AIDS poses an unprecedented health and developmental threat the world over including Asia. Ever since it emerged in the early 1980s, it has been spreading rapidly across continents and devastating millions of lives. In the process it has stretched the health-care systems and wrecked the economies and social fabric of many societies. Developing countries, including those in Asia—which has the second highest number of people living with HIV/AIDS—are the most seriously affected. In Asian countries, the problem is compounded by the lack of awareness, poverty, and inadequate funds and infrastructure.
This important and comprehensive volume focuses on the epidemiological and programmatic aspects of the HIV/AIDS epidemic in Asia. The contributors discuss the dynamics and determinants of HIV and cover a wide range of pertinent topics related to prevention, care and treatment. These include:
- The health, economic, socio-cultural and security dimensions of HIV/AIDS
- Success stories in HIV prevention and care including 100% condom programme
- Antiretroviral treatment and the “3 by 5” initiative
- Management of HIV and sexually-transmitted infections
- Drug-related HIV
- HIV vaccine development
- The role of NGOs
- Country-specific HIV reports
The contributors highlight the lessons learned in Asia in responding to the challenge posed by HIV and the success achieved by many countries. In addition to HIV prevention, facilitating access to care—including antiretroviral treatment—despite the many problems is now a matter of crucial importance. Scaling up of innovative approaches proven effective elsewhere is also a matter of great urgency.
This volume will be invaluable for all those engaged in combating HIV throughout the world. In particular, it will be of immense use to all those involved in HIV/AIDS control programmes, public health professionals, health care workers, policy makers, health administrators, as also international agencies and NGOs and community-based organizations.
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Jai P Narain is Coordinator/Regional Adviser on HIV/AIDS and TB programmes at WHO’s Regional Office for South-East Asia (SEARO), New Delhi. He has an MBBS and an MD from the All India Institute of Medical Sciences (AIIMS), New Delhi, and a master’s in public health and in epidemiology from Harvard University, Boston. Associated with HIV/AIDS and TB prevention and control programmes since 1988, he has held positions at PAHO/AMRO Caribbean Epidemiology Centre (1988–90) and WHO, Geneva (1990–91). He has been with SEARO since 1991 where he has also served as Team Leader, Global Programme on AIDS (1991–95). Dr. Narain has also worked at prestigious institutions like the National Institute of Communicable Diseases, AIIMS, the Indian Council of Medical Research and Centers for Disease Control, Atlanta. He has published extensively and has edited/authored several books on various aspects of communicable diseases, mainly HIV/AIDS and TB.
This volume discusses the many advances in HIV research, new initiatives and their promise for application in the Asian region. It highlights the critical need for national commitment and adequate resources, and for addressing the underlying HIV-risk related behaviours and vulnerabilities. The contributors also examine the concept of comprehensive care - from home and from the community to the institutional level - as well as providing up-to-date information on HIV drug and vaccine development.
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