Combating AIDS in the Developing World

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Earthscan, 2005 - Business & Economics - 176 pages
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The Millennium Development Goals, adopted at the UN Millennium Summit in 2000, are the world's targets for dramatically reducing extreme poverty in its many dimensions by 2015 income poverty, hunger, disease, exclusion, lack of infrastructure and shelter while promoting gender equality, education, health and environmental sustainability. These bold goals can be met in all parts of the world if nations follow through on their commitments to work together to meet them. Achieving the Millennium Development Goals offers the prospect of a more secure, just, and prosperous world for all. The UN Millennium Project was commissioned by United Nations Secretary-General Kofi Annan to develop a practical plan of action to meet the Millennium Development Goals. As an independent advisory body directed by Professor Jeffrey D. Sachs, the UN Millennium Project submitted its recommendations to the UN Secretary General in January 2005. The core of the UN Millennium Project's work has been carried out by 10 thematic Task Forces comprising more than 250 experts from around the world, including scientists, development practitioners, parliamentarians, policymakers, and representatives from civil society, UN agencies, the World Bank, the IMF, and the private sector.This report lays out the recommendations of the UN Millennium Project Task Force 5 Working Group on HIV/AIDS. The Working Group urges the intensification and revitalization of prevention efforts, a stronger focus on vulnerable populations, and the expansion of antiretroviral therapy to reach 75% of those in need by 2015. Simultaneous expansion of prevention and treatment, accompanied by sustained investment in health systems, will enable countries to reverse the spread of HIV by 2015.
 

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Contents

Epidemic and response
13
The response
21
The Millennium Development Goal on HIVAIDS
24
Organization of the report
26
Prevention
27
Essential prevention interventions
30
Current coverage of prevention services
40
Targets
43
HIV and tuberculosis
99
Equity and human rights
103
Homebased care
105
Recommendations
108
Orphans and vulnerable children
110
Scope of the crisis
111
Needs
116
Interventions and policies
119

Priorities
46
Integrating prevention and treatment
49
Gender and HIV prevention
53
Community involvement
59
Issues and controversies
64
New ideas and technologies
70
Recommendations
71
Treatment
73
Essential care and treatment interventions
75
Current coverage of care and treatment services
77
Targets
80
Scaling up antiretroviral therapy
82
Recommendations
126
Finance and implementation
129
Current and projected resources
132
The Global Fund
134
Donor coordination
137
Overcoming capacity constraints
143
Roles for the United Nations
147
Recommendations
149
Notes
150
References
152
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Page xvi - Halve, by 2015, the proportion of people without sustainable access to safe drinking water and basic sanitation • Target 11. Have achieved by 2020 a significant improvement in the lives of at least 100 million slum dwellers Goal 8: Develop a global partnership for development • Target 12.
Page xvi - Deal comprehensively with the debt problems of developing countries through national and international measures in order to make debt sustainable in the long term Target 1 6 In cooperation with developing countries, develop and implement strategies for decent and productive work for youth...
Page xv - Target 1: Halve, between 1990 and 2015, the proportion of people whose income is less than one dollar a day...
Page xvi - Includes tariff- and quota-free access for their exports; enhanced debt relief for heavily indebted poor countries; cancellation of official bilateral debt; and more generous official development assistance for countries committed to poverty reduction. Target 14: Address the Special Needs of landlocked countries and small island developing states (through...
Page xv - Ensure that, by 2015, children everywhere, boys and girls alike, will be able to complete a full course of primary schooling...
Page xvi - Goal 8: Develop a global partnership for development Target 12: Develop further an open, rule-based, predictable, non-discriminatory trading and financial system . Includes a commitment to good governance, development, and poverty reduction - both nationally and internationally. Target 13: Address the special needs of the least developed countries. Includes: tariff and quota free access for least developed countries...
Page xv - Goal 4: Reduce child mortality Target 5 Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate...
Page xvi - Target 16. In cooperation with developing countries, develop and implement strategies for decent and productive work for youth Target 17. In cooperation with pharmaceutical companies, provide access to affordable essential drugs in developing countries Target 18. In cooperation with the private sector, make available the benefits of new technologies, especially information and communications...
Page xiv - UN United Nations UNAIDS Joint United Nations Programme on HIV/AIDS UNDP United Nations Development Programme UNESCO United Nations Educational, Scientific and Cultural Organization...
Page xv - Goal 6: Combat HIV/AIDS, malaria and other diseases Target 7: Have halted by 2015 and begun to reverse the spread of HIV/AIDS...

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About the author (2005)

The Millennium Projecct was commissioned by the UN Secretary-General and sponsored by the United Nations Development Group, which is chaired by the Administrator of the United Nations Development Programme. The report is an independent publication that reflects the views of the members of the Task Force on HIV/AIDS, Malaria, TB, and Access to Essential Medicines, who contributed in their personal capacity.

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