By World Bank
With nearly part the world¡¯s inhabitants, Asia will ascertain the way forward for the worldwide HIV/AIDS pandemic. there's a major possibility of a large-scale HIV/AIDS epidemic within the quarter. and lots of nations have already all started the struggle: classes were realized in quite a few contexts, together with reviews from Thailand, the Philippines, Indonesia, and Papua New Guinea. Governments, civil society, and different companions are key gamers during this reaction. even though, with new equipment of investment, problems with ability, and an evolving epidemic, responses needs to keep in mind 5 key demanding situations: political dedication and multisectoral aid; public wellbeing and fitness surveillance and tracking and review; prevention; care, aid, and therapy; and overall healthiness providers supply.
Addressing HIV/AIDS in East Asia and the Pacific identifies techniques for a way the realm financial institution, in shut partnership with govt, civil society and different companions, might help within the reaction on the state and local degrees. It stresses the necessity for nation particular ideas to deal with the range of matters in the quarter and highlights the significance of analytic and advisory paintings during this quarter to aid ongoing and deliberate courses in addition to potential construction efforts.
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Additional info for Addressing HIV/AIDS in East Asia and the Pacific
All projects include health promotion to the general population and groups whose members practice high-risk behaviors, though earlier projects gave more emphasis to health services capacity. More recent projects tend to be more comprehensive, though issues of care and support for HIV/AIDS are addressed only in China Health IX. All projects attempt to build multisectoral involvement, including NGOs, but effectiveness appears to be mixed. Overall, the projects tended to be stronger on technical design than on implementation.
To maximize the effectiveness of drug treatment, it should be complemented by care and support and implemented using standardized evidence-based clinical protocols. Implementing these protocols requires strengthening health systems, including improving clinical training, laboratory infrastructure, logistical systems to deliver medicines, and sustainable systems for funding clinical services that are delivering antiretrovirals. The uptake of antiretroviral therapy varies considerably across the region.
Thailand has an estimated 20,000 patients on antiretroviral therapy, many through unstructured treatment in the private sector, and the number is expected to grow. To prevent the growth in resistance, medical treatment should be standardized, and people living with AIDS should also be treated for opportunistic infections. Treatment is more than medical interventions and should include care and support as well as palliative care for the dying. Finally, because there is a lot we do not know about the interactions between curative and preventive interventions, it is important to maintain vigilant surveillance to understand the potential for recurring growth.