By World Bank
With virtually part the world¡¯s inhabitants, Asia will ascertain the way forward for the worldwide HIV/AIDS pandemic. there's a major possibility of a large-scale HIV/AIDS epidemic within the sector. and plenty of international locations have already all started the struggle: classes were realized in numerous contexts, together with studies from Thailand, the Philippines, Indonesia, and Papua New Guinea. Governments, civil society, and different companions are key avid gamers during this reaction. notwithstanding, with new equipment of investment, problems with ability, and an evolving epidemic, responses needs to take note of 5 key demanding situations: political dedication and multisectoral aid; public well-being surveillance and tracking and review; prevention; care, aid, and therapy; and healthiness providers supply.
Addressing HIV/AIDS in East Asia and the Pacific identifies innovations for the way the realm financial institution, in shut partnership with executive, civil society and different companions, will help within the reaction on the state and local degrees. It stresses the necessity for kingdom particular suggestions to deal with the range of matters in the quarter and highlights the significance of analytic and advisory paintings during this sector to help ongoing and deliberate courses in addition to potential construction efforts.
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Extra info for Addressing HIV/AIDS in East Asia and the Pacific
An important aspect to facilitating dialogue and making progress around these issues is building political understanding by promoting public awareness of HIV/AIDS prevention programs. Gaining political commitment for prevention in low-level epidemics, as in Indonesia in the 1990s, can be extremely difficult. One lesson is the importance of having the ministry of health actively engaged and well organized. In Indonesia, where responsibility for HIV/AIDS was spread across the ministry of health, coordination was weak.
Despite the great success, Thailand continues to have high rates of HIV among injecting drug users, a major source of HIV infection that could drive future growth (Reid and Costigan 2002). Short-term substitution therapy has been introduced, but relapse rates are high, and longer-term maintenance therapy is being considered. There are few, if any, needle and syringe exchange programs. Under these circumstances it is likely that HIV will continue to grow among injecting drug users. To prevent this, the government will need to address issues that are extremely stigmatized.
In addition, young women are especially vulnerable to HIV/AIDS. This and other gender dimensions of the epidemic must also be addressed. The good news, however, is that the HIV/AIDS epidemic can be controlled. The following chapters review countries’ responses to HIV/AIDS, identify progress made, and deﬁne the key challenges that must be confronted to halt the growth of the epidemic in Asia. 1 — 8,512 4,969 228,931 — 158 194 297 Adult prevalence rate of HIV (percent, 2001) Estimated cases of tuberculosis (2003) Number Rate per 100,000 Blank cells: Information not available.