Guidelines for the development of a national AIDS prevention and control programme.
The World Health Organization (WHO) has prepared a set of guidelines for national AIDS programs that includes objectives, initial assessment, strategies, medium-term goals, suggested activities and necessary periodic evaluation. Because of the nature of the HIV infection, national tactics are similar, regardless of the case rate in any particular region. HIV has spread world-wide, and checking its further spread will entail education for the change of deep-seated behaviors by all. The objectives of an AIDS control program are to prevent HIV transmission, and to reduce the consequent morbidity and mortality. Strategies include prevention of its spread by sexual and perinatal transmission, blood products, injections, skin-piercing practices, and iatrogenic spread. Countries 1st form a national AIDS committee. An initial epidemiological and resource assessment is made. Sexual transmission is controlled primarily through a long-term commitment to a factual, consistent education campaign. Later, more specific targets and behaviors must be addressed. A more detailed list of activities is suggested for securing the blood and blood product system, and supplying clean medical instruments. Perinatal transmission should be addressed by identifying, educating, and counseling infected women. The impact of AIDS on individuals, groups and societies can be reduced by diagnosis, treatment, counseling, training of health workers, setting up a case-reporting system. A re-evaluation strategy is vital for replanning, learning by doing, assessing trends and providing information for donors.