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The HIV PandemicLocal and Global Implications$
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Eduard J. Beck, Nicholas Mays, Alan W. Whiteside, and José M. Zuniga

Print publication date: 2007

Print ISBN-13: 9780199237401

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780199237401.001.0001

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Donor, lender and research agencies’ response to the HIV crisis

Donor, lender and research agencies’ response to the HIV crisis

Chapter:
(p.607) Chapter 41 Donor, lender and research agencies’ response to the HIV crisis
Source:
The HIV Pandemic
Author(s):

Chris Simms

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199237401.003.0041

The international donor community has long held that governments' failure to confront the HIV pandemic and take clear steps aimed at its prevention and control, are key to understanding the severity of today's crisis. The evidence shows that donors themselves did not adequately prioritize and provide effective, timely leadership to tackle the pandemic. Donor aid and the way it was delivered were often donor-driven, short-term programmes, often lacking community participation, and they were evaluated in terms of inputs or disbursements. Donor initiatives may have actually reduced access to goods and services aimed at the prevention and treatment of HIV at the individual and community levels. Similarly, efforts by the international research community in dealing with issues like an HIV vaccine, a ‘social vaccine’ and inequalities in global research spending suggests the response to the pandemic was belated, underfunded and undermined by institutional constraints and the pursuit of Northern agendas over Southern needs.

Keywords:   international donor community, community consultation, individual level, community level, AIDS vaccine, health research, donor aid

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