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.
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