Eschborn: Deutsche Gesellschaft für Technische Zusammenarbeit, GTZ, 2002. 40 p.
Since the early 1980s, the HIV/AIDS epidemic has spread rapidly throughout the African continent. By the end of 2001 an estimated 29 million people were living with HIV in Africa. That same year 3.5 million people became newly infected with the disease and 2.2 million individuals died from AIDS-related causes. At the end of 2001, more than 14 million children worldwide had lost one or both parents to the epidemic. By providing support to a number of projects, GTZ has been assisting African countries in their fight against the epidemic since 1987. Several district-based initiatives have been implemented, with particular emphasis on prevention, health information, and community involvement. In addition, an HIV/AIDS prevention and control component has been incorporated into numerous projects on primary health care, reproductive health and family planning. Many lessons have been learnt during this period. The past six years have seen a measurable impact on the course of the epidemic, for example in two ongoing district-based control projects in Tanzania's Mbeya Region (the results are documented in "Hope for Tanzania", see bibliography) and the Basic Health Services project in Kabarole, Uganda. This brochure provides an insight into the experience gained in Kabarole, highlighting ways of measuring success in the fight against HIV/AIDS. The GTZ sector project "AIDS control in developing countries" was established in 1986. It supports the development and promotion of successful prevention and control strategies for HIV and other sexually transmitted diseases with special emphasis on an integrated, multi-sectoral approach. The project's "good practices" series documents examples of HIV/AIDS work and provides evidence of reductions in HIV infection rates and changes in the sexual behaviour of the target population. The aim is to make this information available to national and international partners. We hope that by documenting these results we can contribute towards developing tools and instruments for HIV/AIDS control at a district level that can be applied in a great variety of settings.
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