Zambia, focusing specifically on the Copperbelt province and the Kitwe district. The testimonies that form the centrepiece of this report are introduced by a summary of the key social and economic issues that HIV orphans, vulnerable children and their carers face, together with a synopsis of government and community based organisation (CBO) responses. These topics have been selected as they cover the core issues that were raised during the Local Voices project. The document ends with a brief conclusion and the report recommendations.
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  2. 2
    326399

    Population and HIV / AIDS 2007. [Wallchart].

    United Nations. Department of Economic and Social Affairs. Population Division

    New York, New York, United Nations, Department of Economic and Social Affairs, Population Division, 2008 Mar. [2] p. (ST/ESA/SER.A/270)

    The AIDS epidemic remains one of the greatest challenges confronting the international community. In countries with a large number of people living with HIV, all population and development indicators are affected by the epidemic. Governments often cite HIV/AIDS as their most significant demographic concern. For more than two decades, the rapidly expanding HIV/AIDS epidemic has triggered a wide array of responses at the national, regional and global levels. The goals established by the United Nations General Assembly in the 2000 Millennium Declaration and through the adoption of the 2001 Declaration of Commitment on HIV/AIDS reflect widely-held concerns about the impact of the epidemic on development and human well-being. More recently, at the 2006 High Level Meeting on AIDS, Member States adopted a Political Declaration focusing on how to attain universal access to comprehensive HIV/AIDS prevention programs, treatment, care and support by 2010. (excerpt)
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  3. 3
    324424
    Peer Reviewed

    Supporting and sustaining national responses to children orphaned and made vulnerable by HIV and AIDS: Experience from the RAAAP exercise in sub-Saharan Africa.

    Webb D; Gulaid L; Ngalazu-Phiri S; Rejbrand M

    Vulnerable Children and Youth Studies. 2006 Aug; 1(2):170-179.

    The growing number of children orphaned and made vulnerable by HIV and AIDS in sub-Saharan Africa presents an enormous socioeconomic and public policy challenge. Despite international commitments to increase resource allocation and scale up services and support for AIDS-affected children, families and communities, the national- and sub-national-level state responses have been inadequate. The rapid assessment, analysis and action planning (RAAAP) process for orphans and vulnerable children, conceived in late 2003, was intended as a multicountry incentive to identify and resource immediate actions that can be taken to scale in 16 heavily affected countries. This review of experiences to date with the RAAAP process highlights some key areas of learning, including: (a) fund mobilization has been slow and has reached approximately only one-third of what is required; (b) ownership and integration into development planning of the issue of orphans and vulnerable children at country level has been undermined by the perception that the response is an 'emergency' and externally (donor) driven exercise; (c) centralized planning has failed to appreciate the complexity of context and responses at the meso- and micro-levels within countries, entailing the need to support a comprehensive decentralization process of planning and implementation; (d) comprehensive multisectoral and interagency collaboration, involving civil society, is an important but overlooked element of the planning process; and (e) definitional variation between countries has led to large variations in budgets and coverage targets. While the RAAAP process has undoubtedly raised awareness at state level of the nature and extent of the 'orphan crisis' and raised vital resources, only full integration of the new planning process for orphans and vulnerable children within the range of macro and national development tools will allow the response to be sustainable in the longer term. (author's)
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  4. 4
    322598

    Setting national targets for moving towards universal access. Further guidance to complement “Scaling Up Towards Universal Access: Considerations for Countries to Set their own National Targets for AIDS Prevention, Treatment, and Care and Support”. Operational guidance. A working document.

    Joint United Nations Programme on HIV / AIDS [UNAIDS]

    [Geneva, Switzerland], UNAIDS, 2006 Oct. 23 p.

    This document provides operational guidance to country-level partners and UN staff to facilitate the next phase of the country-level consultative process on scaling up towards universal access to prevention, treatment, care and support services. It concerns the setting of ambitious targets for the national HIV response to achieve by 2008 and 2010, and builds on previous guidelines. Targets need to be ambitious in order to achieve the universal access goals. Analysis by UNAIDS of existing national targets and rates of scaling up indicates that current efforts are inadequate to achieve universal access in the near future. The process of countries setting their own targets will promote partner alignment to national priorities, strengthen accountability and facilitate efforts by countries and international partners to mobilize international support and resources. Targets should have political and social legitimacy. The consultative process should be multi-sectoral, include full civil society participation, lead to consensus on the targets, and formal approval of these targets before the end of 2006. (excerpt)
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  5. 5
    320224

    Mali: Innovative design of the Multi-Sectoral AIDS Project (MAP).

