and nongovernmental institutions should prepare for the future impacts of HIV/AIDS in Africa.


Chapter 2 sets the stage for the remainder of the report by examining the future impact of current decisions with respect to the potential for reducing HIV/AIDS incidence and treatment needs, as well as the policy choices and associated trade-offs that must be considered in designing optimum strategies to combat the epidemic in Africa. Chapters 3 and 4, respectively, elaborate on the foundation for these decisions by detailing the implications of the burden of HIV/AIDS for the United States and African states and societies.

Chapter 5 builds on Chapters 2 through 4 to present strategies identified by the committee as both effective and feasible for responding to the long-term burden of HIV/AIDS in Africa. The emphasis of these strategies is on sustainability and shared responsibility between the United States and other donor nations and African states. Finally, Chapter 6 addresses the crucial issue of building the capacity of African leadership for ethical decision making in dealing with the very difficult and inevitable choices that must be made in the face of the gap between treatment needs and available resources. Chapters 2 through 6 end with recommendations formulated by the committee as a result of its deliberations on the respective topics.

In addition, four appendixes are provided. Appendix A addresses the issue of projecting the future burden of HIV/AIDS, examining both epidemiological and economic projections. Appendix B briefly reviews the demographic variation of the epidemic in Africa. Appendix C presents the agendas for the two public workshops held in conjunction with the committee’s February and April 2010 meetings, while Appendix D contains biographical sketches of the committee members.


UNAIDS (The Joint United Nations Programme on HIV/AIDS). 2010. Global report: UNAIDS report on the global AIDS epidemic 2010. Geneva: UNAIDS.

WHO. 2010. Towards universal access: Scaling up priority HIV/AIDS interventions in the health sector. Progress report 2010. Geneva: WHO.

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