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The COVID-19 pandemic has laid bare the world's vulnerabilities to health and economic ruin from disease outbreaks. But the pandemic merely reveals fundamental weaknesses and contradictions in global health. What are the roots of discontents in global health? How do geo-politics, power dynamics, knowledge gaps, racism, and corruption affect global health? Is foreign aid for health due for a radical overhaul?This book is an incisive guide to the practice of global health in real life. Global health policy is at a crossroads. It is on trial at the interface between the Global North and the Global South. There has been remarkable progress in health outcomes over the past century. Yet, countries face a complex landscape of lofty ambitions in the form of political commitments to Universal Health Coverage, Human Capital, and Global Health Security. These ambitions are tempered by multiple constraints. Investors in global health must navigate a minefield of uneven progress, great expectations, and denials of scientific evidence by entrenched interests. That terrain is further complicated by the hegemonic suppression of innovation that threatens the status quo and by self-perpetuating cycles of dependency of the Global South on the Global North.This book is an unflinching scrutiny of concepts and cases by a veteran of global health policy and practice. It holds a mirror to the world and lays out pathways to a better future. The book is a must-have GPS for policy makers and practitioners as they navigate the maze of global health.
The COVID-19 pandemic has laid bare the world's vulnerabilities to health and economic ruin from disease outbreaks. But the pandemic merely reveals fundamental weaknesses and contradictions in global health. What are the roots of discontents in global health? How do geo-politics, power dynamics, knowledge gaps, racism, and corruption affect global health? Is foreign aid for health due for a radical overhaul?This book is an incisive guide to the practice of global health in real life. Global health policy is at a crossroads. It is on trial at the interface between the Global North and the Global South. There has been remarkable progress in health outcomes over the past century. Yet, countries face a complex landscape of lofty ambitions in the form of political commitments to Universal Health Coverage, Human Capital, and Global Health Security. These ambitions are tempered by multiple constraints. Investors in global health must navigate a minefield of uneven progress, great expectations, and denials of scientific evidence by entrenched interests. That terrain is further complicated by the hegemonic suppression of innovation that threatens the status quo and by self-perpetuating cycles of dependency of the Global South on the Global North.This book is an unflinching scrutiny of concepts and cases by a veteran of global health policy and practice. It holds a mirror to the world and lays out pathways to a better future. The book is a must-have GPS for policy makers and practitioners as they navigate the maze of global health.
Every minute a Nigerian man, woman, or child becomes infected with HIV. Soon Nigeria will be home to more people living with HIV than any other country in Africa. With 5 percent of its inhabitants already infected, Nigeria has reached the critical threshold that can catapult rates to nearly 40 percent of a country's population. The full magnitude of Nigeria's epidemic will be determined by its response now. "AIDS in Nigeria" helps guide that response. Written by dozens of the country's leading HIV experts, the book explores the dynamics of the epidemic, analyzes prevention efforts, identifies crucial gaps, and formulates effective strategies for controlling the epidemic. Complementing the experts' words are the dramatic portraits of people whose lives have been forever transformed by AIDS. Their stories reveal the human costs of the epidemic--and the courage required to overcome it.
The Countries of Southeastern Europe (Bulgaria, Croatia, and Romania) have re-committed themselves to scale up action on the prevention and treatment of HIV/AIDS in the sub-region. These three countries share several social conditions that have led to an alarming increase in HIV infection. These conditions include increasing unemployment and poverty, rapid social changes, a decrease in the accessibility and quality of services and educational opportunities, psychological stress from post-conflict situations, increased substance abuse and sex work, and increased trafficking in women for sexual exploitation. This paper reviews the current status of the AIDS epidemics in the three countries, evaluates the approaches and strategies currently being used in each country, and makes recommendation both for government strategies and for the World Bank's current and potential future involvement in relation to these strategies. Potential interventions are organized according to four general groupings: Epidemiology and Operational Research Health Care and Social Services Health Communications and Promotion Civil Society and Advocacy"
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