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[Unpublished] 2004. Presented at the Conference on Gender Justice in Post-Conflict Situations, "Peace Needs Women and Women Need Justice”. Co-organized by the United Nations Development Fund for Women [UNIFEM] and the International Legal Assistance Consortium. New York, New York, September 15-17, 2004. 8 p.For 25 years war raged in Afghanistan, destroying both the institutional fiber of the country and its justice system. Even in the period before the wars, the justice system had only managed to impose itself sporadically. Disputes that arose had to be resolved, for the most part, through informal religious or tribal systems. However acceptable some of the main laws may have been technically, they were offset by various factors: the poor training of judges, lawyers and other legal workers; decaying infrastructures; and ignorance of the law and basic rights by common citizens and even the judges themselves. The prison system had suffered even greater damages. Its infrastructure and organization were in ruins. Today enormous efforts have been mobilized to build a fair and functioning system that is respectful of human rights and international standards. It will take years for the Afghan government and people to do the job-with the help of the international community. (excerpt)
[Unpublished] 2004. Presented at the Conference on Gender Justice in Post-Conflict Situations, "Peace Needs Women and Women Need Justice”. Co-organized by the United Nations Development Fund for Women [UNIFEM] and the International Legal Assistance Consortium. New York, New York, September 15-17, 2004. 5 p.When wars occur, women are usually the most abused, aggrieved and powerless. In the vast majority of countries, women play no significant role in the decision-making process of whether war is warranted or lawful. When hostilities break out, women are exposed not only to the forms of violence and devastation that accompany any war but also to forms of violence directed specifically at women on account of their gender. The use of sexual violence and sexual slavery as tactics and weapons of war remains at a high level in spite of tremendous strides made by the global community over the past decade. It is imperative to acknowledge the immeasurable injury to body, mind and spirit that is inflicted by these acts. The overall deterioration in the conditions of women in armed conflict situations is due not only to the collapse of social restraints and the general mayhem that armed conflict causes, but also to a strategic decision on the part of combatants to intimidate and destroy the enemy as a whole byraping and enslaving women who are identified as members of the other warring party. (excerpt)
[Unpublished] 2004. Presented at the Conference on Gender Justice in Post-Conflict Situations, "Peace Needs Women and Women Need Justice”. Co-organized by the United Nations Development Fund for Women [UNIFEM] and the International Legal Assistance Consortium. New York, New York, September 15-17, 2004. 5 p.In 1999, I stood among a sea of 20,000 desperate people on a dirt airfield outside Skopje, Macedonia, listening to one harrowing story after another. I had come to the Stenkovec refugee camp to record those stories and to help set up a system for documenting atrocities in Kosovo. The refugees with whom I spoke described being robbed, beaten, herded together and forced to flee their villages with nothing but the clothes they were wearing. Yet, what I remember most vividly are the lost expressions on the faces of the young women and girls in the camp. At first, they did not speak a word. Their silence acted as a veil, concealing crimes that they could not emotionally recollect. However, slowly, through time and comfort in speaking to female counsellors, their stories emerged. The brutality and systematic consistency of the sexual violence perpetrated on these women were mind-numbing. The widespread practice of rape against Muslim women was more than a consequence of war, it was an instrument of war with the intent of destroying the cultural fabric of a targeted group. This experience brought home to me a truism in international and national conflict: women suffer disproportionately to the atrocities committed against civilians. (excerpt)
International Journal of Gynecology and Obstetrics. 2007 Nov; 99(2):157-161.National and international courts and tribunals are increasingly ruling that although states may aim to deter unlawful abortion by criminal penalties, they bear a parallel duty to inform physicians and patients of when abortion is lawful. The fear is that women are unjustly denied safe medical procedures to which they are legally entitled, because without such information physicians are deterred from involvement. With particular attention to the European Court of Human Rights, the UN Human Rights Committee, the Constitutional Court of Colombia, the Northern Ireland Court of Appeal, and the US Supreme Court, decisions are explained that show the responsibility of states to make rights to legal abortion transparent. Litigants are persuading judges to apply rights to reproductive health and human rights to require states' explanations of when abortion is lawful, and governments are increasingly inspired to publicize regulations or guidelines on when abortion will attract neither police nor prosecutors' scrutiny. (author's)
The introduction of confidential enquiries into maternal deaths and near-miss case reviews in the WHO European region.
