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The HIV Pandemic - Local and global implications (Paperback)
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The HIV Pandemic - Local and global implications (Paperback)
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As we approach the 25th anniversary of the first recognition fo
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 by
patients, and how the resulting activity is monitored and evaluated
in order to improve the effectiveness, efficiency, equity and
acceptability of the response.
The 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 seriousoutstanding issues, and chapters which
analyze specific country and organizational responses. There is no
perfect health system, but the evidence provided here allows the
sharing of knowledge, and an opportunity to assess the impact and
reactions, to an epidemic that must be considered a long term
issue.
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