A quarter of a century since the first recognition of HIV/AIDS in 1981, this book reflects on the international impact of the disease. It has persistently remained a global issue, with more than 50 million people worldwide estimated to have been infected since that date. This ambitious book,
written by 165 authors from 30 countries, offers a multi-country comparative study that examines how the response to the common, global threat of HIV is shaped by the history, culture, institutions and health systems of the individual countries affected.
Increasingly the shift of health
systems has been from prevention only as the main containment strategy, to a strategy that includes scaling up HIV treatment, and care and prevention services, including antiretroviral therapy. Thus, all parts of the health system must be involved; policy makers, healthcare professionals and users
of the services have been forced to think differently about how services are financed, how resources are allocated, how systems are structured and organized, how services are delivered to patients, and how the resulting activity is monitored and evaluated in order to improve the effectiveness,
efficiency, equity and acceptability of the response.
This book is unique in attempting to describe and assess a range of responses across the globe by situating them within the characteristics of each country and its health system. Most chapters combine a health policy expert with an
HIV specialist, allowing both a 'top down' health system approach and a 'bottom up' HIV-specific perspective. There are thematic and analytical sections, which provide an overview and some suggestions for solutions to the most serious outstanding issues, and chapters which analyse specific country
and organisational responses. There is no perfect health system, but the evidence provided here allows the sharing of knowledge, and a opportunity to assess the impact and reactions, to an epidemic that must be considered a long term issue.
The Pandemic
1. EJ Beck, N Mays: The HIV Pandemic and Health Systems: An Introduction
2. CA Hankins, KA Stanecki, P Ghys, H Marais: The Evolving HIV Pandemic
3. T Quinlan, A Whiteside: Social and Economic Impact of the HIV Pandemic
4. E Stillwaggon: Determinants of the
HIV Pandemic in Developing Countries
Prevention, Treatment and Care: Advances in Knowledge
5. SA Strathdee, M-L Newell, FI Bastos, TL Patterson: HIV Prevention Programmes: an Overview
6. JMA Lange: Antiretroviral Treatment and Care of HIV
7. J Esparza, M-L Chang, HD Gayle:
HIV Vaccines: Development and Future Use
8. N Gilmore: Ethical Issues and HAART
9. D Patterson, L Forman: Legal and Human Rights Implications
10. P DeLay, N Massoud, DL Rugg, KA Stanecki, M Carael: Strategic Information for HIV Programmes
11. G Harling, L Soderstrom: The
Contribution of Cost-effectiveness Analysis
Country Responses
12. L Lush, E Darkoh, SL Ramotlhwa: Botswana
13. Y Kitaw, D Haile Mariam, A Demissie, D Wolday, T Messele, E Aberra, T Belay, A Kassa: Ethiopia
14. A Ogundiran, B Fatunmbi, BT Costatinos: Nigeria
15. C
Simms, P Salif Sow, E Sy: Senegal
16. D McCoy, R Wood, L Dudley, P Barron: South Africa
17. JO Parkhurst, F Ssengooba, D Serwadda: Uganda
18. G Morineau, M van Pelt, F Bourdier, RC Wolf: Cambodia
19. Ma Shao-Jun, S Hillier, Kong-Lai Zhang, J Shen, Liu Min, Jin Chen-Gang: China
20. R Priya, N Kumarasamy, I Qadeer, AK Ganesh, S Solomon, SM Crowe: India
21. S Gunawan, S Kosen, C Simms: Indonesia
22. OT Monzon, R Poblete: Philippines
23. V Tangcharoensathien, W Phoolcharoen, S Thanprasertsuk, C Suraratdecha: Thailand
24. ER Walrond, TC Roach:
Barbados
25. MI Lantero Abreu, J Waller, J Joanes Fiol, J Perez Avila, R Torres Peña, M Santín Peña, R Ochoa Soto, G Estevez Torres: Cuba
26. A Augustin, DW Fitzgerald, JW Pape: Haiti
27. R Carr, JP Figueroa, PR Carr: Jamaica
28. G Hamilton, C Falistocco, P Cahn, C Zala:
Argentina
29. ML Petersen, C Travassos, FI Bastos, MA Hacker, EJ Beck, J Carvalho de Noronha: Brazil
30. J Salas Martínez, I Salom: Costa Rica
31. YA Flori, C Moty-Monnereau, E Patouillard, F Dabis, R Salamon: France
32. F Taroni, G France, A Tramarin, E Conti, A Donatini, FA
Compostella: Italy
33. J Stachowiak, A Peryshkina, S Lessof: Russian Federation
34. J Castilla, I Noguer, JR Repullo: Spain
35. V Lekhan, V Rudiy, E Nolte, J Jacobi, L Andrushchak, A Shcherbinska, Y Kruglov: Ukraine
36. J Imrie, S Dougan, K Gray, MW Adler, AM Johnson, BG Evans,
BS Peters: United Kingdom
37. MLA Rusch, V Alfonso, CA Hankins, JSG Montaner, M O'Shaughnessy, RS Hogg: Canada
38. JA Izazola-Licea, C Avila-Figueroa, S Gómez-Fraga: Mexico
39. B Fetter, DH Morgan, J Levi: United States of America
Global and National Responses
40. E
van Praag, KL Dehne, V Chandra-Mouli: The UN response to the HIV Pandemic
41. C Simms: Donor, Lender and Research Agencies' Response to the HIV Crisis
42. MA Lewis, SA Stout: Financing HIV: the Roles of International Financial Institutions
43. M Haacker: Fiscal and Macroeconomic
Aspects of the HIV Pandemic
44. J Fleet, B N'Daw: Trade, Intellectual Property and Access to Affordable HIV Medications
45. J Bos, O Schellekens, A de Groot: Country Level Public-Private Partnerships for Successful HIV Treatment Programmes
46. N Dreesch, MR Dal Poz, G Gedik, O Adams,
TG Evans: Developing Human Resources for the HIV Pandemic
47. JM Zuniga: The Contribution of Civil Society
48. RA Roberts, A Hickey, Z Rosner: The Role of Community Involvement in HIV Programmes in South Africa
Strengthening the Response
49. CA Hankins, C Fontaine, M
Sidibe: Responding Effectively to the HIV Pandemic
50. EJ Beck, N Mays: Some Lessons Learned
There are no Instructor/Student Resources available at this time.
Eduard Beck has recently taken up a post in the HIV Department of the World Health Organisation in Geneva.
Nicholas Mays has served as Director of Health Services Research at the King's Fund, the UK's leading independent health policy and management foundation. He has also acted as
principal adviser in the Social Policy Branch of the New Zealand Treasury. Professor Mays is editor of the Journal of Health Services Research and Policy, published by the Royal Society of Medicine Press.
Alan W Whiteside is an elected Member of Governing Council of the International AIDS
Society, a member of the Governing Council of Waterford Kamhlaba College, and one of the Commissioners of the UN Commission on HIV/AIDS and Governance in Africa. He has written the forthcoming OUP book HIV/AIDS: A Very Short Introduction.
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