Global Lessons from the AIDS Pandemic

Global Lessons from the AIDS Pandemic

Author: Bradly J. Condon

Publisher: Springer Science & Business Media

Published: 2008-07-22

Total Pages: 381

ISBN-13: 354078392X

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We began to research for this book in 2000, with the idea that we might contribute to the search for solutions to the global HIV/AIDS pandemic by c- bining perspectives from different disciplines. Much has happened in the interv- ing years. First, the severity of the HIV/AIDS pandemic in sub-Saharan Africa – and the threat it posed for many others regions of the world – led to a movement among several countries to correct the imbalance between producers and users of ph- maceutical products. This effort produced a clarification of the right of gove- ments to produce generic medicine under compulsory licenses and an amendment of the World Trade Organization’s TRIPS Agreement to allow exports of generic medicines from one WTO Member to another. In 2007, the amended rules were put into practice, with Canada authorizing the export of generic antiretroviral drugs to Rwanda. However, at the same time, global patent laws have been undermined due to regulatory capture, most notably in free trade agreements and through political pressure on countries like Thailand to not to exercise their right to issue compulsory licenses for pharmaceutical products. Second, the amount of money available for the treatment and prevention of HIV/AIDS has increased dramatically, with the establishment of the World Bank Multi-Country HIV/AIDS Program for Africa (MAP), the Global Fund to Fight AIDS, Tuberculosis and Malaria and the US President’s Emergency Plan for AIDS Relief (PEPFAR), among other funding initiatives.


Disease Control Priorities, Third Edition (Volume 6)

Disease Control Priorities, Third Edition (Volume 6)

Author: King K. Holmes

Publisher: World Bank Publications

Published: 2017-11-06

Total Pages: 1027

ISBN-13: 1464805253

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Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.


Handbook of Economic Evaluation of HIV Prevention Programs

Handbook of Economic Evaluation of HIV Prevention Programs

Author: David R. Holtgrave

Publisher: Springer Science & Business Media

Published: 2013-06-29

Total Pages: 291

ISBN-13: 1489918787

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If resources for HIV prevention efforts were truly unlimited, then this book would be en tirely unnecessary. In a world with limitless support for HIV prevention activities, one would simply implement all effective (or potentially effective) programs without regard to expense. We would do everything useful to prevent the further spread of the virus that has already claimed hundreds of thousands of lives in the United States and millions of lives worldwide. Unfortunately, funding for HIV prevention programs is limited. Even though the amount of available funding may seem quite large (especially in the United States), it is still fixed and not sufficient to meet all needs for such programs. This was very well illustrated in the summer of 1997 when over 500 community-based organizations applied for a combined total of $18 million of HIV prevention funding from the U.S. Centers for Disease Control and Prevention (CDC). Less than one-fifth ofthese organizations received support via this funding mechanism. Hence, although $18 million may seem like a large amount of money at first blush, it is not enough to meet all of the prevention needs that could be addressed by these community-based organizations.


The Economics of the Global Response to HIV/AIDS

The Economics of the Global Response to HIV/AIDS

Author: Markus Haacker

Publisher: Oxford University Press

Published: 2016-05-20

Total Pages: 303

ISBN-13: 019102791X

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The global response to HIV/AIDS has been a major aspect of global health and development policy over the last three decades. The book illustrates the devastating health impacts of the epidemic, with life expectancy in some countries falling to the lowest levels observed anywhere, and the remarkable success of the global HIV/AIDS response in reversing such extreme outcomes. Concerns about the implications of HIV/AIDS for economic development have played a role in motivating the global HIV/AIDS response. However, evidence on the impacts of HIV/AIDS on economic growth or poverty is weak, and the magnitude and relevance of such economic effects appears trivial compared to the consequences for life and health. Because of the success in extending access to treatment globally, HIV/AIDS has effectively transitioned into a chronic disease. This means that HIV/AIDS absorbs not only a substantial chunk of current global and national financial resources, but that these spending needs are projected to persist over decades. The costs of the HIV/AIDS response thus resemble a long-term financial liability, shaped by past and current policies. Relatedly, the calculus of cost-effectiveness of HIV/AIDS interventions has changed. People who become infected with HIV can now expect to not die because of AIDS; at the same time, each HIV infection results in medical needs and expenditures extending over decades. The book presents a framework for integrating these financial consequences and the transmission dynamics of HIV in the analysis of cost-effectiveness of HIV/AIDS interventions and in the design of HIV/AIDS programs.


