By World Bank
With virtually part the world¡¯s inhabitants, Asia will be certain the way forward for the worldwide HIV/AIDS pandemic. there's a major possibility of a large-scale HIV/AIDS epidemic within the quarter. and plenty of international locations have already began the struggle: classes were realized in a number of contexts, together with studies from Thailand, the Philippines, Indonesia, and Papua New Guinea. Governments, civil society, and different companions are key avid gamers during this reaction. even if, with new tools of investment, problems with means, and an evolving epidemic, responses needs to take into consideration 5 key demanding situations: political dedication and multisectoral aid; public future health surveillance and tracking and review; prevention; care, aid, and remedy; and future health companies supply.
Addressing HIV/AIDS in East Asia and the Pacific identifies concepts for the way the area financial institution, in shut partnership with executive, civil society and different companions, may also help within the reaction on the state and nearby degrees. It stresses the necessity for nation particular innovations to handle the variety of matters in the zone and highlights the significance of analytic and advisory paintings during this quarter to help ongoing and deliberate courses in addition to skill development efforts.
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Extra info for Addressing HIV/AIDS in East Asia and the Pacific
There are high levels of certain sexually transmitted infections in the population, and sexual behaviors appear to be changing (Philippines Department of Health 2002). The Indonesian Experience: The Importance of Political Commitment in Low-Level Epidemics In 1996 the government of Indonesia, recognizing the importance of early intervention in preventing an epidemic, developed and funded an HIV/AIDS and sexually transmitted infections program, which included some funding from several donors, including the World Bank.
Also important is linking routine information datasets from health, criminal justice, and social services. The importance of various components of public health surveillance varies with the stage of the epidemic. In low-level epidemics, it is very important to understand the size of high-risk populations and the prevalence of high-risk behavior to determine the potential for growth. This requires national behavioral studies and good sociocultural studies with rapid situational assessments that can be complemented by good sentinel and behavioral surveillance systems.
The government believed that the epidemic would remain concentrated in groups practicing high-risk behaviors, particularly injecting drug users and men who have sex with men. This view changed in 1989, when the first national epidemiological surveillance found that 44 percent of sex workers in the northern province of Chiang Mai were infected with HIV, leading 19 20 • Addressing HIV/AIDS in East Asia and the Pacific ﬁrst to increasing rates of HIV infection among their male clients and then among the general population.