This book analyzes successive governments' management (and mismanagement) of the AIDS epidemic in South Africa. The book covers the years 1982-2005, using expert thinking regarding public policy making to identify gaps in the public sector's handling of the epidemic. The book highlights critical lessons for policy makers and other public health managers.
Equity and HIV/AIDS
The provision of HIV treatment and care in resource-limited settings is expanding rapidly. Health-worker training is one of many factors critical to the rapid scale-up of high-quality care. Large numbers of health workers require HIV training; yet, few countries have a comprehensive training plan, a clear assessment of ongoing training needs, a plan to operationalize training on a large scale, or adequate funds budgeted for training. In this setting, an extensive variety of HIV-related training programs have sprung up over the past few years. Unfortunately, there are limited data measuring their effectiveness, and there is no consensus about what constitutes effective training.
In early June 2006, United Nations members are meeting in a follow-up to the successful UN special session in 2001, which pushed the world to take AIDS more seriously.The nations now are supposed to be reporting on whether their targets are being met, and devising a plan of action for the next few years. Instead, they are watering down the original plan.
African civil society organisations have denounced a political declaration adopted today by world leaders attending a United Nations AIDS meeting in New York. At the High Level Review Meeting of the UN General Assembly, which closed on 2 June 2006, member-states negotiated a political declaration, which African activists have described as 'utterly retrogressive' and 'a sham.
Three weeks after the African Union - the highest decision-making regional authority in Africa - endorsed a Common Position on HIV and AIDS, African delegates in New York are reneging on the strong commitments they made to providing access to services for HIV prevention, care and treatment to all those who need them in Africa.
The following is a statement by his excellency, Mr. Festus G. Mogae, President of the Republic of Botswana, at a panel discussion on "Breaking the cycle of HIV infection for sustainable AIDS responses". The statement was made at the United Nations General Assembly High Level Session on HIV/AIDS in New York.
At the recent UN meeting on AIDS, international organisations were disappointed that the declaration adopted by governments was weak on commitments to fight the disease, and that vulnerable groups have been left out in the document. The article outlines some of the concerns expressed by the participants.
This report examines the administrative, technical, managerial guidance and strategic leadership that WHO provided during the initiative and includes evaluations of three levels of WHO: headquarters, regional offices and country offices. The report identifies future collaboration opportunities between WHO and partners and gives recommendations for the "way forward".
Some HIV-positive people in Kenya are selling their antiretroviral drugs to buy food. Some people register at more than one treatment site so they can obtain extra drugs, which they then sell, Patricia Asero, a member of the Kenya Treatment Access Movement, said. She added that some HIV-positive people who get their antiretroviral drugs from a single treatment site sometimes sell their medications to buy food. These trends have raised concerns about drug-resistant strains of the virus developing in Kenya.
From 22–24 February 2006 MPs from Ghana, Kenya, Malawi, Mozambique, Namibia, Zambia, Tanzania and Zimbabwe met in Johannesburg and deliberations at the meeting centred around three major themes related to parliamentary oversight of HIV and AIDS: the challenges and opportunities relating to the parliamentary structures and the environment within which MPs operate; the extra parliamentary partnerships that could strengthen parliamentary oversight of HIV and AIDS such as partnerships with civil society and the media; and the benefits of and practical suggestions for a network of African MPs at regional and Pan African level. These themes are discussed in this report.