Commodities of Care

Commodities of Care

Author: Elsa L. Fan

Publisher: U of Minnesota Press

Published: 2021-11-02

Total Pages: 245

ISBN-13: 1452961212

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How global health practices can end up reorganizing practices of care for the people and communities they seek to serve Commodities of Care examines the unanticipated effects of global health interventions, ideas, and practices as they unfold in communities of men who have sex with men (MSM) in China. Targeted for the scaling-up of HIV testing, Elsa L. Fan examines how the impact of this initiative has transformed these men from subjects of care into commodities of care: through the use of performance-based financing tied to HIV testing, MSM have become a source of economic and political capital. In ethnographic detail, Fan shows how this particular program, ushered in by global health donors, became the prevailing strategy to control the epidemic in China in the late 2000s. Fan examines the implementation of MSM testing and its effects among these men, arguing that the intervention produced new markets of men, driven by the push to meet testing metrics. Fan shows how men who have sex with men in China came to see themselves as part of a global “MSM” category, adopting new selfhoods and socialities inextricably tied to HIV and to testing. Wider trends in global health programming have shaped national public health responses in China and, this book reveals, have radically altered the ways health, disease, and care are addressed.


Public Financing and Delivery of HIV/AIDS Care

Public Financing and Delivery of HIV/AIDS Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2005-11-04

Total Pages: 375

ISBN-13: 0309092280

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Each year it is estimated that approximately 40,000 people in the U.S. are newly infected with HIV. In the late 1990s, the number of deaths from AIDS dropped 43% as a result of highly active antiretroviral therapy. Unfortunately, the complex system currently in place for financing and delivering publicly financed HIV care undermines the significant advances that have been made in the development of new technologies to treat it. Many HIV patients experience delays in access to other services that would support adhering to treatment. As a result, each year opportunities are missed that could reduce the mortality, morbidity, and disability suffered by individuals with HIV infections. Public Financing and Delivery of HIV/AIDS Care examines the current standard of care for HIV patients and assesses the extent the system currently used for financing and delivering care allows individuals with HIV to actually receive it. The book recommends an expanded federal program for the treatment of individuals with HIV, administered at the state level. This program would provide timely access and consistent benefits with a strong focus on comprehensive and continuous care and access to antiretroviral therapy. It could help improve the quality of life of HIV/AIDS patients, as well as reduce the number of deaths among those infected.


Economics of AIDS and Access to HIV-AIDS Care in Developing Countries

Economics of AIDS and Access to HIV-AIDS Care in Developing Countries

Author: Jean-Paul Moatti

Publisher:

Published: 2003

Total Pages: 494

ISBN-13: 9782910143213

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This book collects studies performed mainly with the support of the Agence Nationale de Recherche contre le Sida (French French National Agency of Research against AIDS). The purpose is to analyse the conditions to improve access to drugs against AIDS in developing countries, to urge on international agencies determinedly support patients treatment. The first part deals with the market of antiretrovirals and patents : How the prices drop taked place in 1998-2002, what were the debates about Intellectual Property Rights and WTO, what happened in countries as Brazil and Thailand? The second part deals with the impact of AIDS epidemic in the developing world and the role of therapeutic strategies to lower this impact. The book backs up the argument that the impact has been undersestimated and theses strategies are feasible.


Donor Conditions in HIV/AIDS Programs’ funding. Lessons for the Poor Recipient Countries

Donor Conditions in HIV/AIDS Programs’ funding. Lessons for the Poor Recipient Countries

Author: Kibs Boaz Muhanguzi

Publisher: GRIN Verlag

Published: 2016-12-14

Total Pages: 19

ISBN-13: 366836303X

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Scientific Essay from the year 2016 in the subject Health - Public Health, , course: project management, language: English, abstract: Management of the HIV/AIDS scourge worldwide attracts financial resources from different donor agencies – often with conditions and specific requirements attached. Despite the huge flow of HIV/AIDS funds into poor countries, AIDS related problems remain a menace. Stringent fund conditions and requirements are perceived to impede the struggle against the pandemic. This paper investigates lessons recipient organizations need to learn from donor conditions, if the struggle against HIV/AIDS is to be fully tenable. Guided by existing literature, the study uses a mixed paradigm approach (quantitative and qualitative) with a cross sectional data from both donor and implementing agencies. The study finds an average 29.9% level of non compliance to the 9 investigated donor conditions. Given the implied effects of non compliance to donor conditions and supported with literature review, the study points to two categorical lessons: first, need to invest more on capacity building-particularly, HR training-so as to reduce overreliance on foreign manpower; and second, the need to ensure coordinated programming of funds for harmonious solicitation and funding of HIV/AIDS project activities.


Preventing and Mitigating AIDS in Sub-Saharan Africa

Preventing and Mitigating AIDS in Sub-Saharan Africa

Author: National Research Council (U.S.). Panel on Data and Research Priorities for Arresting AIDS in Sub-Saharan Africa

Publisher: National Academies

Published: 1996-01-01

Total Pages: 36

ISBN-13:

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The AIDS epidemic in Sub-Saharan Africa continues to affect all facets of life throughout the subcontinent. Deaths related to AIDS have driven down the life expectancy rate of residents in Zambia, Kenya, and Uganda with far-reaching implications. This book details the current state of the AIDS epidemic in Africa and what is known about the behaviors that contribute to the transmission of the HIV infection. It lays out what research is needed and what is necessary to design more effective prevention programs.