    Khan AR

    Washington, D.C., World Bank, Knowledge and Learning Center, 2005 Nov. [2] p. (Findings Infobriefs No. 118; Good Practice Infobrief)

    The Mali Multi-sectoral AIDS Project (MAP) began implementation in late 2004 and is in the preliminary phases of the project cycle. This project has been commended by the World Bank's Board for its innovation and the involvement of the private sector to address HIV/AIDS. Mali is one of the poorest countries in the world due to factors such as its limited resource base, land-locked status and poor infrastructure. According to the 2001 Demographic and Health Survey (DHS) published by the Ministry of Health, Mali's HIV/AIDS prevalence rate is estimated at 1.7% in 2001. The project objective is to support the Government of Malis efforts to control the spread of the HIV/AIDS epidemic and provide sustainable access to treatment and care to those infected with or affected by HIV/AIDS. While Mali currently has a low HIV prevalence rate by Sub-Saharan African standards, it runs a high risk of experiencing an increase in prevalence rates. (excerpt)
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  6. 6
    312291

    The continuum of care for people living with HIV / AIDS in Cambodia: linkages and strengthening in the public health system. Case study.

    Wells WA

    Manila, Philippines, World Health Organization [WHO], Regional Office for the Western Pacific, 2006. 30 p.

    HIV/AIDS is a multifactorial disease requiring life-long treatment. In 2003, Cambodia released its plan to meet this need -- the comprehensive Continuum of Care (CoC) -- which is an integrated provision of treatment for people living with HIV/AIDS (PLHA). In three short years, Cambodia's National Center for HIV/AIDS and STI (NCHADS) has started and expanded this country-devised and country-led activity. By the end of 2005, it was reaching 20 out of the country's 68 operational districts (ODs), including free antiretroviral treatment (ART) for 11,284 PLHA out of the estimated 19,184 adult Cambodians who currently need it. Additionally 1,071 children are receiving ART. This case study provides a snapshot of the CoC as it is in the middle of this rapid expansion. It is also an investigation of possible health system strengthening effects achieved by the CoC. In general, the four provinces included in the study had a common understanding of the multiple elements that make up the CoC, despite their varying levels of outside support from non-governmental organizations (NGOs) and donors for implementation. (excerpt)
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  7. 7
    309702

    The HIV / AIDS epidemic in Mozambique. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    Mozambique has over one million people estimated to be living with HIV/AIDS (1.3 million as of the end of 2003). Although Mozambique's prevalence rate (the percent of people living with the disease) is lower than some of the hardest hit countries in the region, it is higher than the sub-Saharan African region overall and recent estimates suggest that the prevalence rate may be on the rise. The epidemic poses significant development challenges to this low-income country. The Government of Mozambique formed a National AIDS Council (NAC) in 2000, and is currently operating its National Strategic Plan to Combat HIV/AIDS for 2005-2009. (excerpt)
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  8. 8
    309711

    The HIV / AIDS epidemic in Zimbabwe. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    Zimbabwe has almost two million people estimated to be living with HIV/AIDS (1.8 million as of the end of 2003), representing the third largest HIV/AIDS burden in sub-Saharan Africa. The HIV/AIDS prevalence rate (the percent of people living with the disease) in Zimbabwe is among the highest in the world, although recent evidence suggests that prevalence may be starting to decline. The epidemic continues to pose significant development challenges to this low-income country, which faces additional complications including drought conditions, substantial internal migration and displacement, and other factors that exacerbate the epidemic's impact. The Government of Zimbabwe established a National AIDS Coordination Programme (NACP) in 1987. In 2000, the Government formed the National AIDS Council (NAC), and is currently developing its National AIDS Strategic Framework for 2005-2009. (excerpt)
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  9. 9
    309710

    The HIV / AIDS epidemic in Zambia. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    Zambia has almost one million people estimated to be living with HIV/AIDS (920,000 as of the end of 2003). Zambia's HIV prevalence rate (the percent of people living with the disease) is twice the rate in sub-Saharan Africa overall and the epidemic continues to pose one of the most significant development challenges to this low-income country. The Government of Zambia established a National AIDS Prevention and Control Programme in 1986. In 2000, the Government formed a National AIDS Council (NAC) and is currently implementing its National HIV/AIDS/STI/TB Implementation Plan for 2002-2005. (excerpt)
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  10. 10
    309709

