Report on the Global HIV/AIDS epidemic

Report on the global HIV/AIDS epidemic - June 2000: 78 Opening new doors with counselling and testing
79 The challenge of prevention for couples
81 Preventing mother-to-child transmission of HIV
85 Care and support for people living with HIV/AIDS
85 Meeting the needs: challenges and achievements
87 The interlocking benefits of care and prevention
87 The community is key
88 Greater involvement of people living with HIV/AIDS - the GIPA principle
88 Community standards for care and support
89 Health care: where are the gaps?
91 Comprehensive care and support strategy needed
93 Psychological and social support and other measures to alleviate the impact of HIV/AIDS
94 Alleviating economic impact
96 Improve health service delivery
97 Care and support packages
99 Improve access to drugs
100 Strategies for cost and price reduction
105 Better prospects for preventing infections in those with HIV
106 A new incentive for testing?
107 National responses to the epidemic: factors that make a difference
S 108 Common features of effective national responses
115 Conclusion
116 Annex 1. How reliable are estimates of HIV infection and AIDS deaths?
119 Annex 2. HIV/AIDS estimates and data, end 1999
119 Notes on specific indicators listed in the table
123 Table of country-specific HIV/AIDS estimates and data, end 1999
/ Boxes
10 Box 1. A measure of success: reduced HIV rates in young Zambian women
13 Box 2. A measure of success: changing behaviour in Tamil Nadu
16 Box 3. A measure of success: young Brazilians increasingly reject unprotected sex
' 27 Box 4. The orphans left behind
34 Box 5. HIV in the workplace: the business response
38 Box 6. Breaking the silence in Africa
41 Box 7. AIDS hotline: reducing vulnerability in Egypt
49 Box 8. Working with vulnerable girls in Nepal
S50 Box 9. Rape in war
53 Box 10. Child-friendly courts in Zimbabwe
59 Box 11. How well do condoms work?
63 Box 12. The female condom
64 Box 13. Making the safe choice easier
68 Box 14. Needed: an AIDS vaccine
'':;;" 70 Box 15. Male circumcision and HIV infection
91 Box 16. Strengthening "horizontal" collaboration on HIV and sexually
transmitted infections in Latin America and the Caribbean
92 Box 17. Health reforms and HIV: experience from Phayao Province, northern Thailand
101 Box 18. Experience in Brazil with generic alternatives to proprietary antiretrovirals
103 Box 19. Lessons from the UNAIDS Drug Access Initiative
106 Box 20. Use of cotrimoxazole prophylaxis in people with HIV/AIDS in Africa
112 Box 21. International support for national responses
114 Box 22. Debt relief