BMJ  2008;336:1206 (31 May), doi:10.1136/bmj.a159

Letters

Writing on the wall for UNAIDS

Let’s use our tools creatively

The first 150 words of the full text of this article appear below.

Smallpox eradication proves that global effort on a single disease can work. Vaccine was crucial but another missing piece for HIV is reliance on a routine response to an exceptional pandemic.1 This could be fixed in two ways.

Nation to nation partnering—HIV aid too often addresses the priorities of donors and global agencies rather than recipient countries, leading to an overlapping, uncoordinated patchwork of initiatives. With no single plan or lead donor, the impact of aid is compromised, and no one accepts responsibility. Let us try partnering individual high and low income nations, perhaps with a middle income country as a third team member, to develop a single plan with a clear role for all external aid. Success could be better monitored and team members would feel a responsibility to succeed.

Centripetal programming—In Vietnam our most successful and sustainable STI/HIV clinics and outreach programmes are located furthest from . . . [Full text of this article]

Michael L Rekart, director

1 STI/HIV Prevention and Control, British Columbia Centre for Disease Control, 655 West 12th Avenue, Vancouver, BC, Canada V5Z 4R4

michael.rekart@bccdc.ca


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Relevant Article

The writing is on the wall for UNAIDS
Roger England
BMJ 2008 336: 1072. [Extract] [Full Text] [PDF]




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