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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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Some lessons learned

Some lessons learned

Chapter:
(p.757) Chapter 50 Some lessons learned
Source:
The HIV Pandemic
Author(s):

Eduard J Beck

Nicholas Mays

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199237401.003.0050

This chapter summarizes ‘lessons learned’. The health systems of affected countries are at the forefront of national responses, and both formal and informal systems, private as well as public sectors all have important roles to play. However, the response to the HIV pandemic requires a wider, multisectoral response, since the pandemic is deeply rooted in the socio-economic conditions within and between nations. The extent and nature of the response required will depend on the type of HIV epidemic and populations infected or affected, the resources available, the country's health service infrastructure, and prevailing cultural norms. To produce a sustainable response to HIV that reaches those in need, HIV programmes will need to be progressively integrated with the rest of the health system. Though there is no attempt to prioritize the different elements, an increasingly salient aspect of a country's response relates to the provision of appropriate health services.

Keywords:   heath care infrastructure, resources, public sector, private sector, multisectoral response, horizontal services, vertical programmes, national response, formal systems, informal systems

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