Global HIV/AIDS Policy in Transition

Resource constraints and peaking of the epidemic should lead to a rebalancing of health assistance for developing countries. In 2007, the United Nations Joint Programme on HIV/AIDS (UNAIDS) concluded that “Global HIV incidence likely peaked in the late 1990s” ( 1 ), due to “natural trends in the epi...

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Published inScience (American Association for the Advancement of Science) Vol. 328; no. 5984; pp. 1359 - 1360
Main Authors Bongaarts, John, Over, Mead
Format Journal Article
LanguageEnglish
Published American Association for the Advancement of Science 11.06.2010
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Summary:Resource constraints and peaking of the epidemic should lead to a rebalancing of health assistance for developing countries. In 2007, the United Nations Joint Programme on HIV/AIDS (UNAIDS) concluded that “Global HIV incidence likely peaked in the late 1990s” ( 1 ), due to “natural trends in the epidemic as well as the result of prevention programmes” ( 1 ). The slow decline in new infections together with a recent rise in antiretroviral therapies (ARTs) halted the rise in the estimated number of AIDS deaths at about 2.2 million per year—equivalent to 4% of all global deaths ( 2 ). Among adults 15 to 49, the proportion currently infected with HIV (HIV prevalence) plateaued at just under 1% before declining to 0.8% worldwide ( 1 , 3 ). These trends raise the question of how global health funding should be rebalanced between AIDS treatment and HIV prevention, as well as other health-care investments.
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ISSN:0036-8075
1095-9203
DOI:10.1126/science.1191804