Reversing the Tide: Priorities for HIV/AIDS Prevention in Central Asia

By Joana Godinho; Adrian Renton et al. | Go to book overview

CHAPTER 3
Reaching a Political and Social
Consensus on Timely
Implementation of HIV/AIDS
Strategies in Central Asia

This study identified the extent of the HIV/AIDS epidemic in Central Asia; developed optimistic and pessimistic scenarios for the potential economic impact of the HIV/AIDS epidemic if early appropriate action is not taken; identified key stakeholders and their roles in preventing and controlling the epidemic; identified gaps in related strategies, policies and legislation; reviewed funding available for prevention and control of HIV/AIDS; and initiated the assessment of the institutional capacity of public services and NGOs to deliver the required services.

Critical gaps were identified that allow this study to make recommendations for key actions that Governments, NGOs, and international partner organizations need to take to ensure timely prevention and control of HIV/AIDS in Central Asia. The study has found that vulnerable groups such as truck drivers and migrants are not presently covered; coverage of highly-vulnerable groups such as injecting drug users (IDUs), commercial sex workers (CSWs) and prisoners is still insignificant; and treatment with anti-retroviral drugs (ARVs) is not yet available in most countries. Additional adequate policies for prevention and treatment need to be adopted; active surveillance (sentinel surveillance and second-generation surveillance) is just beginning with assistance from CDC; and staff and NGOs working in this area need training in evidence-based clinical and public health practices, as well as in program management. These critical gaps, unless addressed promptly, will prevent development of an effective response to the nascent HIV/AIDS epidemic in Central Asia

Reaching a Political and Social Consensus. To address the critical gaps in program implementation it is, however, necessary to reach a wide, multisectoral, political and social consensus regarding the heed for early action on HIV/AIDS prevention and control, and

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