Reproductive Health Matters. 2007 Sep; 15(30):145-152.Most maternal deaths can be averted with known, effective interventions but countries require information about which women are dying and why, and what can been done to prevent such deaths in future. This paper describes the introduction of two approaches to reviewing maternal deaths and severe obstetric complications in 12 countries in transition in the WHO European Region - national-level confidential enquiries into maternal deaths and facility-based near-miss case reviews. Initially, two regional meetings involving stakeholders from 12 countries were held in 2004-2005, followed by national meetings in seven of the countries. The Republic of Moldova was the first to pilot the review process, preceded by a technical workshop to make detailed plans, provide training in how to facilitate and carry out a review, finalise clinical guidelines against which the findings of the confidential enquiry and near-miss case review could be judged, and a range of other preparatory work. To date, near-miss case reviews have been carried out in the three main referral hospitals in Moldova, and a national committee appointed by the Ministry of Health to conduct the confidential enquiry has met twice. Several other countries have begun a similar process, but progress may remain slow due to continuing fears of punitive actions against health professionals who have a mother or baby die in their care. (author's)
[Paris, France], UNESCO, International Migration and Multicultural Policies Section, 2004 Jun 1. 16 p. (UNESCO Series of Country Reports on the Ratification of the UN Convention on Migrants; SHS/2004/MC/3)With the UN Convention on the Protection of the Rights of All Migrant Workers and Members of Their Families having entered into force on July 1, 2003, the UNESCO Central and East European Network on Migration Research (CEENOM) has got both a new focus on migrant workers and a new instrument for policy recommendations to national governments. The aim of the present research and analysis is therefore to identify, which obstacles impede the accession of Eastern European and Central Asian countries to the convention and how these could be overcome. Additionally, debate on the provisions of the convention highlights the need for protection of migrant workers and stimulates the search for feasible solutions to labour migration related problems. Finally, it strengthens the link between Central and Eastern European research institutes and policy-makers involved by concentrating on the role and consequences of this distinct legal instrument. (excerpt)
Obstetric fistula: Guiding principles for clinical management and programme development, a new WHO guideline.
International Journal of Gynecology and Obstetrics. 2007 Nov; 99 Suppl 1:S117-S121.It is estimated that more than 2 million women are living with obstetric fistulas (OFs) worldwide, particularly in Africa and Asia, and yet this severe morbidity remains hidden. As a contribution to the global Campaign to End Fistula, the World Health Organization (WHO) published Obstetric fistula: Guiding principles for clinical management and programme development, a manual intended as a practical working document. Its 3 main objectives are to draw attention to the urgency of the OF issue and serve as an advocacy document for prompt action; provide policy makers and health professionals with brief, factual information and principles that will guide them at the national and regional levels as they develop strategies and programs to prevent and treat OFs; and assist health care professionals as they acquire better skills and develop more effective services to care for women treated for fistula repair. (author's)
So does it mean that we have the rights? Protecting the human rights of women and girls trafficked for forced prostitution in Kosovo.
