Health Policy

Addressing HIV/AIDS in East Asia and the Pacific by World Bank

By World Bank

With nearly part the world¡¯s inhabitants, Asia will ensure the way forward for the worldwide HIV/AIDS pandemic. there's a major threat of a large-scale HIV/AIDS epidemic within the quarter. and plenty of nations have already started the struggle: classes were realized in numerous contexts, together with reports from Thailand, the Philippines, Indonesia, and Papua New Guinea. Governments, civil society, and different companions are key avid gamers during this reaction. even though, with new tools of investment, problems with potential, and an evolving epidemic, responses needs to keep in mind 5 key demanding situations: political dedication and multisectoral help; public healthiness surveillance and tracking and evaluate; prevention; care, aid, and remedy; and healthiness companies supply.

Addressing HIV/AIDS in East Asia and the Pacific identifies ideas for the way the realm financial institution, in shut partnership with govt, civil society and different companions, will help within the reaction on the nation and neighborhood degrees. It stresses the necessity for state particular suggestions to deal with the range of concerns in the sector and highlights the significance of analytic and advisory paintings during this sector to help ongoing and deliberate courses in addition to means development efforts.

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These factors, 26 • Addressing HIV/AIDS in East Asia and the Pacific combined with a health system that lacks capacity to deal with even basic preventive care, place the country at significant risk. HIV was first reported in PNG in 1987. From the mid-1990s onwards the epidemic started to grow quickly. Despite numerous alerts raised in the early 1990s to the emerging epidemic, few persons in positions of leadership acknowledged HIV/AIDS as an issue of concern. With encouragement and funds from the Global Program on AIDS (GPA), the National AIDS Program was formed and enlisted membership from a wide variety of stakeholders into a National AIDS Committee.

Agency for International Development (USAID) commissioned a consortium led by Tim Brown and Wiwat Peerapatinapokin to develop a dynamic model of HIV/AIDS transmission to understand the trajectory 16 • Addressing HIV/AIDS in East Asia and the Pacific of HIV/AIDS in Thailand. The Asian Epidemic Model was used in Thailand and Cambodia where behavioral data were available and predicted that growth of the epidemic would not be constrained by low-risk behavior in the general population. The growth is driven by the high rate of high-risk behavior in the population, with reports of over 25 percent of men having sex outside of long-term partnerships.

Org/data/wdi2001/ ); Burrows 2003, Personal communication, The Burnet Institute, Melbourne, Australia; Khorloo 2003; Reid and Costigan 2002; Feng, undated; NASB/MOH 2003; NASB 2002; World Bank, 2003; Pisani and others 2003. 1 Lao PDR Low level 14 • Addressing HIV/AIDS in East Asia and the Pacific HIV rates are greater than 1 percent among the general population, as measured by antenatal clinic attendees. • Concentrated: China, Indonesia, Malaysia, Papua New Guinea, and Vietnam. HIV prevalence surpasses 5 percent in one or more subpopulations presumed to practice high-risk behavior, as measured by sentinel surveillance of groups such as commercial sex workers and injecting drug users, but prevalence among the general population is less than 1 percent.

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