Les OC jouent un rôle important dans les ripostes mondiales au sida depuis 20 ans et peuvent accomplir une fonction centrale dans la conception et la mise en oeuvre de programmes nationaux de lutte contre le sida.

In 2004, the Inter-Agency Standing Committee (IASC) issued the guidelines Addressing HIV/AIDS Interventions in Emergency Settings to help guide those involved in emergency response, and those responding to the epidemic, to plan the delivery of a minimum set of HIV prevention, care and support interventions to people affected by humanitarian crises. This revised version of the guidelines, Addressing HIV in Humanitarian Settings, draws on the experiences of governments; UN, inter-governmental and nongovernmental organizations; and the Red Cross Red Crescent movement; and on recent developments in the field.

This article provides a summary of current issues and recommended methods for estimating HIV incidence, including cohort studies for direct measures of incidence, mathematical models that can be used to estimate incidence indirectly from HIV prevalence data and biological assays based on HIV antigen or antibody measurements to distinguish recent from established HIV infections.

UNAIDS and the polling company Zogby International surveyed the world on what people think about the AIDS epidemic and response.

In most countries health spending increases at the same rate as the overall economy grows. In an economist’s world, where necessity has an elasticity of 0 and luxury an elasticity of 1, health care has an income elasticity of close to 1. So how can your gut reaction be made to mirror reality? OUTLOOK looks at the possibilities.

Young people are leading the prevention revolution by taking definitive action to protect themselves from HIV. A change is happening among young people across the world, especially in parts of sub-Saharan Africa. Waiting longer to become sexually active, young people have fewer multiple partners and there’s an increased use of condoms among those with multiple partners. And HIV prevalence among young people is dropping in many key countries.

Despite remarkable recent successes in the global response to HIV, punitive laws, policies, practices, stigma and human rights violations (see Annex) are threatening progress towards universal access targets and the Millennium Development Goals. Successful strategies for HIV prevention, treatment, care and support require supportive legal, regulatory and social environments that advance human rights, gender equality and social justice goals. Punishing and stigmatizing environments, in contrast, can increase people’s vulnerability to HIV infection, reduce access to and use of HIV services and other health and social services, discourage individual behaviour change, and increase the impact of HIV on people already living with the virus and on their families and communities.

Worldwide, nearly 3 million injecting drug users are living with HIV, and 13 million more are at risk of HIV infection. However, HIV service coverage for drug users is well below 10%, making universal access for this population and the related Millennium Development Goals distant targets.

Tuberculosis (TB) is a leading cause of serious illness and death among people living with HIV, despite being curable and preventable. The need for an integrated approach to addressing HIV and TB (HIV/TB), as intersecting epidemics, is extremely urgent and increasing.

The Millennium Development Goals (MDGs) reflect the global resolve to achieve unprecedented, radical progress across a broad range of health and international development priorities. The MDGs were endorsed by the global community at the turn of the century. Since then, substantial gains have been made towards many of them.2 Progress has been uneven, however, with major achievements in some countries and regions offset by inadequate progress elsewhere, and with significant inequalities within countries as to who benefits. The global development and economic context in which these goals were agreed has also shifted considerably, creating new challenges and opportunities—and calls for new solutions—in the campaign to achieve the MDGs.