London, England, Amnesty International, .  p.Trafficking of women for forced prostitution is an abuse of human rights, not least the right to physical and mental integrity. It violates the rights of women and girls to liberty and security of person, and may even violate their right to life. It exposes women and girls to a series of human rights abuses at the hands of traffickers, and of those who buy their services. It also renders them vulnerable to violations by governments which fail to protect the human rights of trafficked women. Amnesty International considers the trafficking of women for the purposes of forced prostitution to be a widespread and systematic violation of the human rights of women. Since the deployment in July 1999 of an international peacekeeping force (KFOR) and the establishment of the United Nations Interim Administration Mission in Kosovo (UNMIK) civilian administration, Kosovo has become a major destination country for women and girls trafficked into forced prostitution. Women are trafficked into Kosovo predominantly from Moldova, Bulgaria and Ukraine, the majority of them via Serbia. At the same time, increasing numbers of local women and girls are being internally trafficked, and trafficked out of Kosovo. (excerpt)
[Oslo], Norway, Norwegian Ministry of Foreign Affairs, 2005. 57 p.Sudanese women like everyone else aspire towards achieving the commitments made at the Millennium Summit in 2000. What are the odds, for a country and a people in a complex conflict and post-conflict situation? The ethos of the Millennium Declaration and its emphasis on women's rights, participation of all citizens, gender equality and peace, profoundly captures the reality for women and their families in Sudan. Progress towards the Millennium Development Goals (MDGs) in Sudan demands creative and extra-ordinary measures centered on women's leadership, reducing gender inequalities in all governance, service provision, and resource management while fostering strategic partnerships. Sudan is a country of multiple realities for its communities. Sudanese women and people are continuing to smile with one eye, while crying with another eye. They are living between the joys and commitment to sustain the peace ushered by the CPA and crying in search of peace in the Darfurs! The publication derives from the commitment, consistency and resilience of Sudanese women in their quest for peace, safe and secure living environment; freedom from poverty, discrimination and marginalisation. It is informed by the strategic and creative partnership created between the Government of Norway, UNIFEM and NUPI in creating space for women's voices in the international processes in support of the post-conflict reconstruction of Sudan. The Oslo Gender Symposium and Donors' Conference are cases in point. It is a simple and clear message that links peace, security and development and women's human rights, from the perspective of women's leadership in the struggle for inclusion and empowerment. (excerpt)
European Union. Managing migration means potential EU complicity in neighboring states' abuse of migrants and refugees.
New York, New York, Human Rights Watch, 2006 Oct. 22 p. (Human Rights Watch No. 2)Irregular migration into the European Union (EU) poses clear challenges for European governments. Few would question the urgent need for policies to address these challenges. However, the common EU policy in this area is primarily focussed on keeping migrants and asylum seekers out of and away from Europe. The rights of migrants and refugee protection are marginalized. This briefing paper summarizes recent trends in the EU's approach. Through case studies of conditions in, and EU policies toward, Ukraine and Libya, it critiques current EU "externalization" practices. After noting some hopeful signs toward enhanced protection for asylum seekers and migrants, it concludes with recommendations to the EU and its member states. (excerpt)
Danish Medical Bulletin. 2007 May; 54:150-152.In general, children and adolescents in the WHO European Region today have better nutrition, health and development than ever before. There are striking inequalities in health status across the 52 countries in the Region, however, with over ten-fold differences in infant and child mortality rates. Inequalities are also growing within countries, and several health threats are emerging. Against this background, the WHO Regional Office for Europe has developed a European strategy for child and adolescent health and development. The purpose of the Strategy, together with a tool kit for implementation, is to assist member states in formulating their own policies and programmes. (author's)
New York, New York, Human Rights Watch, 2007 Sep. 108 p. (Human Rights Watch Vol 19, No. 14(A))Since mid-2005, hundreds of civilians have been killed, more than 10 thousand houses burned, and approximately 212,000 persons have fled their homes in terror to live in desperate conditions deep in the bush in northern Central African Republic (CAR). Bordering eastern Chad and war-ravaged Darfur in Sudan, this area has been destabilized by at least two major rebellions against the government of President Francois Bozize. The vast majority of summary executions and unlawful killings, and almost all village burnings, have been carried out by government forces, often in reprisal for rebel attacks. While both main rebel groups have been responsible for widespread looting and the forced taxation of the civilian population in areas they control - and rebels in the northeast have committed killings, beatings, and rape - their abuses pale in comparison to those of the Central African Armed Forces (Forces armees Centrafricaines, FACA) and the elite Presidential Guard (Garde presidentielle, GP). As the International Criminal Court (ICC) begins investigations into atrocities committed during the 2002-2003 rebellion against former President Patasse, it should also investigate possible war crimes under its jurisdiction committed in the current round of fighting. (excerpt)
USAID / Moldova antitrafficking assessment -- critical gaps in and recommendations for antitrafficking activities.
Washington, D.C., Development Alternatives, WID Tech, 2002 Oct.  p. (USAID Contract No. FAO-0100-C-00-6005-00)The objective of this assessment is twofold: (1) to provide USAID/Western New Independent States (WNIS) with a road map of existing trafficking-prevention activities undertaken by donor agencies and bilateral, international-development and host-country-government institutions and nongovernmental organizations (NGOs) in Moldova; and (2) to help USAID/WNIS identify critical gaps in existing approaches in Moldova that new interventions might address. The road map and accompanying list of recommendations provide U.S. government officials in USAID/WNIS with the information and tools necessary to design specific activities at a later date. (excerpt)
Report of the High-level consultation on improvement of sexual and reproductive health and rights of young people in Europe. Report on a WHO meeting, Copenhagen, Denmark, 11-12 December 2006.
