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South Eastern Europe (SEE) is a varied region containing a population of about 56 million which has experienced significant civil conflict, political upheaval and economic transition over recent years. This situation has led to an increase in the factors that can lead to the spread of HIV/AIDS and other sexually transmitted diseases. Whilst there is a reported low prevalence of the disease in the region overall, this is generally thought to underestimate its regional prevalence. This report provides an overview of the situation and the policy responses to the problem in the SEE region up to January 2002. The report contains country reports on Albania, Bosnia and Herzegovina, Bulgaria, Croatia, the Federal Republic of Yugoslavia, the province of Kosovo, the former Yugoslav Republic of Macedonia, Romania and Slovenia.
The south eastern European countries of Bulgaria, Croatia and Romania are suffering from the effects of rapid socio-economic changes, such as increased unemployment and lack of access to educational services, increased substance abuse and rising sex trafficking, which have led to an alarming increase in HIV/AIDS. This paper reviews the approaches being adopted to address this problem in these countries and makes recommendation both for government strategies and for the World Bank's current and potential future involvement. Options are examined under the headings of: epidemiology and operational research; health care and social services; health communications and promotion; and civil society and advocacy.
Tells the story of HIV/AIDS in Europe from a broad variety of perspectives: bio-medical, social, cultural, economic and political. The authors are leading experts from across the region and include both the infected and the affected, be they doctors or former drug users, United Nations employees or gay men, public health researchers or community activits. They describe how, from the first documented cases in 1981 to the present era of antiretroviral management, controlling the human inmmunodeficiency virus in Europe has provided elusive.
The Eastern Europe and Central Asia region has the world’s fastestgrowing HIV epidemic. Although still concentrated, the epidemic has diversified, affecting several key populations in many countries. This change has increased the number of people in need, the ways the epidemic can spread, and the complexity of formulating an effective strategy to combat it. At the same time, international funding is insufficient to cover the growing need, and domestic plans to cover the funding gaps, in many cases, fall short. In this environment, the need to use data to make the best possible decisions about using available funds is essential. Tackling the World’s Fastest-Growing HIV Epidemic tells the story of how, in 11 countries across Eastern Europe and Central Asia, small groups of decision-makers and experts came together to carry out innovative, groundbreaking analyses for each country. It details the steps these nations have taken to strengthen their HIV programs based on the findings while highlighting critical issues for the road ahead. In so doing, the book also shows the potential of what can be done with a mathematical model and how it can support real-life improvements in policy and more efficacious budget allocations. It is the record of a unique undertaking to improve public health investments that offers lessons for many communities.
This report describes the dynamics of HIV epidemics among vulnerable and high risk populations in the European region, in particular people who inject drugs, sex workers, and men who have sex with men. It aims to inform future HIV responses and guide HIV prevention surveillance and research.
Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.
The countries of Eastern Europe and the central Asian region are experiencing the greatest increases in rates of HIV/AIDS and tuberculosis infections. This publication sets out the World Bank's regional support strategy which seeks to provide a unifying framework for the Bank's work as part of the international support for country-led responses to these public health problems. It identifies short to medium term priorities and clarifies options for integrating effective interventions into the broader agenda of poverty reduction and economic development.