Often neglected, food security and nutrition are critical for individuals, households and communities affected by HIV. Lack of food security and poor nutri- tional status may hasten progression to AIDS-related

Burnout is not a single event but a process in which everyday stresses and anxieties that are not addressed gradually undermine carers mental and physical health, so that eventually caregiving and personal relationships suffer. Burnout is the fi nal stage in the stress process when everything falls apart. As a medical condition, burnout has no clear defi nition, but as a psychological condition it has been well defi ned and is increasingly recognized by people in the caring professions. Burnout has long been identifi ed as a crucial issue in HIV care and support; yet there is relatively little known about what measures can be taken to prevent or mitigate it.This document looks at how carer burnout can be avoided. It focuses on the approach used by a faith-based organization, IMCARES, Mumbai, India, to care for their staff and volunteers employed in their programmes and as carers in the community. Their strategy and practice may provide useful lessons in caring for carers for both secular and faith-based organizations working with people living with and affected by HIV.

The report documents considerable progress in many countries in addressing their national epidemics. A six fold increase in financing for HIV programmes in low- and middle-income countries 2001–2007 is beginning to bear fruit, as gains in lowering the number of AIDS deaths and preventing new infections are apparent in many countries. Progress remainsuneven, however, and the epidemic’s future is still uncertain, underscoring the need for intensified action to move towards universal access to HIV prevention, treatment, care and support.

The guide to the women’s events and sessions in the Mexico Conference includes all sessions that address women’s issues directly or are organized by organizations serving women’s interests. These sessions will draw together lessons and conclusions from diverse expereinces across the globe. They will shed new knowledge and solidify what we already know – women must be front and center in the AIDS response.

Universal access is the global commitment to provide HIV prevention, treatment, care and support services to all those in need, based on national targets set by countries. The targets were developed through country consultations with civil society, people living with HIV and other national partners to assess their epidemics and obstacles to accessing HIV prevention, treatment and care services.

UNAIDS and other partners, including the Global Coalition on Women and AIDS, the International Center for Research on Women and Tibotec Inc., have come together to create a movement to ‘Make HIV Trials Work for Women and Adolescent Girls’. The movement has been established to review past participation of women and adolescent girls in clinical trials; to assess how well HIV trials are collecting, measuring, analysing and presenting data related to health determinants and health outcomes in women or adolescent girls; and to identify barriers to including women and adolescents in trials. An action plan, developed to address these concerns, is being implemented.

Often neglected, food security and nutrition are critical for individuals, households and communities affected by HIV. Lack of food security and poor nutritional status may hasten progression to AIDS-related illnesses and undermine adherence and response to antiretroviral therapy. HIV infection itself undermines food security and nutrition by reducing work capacity and jeopardizing household livelihoods.

This self-assessment tool provides practical guidance on legal, regulatory, and policy considerations associated with implementation and scale-up of male circumcision services for HIV transmission prevention in sub-Saharan Africa.

The Far Away From Home Club is an example of success in the response to HIV in Viet Nam. A combination of dedicated, energetic, and forward-looking individuals and a strong yet flexible project structure resulted in a comprehensive prevention project for migrant and mobile populations in Can Tho City.

A progress report towards universal access to HIV prevention, treatment, care and support in the Caribbean. A consolidated regional analysis of reports submitted to the United Nations General Assembly Special Session on HIV/AIDS - 2008.