Copenhagen, Denmark, WHO, Regional Office for Europe, 2007. 27 p. (EUR/07/5063690)Representatives nominated by the Ministries of Health from 23 Member States of the WHO European Region, the European Commission, the International Planned Parenthood Federation European Network (IPPF-EN) and Lund University attended a two day high-level consultation meeting to evaluate the midterm results of the project "The way forward: a European partnership to promote the sexual and reproductive health and rights of youth" (2004-2007). The situation on the trends in sexual and reproductive health status of young people in the European Union countries was analysed and tools developed by the WHO, IPPF EN and Lund University were presented. Country representatives discussed the draft policy framework on sexual and reproductive health and rights that will be presented in the final meeting of the project in October 2007 and many recommendations were received to prepare the document that would be an important tool for developing national policies and programs in the area of sexual and reproductive health of young people. (author's)
Ensuring the sexual and reproductive health of people living with HIV: Policies, programmes and health services.
Reproductive Health Matters. 2007 May; 15(29 Suppl 1):1-3.IN 2006, there were some 39.7 million people living with HIV, half of them under the age of 25.* People living with HIV have sexual and reproductive health needs and concerns, some of which are related to having HIV and others which they have in common with their noninfected peers. Yet sexual and reproductive health policies, programmes and services often fail to take into consideration the needs and wishes of people living with HIV. Most programmes currently revolve around voluntary testing and counselling for HIV, access to antiretroviral and other AIDS-related treatment, and hospital and home-based care for those with HIV- and AIDS-related illnesses. In relation to sexual and reproductive health care, HIV prevention predominates. There are condom social marketing and other safer sex promotion programmes and recent initiatives to promote family planning for people with HIV. Prevention of mother-to-child transmission of HIV in antenatal and delivery care has also begun to get greater programmaticattention and support. (excerpt)
Lancet. 2007 May 26; 369(9575):1773.A recent briefing paper by the charity Save the Children UK, and an investigation by the Guardian newspaper, highlight that inappropriate activities surrounding baby-milk formula marketing and promotion cannot be resigned to the pages of history. 25 years on from the introduction of the WHO International Code of Marketing Breast Milk Substitutes, food companies persist in their dubious practices, but in a more subtle manner than in their aggressive activities of 30 years ago. Most importantly, such practices are still responsible for the deaths of thousands of children. In 1970s, an international campaign against the food giant Nestle was responsible for eliciting such collective outrage that it led to one of the biggest public boycotts in corporate history. Subsequent international pressure resulted in the WHO code, which not only covers the marketing of infant formula, but also other commodities if promoted as partial or total breastmilk replacements. (excerpt)
Journal of Tropical Pediatrics. 2007 Jun; 53(3):147-149.Tuberculosis (TB) kills about 2 million adults and around 100 000 children every year. One-third of the world's population are currently infected with Mycobacterium tuberculosis and many have active disease. In Europe TB emerged as a major disease in the latter part of the 14th century. The industrial revolution saw rapid growth of urban centres where overcrowding with poor living conditions provided ideal circumstances for the spread of the disease. Great impact was made by streptomycin and isoniazid, so that by the 1970s TB was no longer being considered a problem in the developed world. But beginning in the 1980s the number of new cases of TB in USA and across Europe rose sharply. The pattern was repeated in many countries and worldwide throughout the 1990s and into the new millennium. The incidence of TB climbed to over 9 million cases every year. In 1993 the World Health Organization (WHO) declared TB as a global emergency. During the 1990s multidrug resistant tuberculosis (MDR-TB), defined as resistance to at least isoniazid and rifampicin, emerged as a threat to TB control. MDR-TB requires the use of second line drugs that are less effective, more toxic and costlier. In a global survey of 17 690 TB isolates during 2000-04, 20% were MDR and 2% were extremely drug resistant (XDR). XDR-TB is defined as MDR plus resistance to any fluoroquinolones and at least one of three injectable second line drugs kanamycin and amikacin, or capreomycin or both. Currently one in ten new infections is resistant to at least one antituberculosis drug. (excerpt)
Bulletin of the World Health Organization. 2007 May; 85(5):325-420.In 1991, the 44th World Health Assembly set two key targets for global tuberculosis (TB) control to be reached by 2000: 70% case detection of acid-fast bacilli smear-positive TB patients under the DOTS strategy recommended by WHO and 85% treatment success of those detected. This paper describes how TB control was scaled up to achieve these targets; it also considers the barriers encountered in reaching the targets, with a particular focus on how HIV infection affects TB control. Strong TB control will be facilitated by scaling-up WHO-recommended TB/HIV collaborative activities and by improving coordination between HIV and TB control programmes; in particular, to ensure control of drug-resistant TB. Required activities include more HIV counselling and testing of TB patients, greater use and acceptance of isoniazid as a preventive treatment in HIV-infected individuals, screening for active TB in HIV-care settings, and provision of universal access to antiretroviral treatment for all HIV-infected individuals eligible for such treatment. Integration of TB and HIV services in all facilities (i.e. in HIV-care settings and in TB clinics), especially at the periphery, is needed to effectively treat those infected with both diseases, to prolong their survival and to maximize limited human resources. Global TB targets can be met, particularly if there is renewed attention to TB/HIV collaborative activities combined with tremendous political commitment and will. (author's)
