Confronting Aids

Two decades after the appearance of human immunodeficiency virus (HIV), the HIV/AIDS epidemic has spread across the industrialized and developing world. Of the estimated 30 million people, who have contracted the virus, 6 million have died of AIDS. About 90 percent of worldwide infections occur developing countries, where disease has already reduced life expectancy in some cases by more than a decade. HIV, already widespread among the general population of many Sub-Saharan African countries, many be on the verge of exploding in other regions; the number of new infections occurring each year in Asia may already have surpassed those in Africa. Because most people who contract HIV are adults in the prime of life, AIDS extracts a heavy toll on surviving family, especially children and the elderly, and is likely to exacerbate poverty and inequality. Clearly, the human and economic toll of the epidemic is great. But efforst to combat HIV use resources that could also have been applied to other pressing human needs, especially in the lowest income countries. How should developing country governments and the international community respond?

This book provides strategy for policymakers, development specialists, public health experts, and others in a position to influence the public response to the epidemic to consider how society and governments in particular should intervene to confront HIV/AIDS. In doing so it draw upon three bodies of knowledge: the epidemiology of HIV: public health insights into disease control; and especially public economics, which focuses on assessing tradeoffs in the allocation of scarce resources. The report argues that AIDS is a large and growing problem and that governments can and should actively confront the epidemic. It finds that some policies will be much more effective than others, and it disticnguishes between activities that should be left to households and the private sector, including non-governmental organizations (NGOs); those that should be initiated by developing governments; and those that can best be undertaken by the international development community.

1. AIDS: A Challenge for Government

2. Early, Focused Action is Key

3. Preventing HIV/AIDS

4. Coping with the Impact of AIDS

5. Balacing Public, Private, and International Roles

6. Lessons from the Past, Opportunities for the Future

Statistical Appendix