    The HIV / AIDS epidemic in Uganda. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    Uganda has more than a half million people estimated to be living with HIV/AIDS (530,000 as of the end of 2003). The country of Uganda is widely considered to be an HIV/AIDS success story, having reduced its HIV prevalence rate (the percent of people living with the disease) significantly over time, from one of the most severe epidemics in the 1980s, with a peak in the early-1990s, to a rate lower than that of the sub-Saharan African region overall. However, the epidemic has already had a significant impact in Uganda, and continues to pose development challenges to this low-income country. The Government of Uganda established a National AIDS Control Program (NACP) in 1986, the first HIV/AIDS control program in the region. In 1992, the Government formed the Uganda AIDS Commission (UAC), and is currently operating its National Strategic Framework for 2000/2001-2005/2006. (excerpt)
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  11. 11
    309708

    The HIV / AIDS epidemic in the United Republic of Tanzania. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    The United Republic of Tanzania (mainland Tanzania and the island of Zanzibar), the largest country in East Africa, had an estimated 1.6 million people living with HIV/AIDS as of the end of 2003. Although Tanzania's prevalence rate (the percent of people living with the disease) is lower than some of the hardest hit countries in the sub-Saharan African region, it is higher than the prevalence rate of the region overall (8.8% compared to 7.5%). The epidemic poses significant development challenges to this low-income country. In 1985, the National AIDS Control Programme was established to respond to the epidemic. The Tanzania Commission for AIDS (TACAIDS) and the Zanzibar AIDS Commission (ZAC) were created in 2001 and 2002, respectively. Tanzania is currently operating its National Multi-Sectoral Strategic Framework on HIV/AIDS for 2003-2007. (excerpt)
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  12. 12
    309707

    The HIV / AIDS epidemic in Swaziland. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    Swaziland has the highest HIV/AIDS prevalence rate (the percent of people living with the disease) in the world, a much higher rate than the sub-Saharan African region overall (38.8% compared to 7.5%). Moreover, a recent survey suggests that HIV prevalence rates in Swaziland continue to increase. As of the end of 2003, there were an estimated 220,000 people living with HIV/AIDS in Swaziland, or almost 4 in 10 adults. The epidemic has already had a profound effect in Swaziland, posing significant development challenges to this middle-income country. The Government of Swaziland created the Swaziland National AIDS Programme in 1987 to respond to the epidemic and declared HIV/AIDS a national disaster in 1999. In 2001, the National Emergency Response Council on HIV and AIDS (NERCHA) was established, and the National AIDS Strategic Plan for HIV/AIDS 2006 - 2008 is currently under development. (excerpt)
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  13. 13
    309706

    The HIV / AIDS epidemic in South Africa. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    South Africa has the highest number of people estimated to be living with HIV/AIDS in the world (5.3 million as of the end of 2003) and is one of the countries hardest hit by the epidemic. South Africa's HIV/AIDS prevalence rate (the percent of people living with the disease) is much higher than that of the sub-Saharan African region overall, and although prevalence rates have begun to stabilize, the South African Government's most recent surveillance study indicates that prevalence may still be on the rise. The epidemic has already had a profound impact on many aspects of South African society and is projected to affect the country's economic, education, and health sectors if more is not done to stem its tide. As a middle-income country of significant political and economic importance in the African continent, the future course of South Africa's HIV/AIDS epidemic will have broader implications for Africa overall. The Government of South Africa established the National AIDS Coordinating Committee of South Africa (NACOSA) in 1992 and created the South African National AIDS Council (SANAC) in 2000. The country's HIV/AIDS/STD Strategic Plan for South Africa: 2000-2005 is currently being implemented. (author's)
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  14. 14
    309705

    The HIV / AIDS epidemic in Seychelles. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    The HIV/AIDS prevalence rate (the percent of people living with HIV/AIDS) in Seychelles remains fairly low, and significantly lower than other countries in sub-Saharan Africa. Estimated HIV/AIDS prevalence in Seychelles was 0.2% as of the end of 2002, or less than 200 people. However, the prevalence rate has increased over time, and data indicate that HIV/AIDS may be more widespread in this middle-income country than previously thought. The Seychelles Government began its response to the epidemic shortly after the first case of HIV was diagnosed in 1987, with an initial short-term plan; the following year, an AIDS-IEC Committee was formed within the Ministry of Health. The National AIDS Council (NAC) was launched in 2002. The Government also created a National AIDS Trust Fund in 2002 to help mobilize resources and coordinate prevention and care efforts. (excerpt)
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  15. 15
    309704