Bulletin of the World Health Organization. 2007 May; 85(5):325-420.The development and expansion of WHO's DOTS strategy was successful, with 83% of the world's population living in countries or parts of countries covered by this strategy by the end of 2004. Treatment success in the 2003 DOTS cohort of 1.7 million patients was 82% on average, close to the 85% target. Treatment success was below average in the African Region (72%), which can be partly attributed to occurrence of HIV co-infection, and in the European Region (75%), partly due to drug resistance. Drug resistance, specifically multidrug resistance and extensive drug resistance, is a serious threat to public health in all countries, especially in the Russian Federation, where the highest rates of multidrug resistance are presently accompanied by a rapid increase in HIV infection. Based on the experience of the first projects approved by the Green Light Committee, the treatment success of patients with multidrug-resistant tuberculosis (MDR-TB) is lower than that of drug-susceptible cases, but nevertheless reaches 70%. The collaborative effort of different organizations, professionals and communities is needed to address the development and spread of multidrug resistance and extensive drug resistance, which combined with the epidemic of HIV infection is one of the barriers to dealing effectively with TB. This effort should be directed towards facilitating the diagnosis and treatment of TB patients, in particular by improving access to drug susceptibility testing and strengthening treatment delivery by rigorous adherence to DOTS as outlined by the Stop TB Partnership. (author's)
The Global Drug Facility: a unique, holistic and pioneering approach to drug procurement and management.
Bulletin of the World Health Organization. 2007 May; 85(5):325-420.In January 2006, the Stop TB Partnership launched the Global Plan to Stop TB 2006-2015, which describes the actions and resources needed to reduce tuberculosis (TB) incidence, prevalence and deaths. A fundamental aim of the Global Plan is to expand equitable access to affordable high-quality anti-tuberculous drugs and diagnostics. A principal tool developed by the Stop TB Partnership to achieve this is the Global Drug Facility (GDF). This paper demonstrates the GDF's unique, holistic and pioneering approach to drug procurement and management by analysing its key achievements. One of these has been to provide 9 million patient-treatments to 78 countries in its first 6 years of operation. The GDF recognized that the incentives provided by free or affordable anti-tuberculosis drugs are not sufficient to induce governments to improve their programmes' standards and coverage, nor does the provision of free or affordable drugs guarantee that there is broad access to, and use of, drug treatment in cases where procurement systems are weak, regulatory hurdles exist or there are unreliable distribution and storage systems. Thus, the paper also illustrates how the GDF has contributed towards making sustained improvements in the capacity of countries worldwide to properly manage their anti-TB drugs. This paper also assesses some of the limitations, shortcomings and risks associated with the model. The paper concludes by examining the GDF's key plans and strategies for the future, and the challenges associated with implementation. (author's)
Bulletin of the World Health Organization. 2007 May; 85(5):325-420.Laboratories and laboratory networks are a fundamental component of tuberculosis (TB) control, providing testing for diagnosis, surveillance and treatment monitoring at every level of the health-care system. New initiatives and resources to strengthen laboratory capacity and implement rapid and new diagnostic tests for TB will require recognition that laboratories are systems that require quality standards, appropriate human resources, and attention to safety in addition to supplies and equipment. To prepare the laboratory networks for new diagnostics and expanded capacity, we need to focus efforts on strengthening quality management systems (QMS) through additional resources for external quality assessment programmes for microscopy, culture, drug susceptibility testing (DST) and molecular diagnostics. QMS should also promote development of accreditation programmes to ensure adherence to standards to improve both the quality and credibility of the laboratory system within TB programmes. Corresponding attention must be given to addressing human resources at every level of the laboratory, with special consideration being given to new programmes for laboratory management and leadership skills. Strengthening laboratory networks will also involve setting up partnerships between TB programmes and those seeking to control other diseases in order to pool resources and to promote advocacy for quality standards, to develop strategies to integrate laboratories' functions and to extend control programme activities to the private sector. Improving the laboratory system will assure that increased resources, in the form of supplies, equipment and facilities, will be invested in networks that are capable of providing effective testing to meet the goals of the Global Plan to Stop TB. (author's)
Guidelines for adaptation of the WHO Orientation Programme on Adolescent Health for Health Care Providers in Europe and Central Asia.
