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The Department for International Development (DFID) launched its new HIV/AIDS Strategy qAchieving Universal Access: the UK's strategy for halting and reversing the spread of HIV in the developing worldq in June 2008. DFID is widely acknowledged as a global leader in tackling HIV/AIDS, particularly amongst vulnerable and marginalised groups, including women and children. Its Strategy provides an excellent analysis of the challenges faced in tackling HIV/AIDS effectively. It makes substantial financial commitments, most notably Ap6 billion over seven years to strengthen health systems in partner countries, and Ap1 billion over the same period for the Global Fund to Fight AIDS, Tuberculosis and Malaria. Direct and specific HIV/AIDS funding of this kind continues to be necessary to fill the gaps in prevention and treatment services in high-prevalence countries. But the Strategy is strong on rhetoric but weak in communicating how DFID will implement it. There are few measurable targets or indicators of how the Strategy's effectiveness will be assessed. DFID fails to explain how the high-level funding commitments will be broken down by country or sector, making it difficult to understand how implementation will occur on the ground. The Committee has concerns that social protection programmes, which are now DFID's main instrument for assisting children orphaned and made vulnerable by HIV/AIDS, will not be specifically targeted at this vulnerable. The overall aim of the Strategy is universal access to HIV prevention, treatment and care, but the target date for achieving this is only two years away in 2010.64 Tuberculosis (TB) is the most common cause of death among people with HIV: about 13% of AIDS deaths each year are ... have TB.68 DFIDa#39;s evidence indicates that only 42% of countries with generalised HIV epidemics screen for TB, andanbsp;...

Author:Great Britain: Parliament: House of Commons: International Development Committee
Publisher:The Stationery Office - 2008-11-30


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