    The HIV / AIDS epidemic in Nigeria. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    Nigeria has the third highest number of people estimated to be living with HIV/AIDS in the world (3.6 million as of the end of 2003), after South Africa and India. Although Nigeria's HIV/AIDS prevalence rate (the percent of people living with the disease) is still relatively low compared to some countries in sub-Saharan Africa, Nigeria is considered to be a "next wave" country; that is, it stands at a critical point in its epidemic where increased prevention and treatment efforts today could help stem the tide of a much more significant epidemic in the future. As the most populous country in Africa and one of the most populous nations in the world, even a small increase in the HIV/AIDS prevalence rate in this low-income country would represent a significant share of the global HIV/AIDS burden. The Government of Nigeria established the National AIDS Action Committee (NACA) in 2000 and has a National HIV/AIDS Strategic Plan for the 2005-2009 period. (excerpt)
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  16. 16
    309703

    The HIV / AIDS epidemic in Namibia. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    Namibia has one of the highest HIV/AIDS prevalence rates (the percent of people living with the disease) in the world, a much higher rate than the sub-Saharan African region overall (21.3% compared to 7.5%). As of the end of 2003, there were 210,000 people estimated to be living with HIV/AIDS in Namibia, or more than one in five adults. Although recent evidence suggests that prevalence may be starting to decline, the epidemic already poses significant challenges to this middle-income country, and high levels of unemployment and income disparity may further the spread of diseases such as HIV/AIDS. The Government of Namibia established a National AIDS Committee (NAC) in 1990 and is currently implementing the third National Strategic Plan on HIV/AIDS (2004-2009). (excerpt)
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  17. 17
    309701

    The HIV / AIDS epidemic in Mauritius. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    The HIV/AIDS epidemic in Mauritius remains fairly concentrated. With fewer than one thousand people estimated to be living with HIV/AIDS (700 as of the end of 2001), Mauritius' HIV/AIDS prevalence rate (the percent of people living with the disease) is significantly lower than many of its neighboring countries and among the lowest in the sub-Saharan African region overall. However, there are signs of an increasing trend in HIV/AIDS cases in recent years in this middle-income country. In 1987, the Mauritius Ministry of Health and Quality of Life implemented a National AIDS Control and Prevention Programme. The Government of Mauritius also formed a National Coordinating Committee on HIV/AIDS and is currently operating under its National Strategic Plan for HIV/AIDS 2001-2005. (excerpt)
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  18. 18
    309700

    The HIV / AIDS epidemic in Malawi. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    Malawi has almost one million people estimated to be living with HIV/AIDS (900,000 as of the end of 2003). Malawi's HIV/AIDS prevalence rate (the percent of people living with the disease) is almost twice the rate in sub-Saharan Africa overall (14.2% compared to 7.5% in 2003). The HIV/AIDS epidemic poses significant development challenges to this low-income country, which has been exacerbated by high levels of food insecurity. In 2001, the Government of Malawi formed a National AIDS Commission (NAC), which has been led by the Minister of State Responsible for HIV/AIDS Programmes since 2003. The Government developed a National HIV/AIDS Strategic Framework (2000-2004) to coordinate the country's response to the HIV/AIDS epidemic, and a new framework is being developed. (excerpt)
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  19. 19
    309699

    The HIV / AIDS epidemic in Madagascar. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    As of the end of 2003, there were an estimated 140,000 people living with HIV/AIDS in Madagascar, up from 100,000 in 2001.1 Recent studies suggest that the HIV/AIDS prevalence rate in Madagascar has begun to increase. Although Madagascar's HIV/AIDS prevalence rate (the percent of people living with the disease) is still relatively low (1.7%) compared to the sub-Saharan African region overall and to its neighboring countries, there is concern that high levels of sexually transmitted infections (STI's) such as syphilis, could fuel the HIV/AIDS epidemic in this low-income country, as could other factors such as poverty and limited access to health and social services. The Government of Madagascar formed a National AIDS Committee in 2002 and is currently operating a National Strategic Framework on HIV/AIDS. (excerpt)
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  20. 20
    309698

    The HIV / AIDS epidemic in Lesotho. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    Lesotho has one of the highest HIV/AIDS prevalence rates (the percent of people living with the disease) in the world, a much higher rate than the sub-Saharan African region overall (28.9% compared to 7.5%). As of the end of 2003, there were an estimated 320,000 people living with HIV/AIDS in Lesotho, or almost 3 in 10 adults. The epidemic has already had a profound effect in Lesotho, posing significant development challenges to this very low-income country. The Government of Lesotho formed the Lesotho AIDS Programme Coordinating Authority (LAPCA) in 2001, and is currently developing a National AIDS Strategic Plan for 2005-2008. The Government has also established a National AIDS Commission (NAC) to coordinate the country's response to the epidemic. (excerpt)
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  21. 21
    309697

