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

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

APPENDIX D
Stakeholder Analysis
and Institutional Assessment

Stakeholders and Institutions

The Central Asia HIV/AIDS and TB Country Profiles identified stakeholders affected by the disease or having some intervention in this area; and the lack of capacity of organizations working on HIV/AIDS to operate effectively (Godinho and others 2004). The Country Profiles (2003) identified variable participation and poor institutional capacity in some countries. Further assessments were undertaken to take a closer look at the stakeholders and institutions involved on this issue, and make recommendations for improvements on stakeholder participation and institutional capacity (River and others 2003). This section of the report draws on international experience in discussing the value of stakeholder participation and assessing organizational capacity, and identifies more closely the needs, gaps and opportunities for stakeholder involvement and organizational development.

Internationally, the institutional performance required to successfully address HIV/AIDS has been identified as including a strong national political commitment at the highest level, multi-sectoral and multi-level responses, effective monitoring of the epidemic and risk behaviors, programs to sustain awareness aimed at both the general population and high risk groups, and programs that integrate prevention and care (UNAIDS 2001 and 2002). In order to be effective, country action needs to be implemented on a large scale.

As indicated in the policy analysis in the previous section, all five countries in Central Asia have recognized the impending danger of an HIV epidemic, and have recently approved national strategies and/or programs on HIV/AIDS. Governments have taken positive steps to modify legislation to include HIV/AIDS detection and introduce confidentiality provisions. The regional declaration signed by Central Asian Governments in 2001 is a major breakthrough in recognizing the problem.

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