New York, New York, United Nations Population Fund [UNFPA], Division for Arab States, Europe and Central Asia, 2006. 25 p.The Orientation Programme on Adolescent Health for Health Care Providers (OP) was developed by the Department of Child and Adolescent Health and Development, WHO in 2003. The aim of the OP is to orient health care providers to the special characteristics of adolescence and to appropriate approaches in addressing some adolescent-specific health needs and problems. The OP aims to strengthen the abilities of the health care providers to respond to adolescents more effectively and with greater sensitivity. The OP can significantly contribute to building national and regional capacity on adolescent health and development. (excerpt)
WHO training course for TB consultants: RPM Plus drug management sessions in Sondalo, Italy, September 28 - October 1, 2006: trip report.
Arlington, Virginia, Management Sciences for Health, Center for Pharmaceutical Management, Rational Pharmaceutical Management Plus, 2006 Oct 18. 26 p. (USAID Cooperative Agreement No. HRN-A-00-00-00016-00; USAID Development Experience Clearinghouse DocID / Order No. PN-ACI-323)WHO, Stop-TB Partners, and NGOs that support country programs for DOTS implementation and expansion require capable consultants in assessing the capacity of countries to manage TB pharmaceuticals in their programs, developing interventions, and providing direct technical assistance to improve availability and accessibility of quality TB medicines. Beginning in 2001, RPM Plus, in addition to its own formal courses on pharmaceutical management for tuberculosis, has contributed modules and facilitated sessions on specific aspects of pharmaceutical management to the WHO Courses for TB Consultants in Sondalo. The WHO TB Course for TB Consultants was developed and initiated in 2001 by the WHO Collaborating Centre for Tuberculosis and Lung Diseases, the S. Maugeri Foundation, the Morelli Hospital, and TB CTA. The main goal of the course is to increase the pool of international level TB consultants. As of December 2005, over 150 international TB consultants have participated in the training, a majority ofwhom have already been employed in consultancy activities by the WHO and international donors. In 2006 fiscal year RPM Plus received funds from USAID to continue supporting the Sondalo Course, which allowed RPM Plus to facilitate sessions on pharmaceutical management for TB at four courses in May, June, July, and October of 2006. RPM Plus Senior Program Associate, Edgar Barillas, traveled to Sondalo from September 28 to October 1 to facilitate the TB pharmaceutical management session at the WHO course for TB Consultants in Sondalo, Italy. (excerpt)
[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)
New and Noteworthy in Nutrition. 2002 Sep 13; (38):3-4.The last two issues of NNN have devoted considerable column space to HIV/AIDS. This is because the pandemic is one of the major nutritional problems the world is currently facing. There is now considerable evidence of how AIDS precipitates and exacerbates other determinants of malnutrition. As Peter Piot, UNAIDS Director, said at the XIV International AIDS Conference in Barcelona .The only effective treatment at present is antiretrovirals. However, inadequate media attention has been given to the importance of good nutrition. Other treatments and prophylaxis especially, have been neglected. It doesn't make a headline, it is not a sexy story. (excerpt)