It is paradoxical that donors underutilize existing talent in the region. Utilizing local expertise can strengthen local institutions, generate employment, and create opportunities for talented researchers in sub-Saharan Africa.

Recommendation 7-5. Greater dialogue between researchers and policy makers is necessary.

Not only is there an urgent need to increase indigenous capacity to conduct research, but there is also a need to better synthesize and translate research findings into effective prevention and control programs and policies. Otherwise, prevention programs will be only marginally based on local needs or tailored to local conditions, and research will be even more undervalued and underfunded. Researchers need to do a better job of drawing out the policy implications of their work, and planners and policy makers need to articulate more clearly to researchers what information they need for effective planning and programs (Uganda AIDS Commission, 1992).

Recommendation 7-6. If more effective strategies for AIDS prevention and mitigation are to be developed in the future, better coordination among donors is needed, particularly sharing of information about which prevention and control efforts work and which do not.

The role of the new cosponsored United Nations Programme on AIDS (UNAIDS) will be critical to future work.4 Success will also require greater political will and commitment on the part of the governments of sub-Saharan Africa and other countries.


Announcing Dr. Peter Piot's appointment as the head of the newly formed United Nations Programme on AIDS, Dr. Boutros Boutros-Ghali declared that ''faced with a truly global emergency and its multisectoral needs, it is imperative that the UN response is comprehensive and effective. HIV/AIDS will not be controlled unless all of us, acting as a global community, unite our efforts, coordinate our actions, and reduce duplication" (World Health Organization, 1995:1).

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