    The HIV / AIDS epidemic in Kenya. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    Kenya has more than one million people estimated to be living with HIV/AIDS (1.2 million as of the end of 2003). Kenya's HIV/AIDS prevalence rate (the percent of people living with the disease) is just below that of the sub-Saharan African region overall (6.7% compared to 7.5%). Recent data indicate that the country's HIV prevalence rate may be on the decline in some areas. However, the HIV/AIDS epidemic poses significant challenges to this low-income country. The Government of Kenya first established a National AIDS Control Council (NACC) in 1999, and has a National Strategic Framework for HIV/AIDS for 2005-2010. (excerpt)
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  22. 22
    309696

    The HIV / AIDS epidemic in Ghana. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    There were an estimated 350,000 people living with HIV/AIDS in Ghana as of the end of 2003. The HIV/AIDS prevalence rate (the percent of people living with the disease) in Ghana is still relatively low compared to the sub-Saharan African region overall, and appears to be fairly stable, but there are an increasing number of people living with HIV/AIDS in this low-income country, posing challenges to both prevention and treatment efforts. The Government of Ghana created a National Advisory Commission on AIDS (NACA) in 1985 and established a National AIDS Control Programme (NACP) in 1987. The Ghana AIDS Commission was inaugurated in 2000, followed by the implementation of the country's National Strategic Framework (NSF) on HIV/AIDS for 2001-2005. (excerpt)
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  23. 23
    309695

    The HIV / AIDS epidemic in the Democratic Republic of the Congo. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    The Democratic Republic of the Congo (DRC) has more than one million people estimated to be living with HIV/AIDS (1.1 million as of the end of 2003). Although the DRC's HIV/AIDS prevalence rate (the percent of people living with the disease), is still relatively low (4.2%) compared to the sub-Saharan African region overall and to some of the region's hardest hit countries, this low-income country is in a post-conflict period and faces numerous challenges including HIV/AIDS. The Government of the DRC established a National AIDS Control Programme in 1987 and has a National HIV/AIDS Strategic Plan for 1999-2008. (excerpt)
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  24. 24
    309694

    The HIV / AIDS epidemic in Botswana. HIV / AIDS policy fact sheet.

    Kates J; Leggoe AW

    Menlo Park, California, Henry J. Kaiser Family Foundation, 2005 Oct. [2] p. (HIV / AIDS Policy Fact Sheet)

    Botswana has the second highest HIV/AIDS prevalence rate (the percent of people living with the disease) in the world (37.3%), a much higher rate than the sub-Saharan African region overall. As of the end of 2003, there were an estimated 350,000 people living with HIV/AIDS in Botswana, or more than a third of the country's adult population. The epidemic has already had a profound effect in Botswana, posing significant development challenges to this middle-income country. The Government of Botswana created a National AIDS Coordinating Agency (NACA) in 1999, and is currently operating its National Strategic Plan on HIV/AIDS for 2003-2009. (excerpt)
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  25. 25
    300911

    Ukraine human development report. Special edition 2003. Ukraine and HIV / AIDS: time to act.

    United Nations Development Programme [UNDP]

    Kyiv, Ukraine, UNDP, 2003. 36 p.

    Ukraine is a young nation on the move. The national response to HIV/AIDS is also gathering pace. It is bringing together fresh coalitions of people, leaders and institutions who want to stop the further spread of this virus and to ensure care for those who are in need. The good news for all is that there are now known ways of preventing the spread of the virus and treatment is increasingly available. The challenge remains immense -- to some overwhelming. The insidious nature of the virus is that it attacks men and women in the prime of their life -- between the ages of 15 and 40. It robs children of their parents, and society of its productive citizens. Limited budgets and ungrounded stigma have severely hampered a scaled-up nationwide response. Positive rhetoric is helpful, but it needs to be matched by personal commitment and concrete actions. With the infusion of new resources, now is the time to remove the log jams and unleash a broad-based national effort to change the current course of the epidemic. As the Secretary General of the United Nations Kofi Annan recently said, "We have come a long way, but not far enough. Clearly, we will have to work harder to ensure that our commitment is matched by the necessary resources and action." (excerpt)
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