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Bill Gates - Building on Success: A Roadmap for HIV Prevention

Posted 19 July 2010, 10:21 A, by Conference Secretariat

By Bill Gates, Co-Chair, Bill & Melinda Gates Foundation [Cross-posted from the Gates Foundation Blog]

I’m honored to speak at the XVIII International AIDS Conference in Vienna today. This conference marks an important turning point in the fight against AIDS.

There are good reasons to be hopeful – we have seen amazing progress. The number of people getting treatment for AIDS has increased twelve-fold since 2003. The people at this conference and major partners such as the Global Fund to Fight AIDS, Tuberculosis and Malaria and PEPFAR have helped make this possible.

 
 Credit: Bill & Melinda Gates Foundation

At the same time, we have to recognize that these are tough times for those of us who are passionate about fighting HIV. Economic turbulence has driven up government deficits, and some countries have responded by reducing their investments in global health. These are the challenges we all face, but they don’t have to define our time.

And that is why, even as we are hopeful, we have to be honest with ourselves: We don’t have the money to treat our way out of this epidemic. Even as we continue to advocate for more funding, we need to make sure we’re getting the most benefit from each dollar of funding and every ounce of effort.

If we push for a new focus on efficiency, especially in prevention, we can, over the next two decades, drive down the number of new infections dramatically.

Here’s how we can do that:

  • We need to scale up existing tools – like male circumcision and preventing mother-to-child transmission.
  • We need to focus prevention efforts on the communities where transmission is the highest – such as men who have sex with men, injecting drug users, and sex workers.
  • We also need innovations in basic science, diagnostics, computer modeling, and our understanding of the virus itself. This would make it possible to create new weapons for our fight against AIDS, prevent even more infections, and save even more lives. Vaccines, new diagnostics, and antiretroviral-based prevention (pills, injections and gels) are some of the new tools I’m really excited about.

If we scale up existing interventions and add new tools in the hardest-hit countries, it would change the face of AIDS. New cases would plunge. Millions more could be treated. The control of HIV would stand alongside the eradication of smallpox as one of the great public health victories in history.

This is the opportunity we have. We can keep doing things the old way, and keep getting the same result. Or we can push ourselves to make the most of every dollar of funding and every ounce of effort: to identify the most effective ways to save lives, and to share what we learn as widely as possible.

If we do that, we will have matched our compassion with the growing capacities of science, and we will start to write the story of the end of AIDS.

You can watch webcasts from the conference at http://www.kff.org/aids2010.org. Check the foundation’s HIV webpage for updates from Vienna throughout the week.

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7/19/2010 12:35:08 PM #

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7/19/2010 1:52:15 PM #

Mr & Mrs Gates,

Thank you for everything that you are doing. Your compassion for us is heart warming. God bless you.

Robin Canada

7/19/2010 6:42:13 PM #

                          bonjour                
nous sommes une ONG du benin denommée OPDH .Nos actions c'est de lutter contre la propagation du vih par les campagnesde sensibilisation dans des villa ge du benin nous  soutenons les personnes atteintes du vih et leur  famille .
Nous vous demander votre soutien pour l'atteinte de nos objectifs
merci
augustin
charger  du projet ONG:OPDH
229  97899886

ONG:OPDH

7/19/2010 8:03:40 PM #

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7/20/2010 12:12:09 PM #

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7/20/2010 1:50:41 PM #

gracias a los Srs Gates, por su compasion hacia los que vivimos con un hijo portador, nos dan esperanzas, y nos hace creer en la humanidad de la gente. mil gracias por su apoyo.

maria salas gonzalez Mexico

7/21/2010 10:28:03 AM #

In deed it was nice to read the points made by Bill Gates Sir A Road map for HIV Prevention,

Few points have really attracted my attention. It is the high time to talk about the treatment, we should focus on the prevention, and Prevention will never come from any where, it is with in us. , it is every body’s, very society’s, every Government’s responsibility, At this critical juncture whole world is looking at the BMGF for resource, at the same time world is watching the sub Saharan countries. Especially the growing trends have been registered in Asia and south East Asian countries.

The social conditions and economical reasons are driving the epidemic in developing countries.

•  Youth and work force do not have enough work in their hands to make them fully occupied
•  Illiteracy and low knowledge on public health as whole
•  Gender inequality, ( we have to work on gender based health and development as a Wholestic approach
•  At present we are isolating this public health issue ( HIV/AIDS/STI), we have to integrate with other public health issues as whole
•  Advocacy at the policy level, all elected Governments have to change according the time, we cannot still stick to those old ornamental policy. I appreciate those policies, all those were holds good as per time demands
* we are missing a major Tribal population in our prevention strategy. The main stream communication is not reaching them. we have seriously think on this aspect, It is my request to the agustous community.

Bilavath Dhenuka Naik India

8/2/2010 4:41:21 AM #

This Good News to us in the Network for people living with HIV.What we need is  drugs for all,
In deed it was nice to read the points made by Bill Gates Sir A Road map for HIV Prevention,

Few points have really attracted my attention. It is the high time to talk about the treatment, we should focus on the prevention, and Prevention will never come from any where, it is with in us. , it is every body’s, very society’s, every Government’s responsibility, At this critical juncture whole world is looking at the BMGF for resource, at the same time world is watching the sub Saharan countries. Especially the growing trends have been registered in African and East African countries.

The social conditions and economical reasons are driving the epidemic in developing countries.

•  Youth and work force do not have enough work in their hands to make them fully occupied
•  Illiteracy and low knowledge on public health as whole
•  Gender inequality, ( we have to work on gender based health and development as a Wholes tic approach
•  At present we are isolating this public health issue ( HIV/AIDS/STI), we have to integrate with other public health issues as whole
•  Advocacy at the policy level, all elected Governments have to change according the time, we cannot still stick to those old ornamental policy. I appreciate those policies, all those were holds good as per time demands
* we are missing a major Tribal population in our prevention strategy. The main stream communication is not reaching them. we have seriously think on this aspect, It is my request to the AFRICAN community. l  am one for represented ICW-KENYA CHAPTER(National Execitiver

Rukia Kenya

9/17/2010 11:21:15 AM #

UNAIDS will:

Support national partners to implement program mes and mobilize communities to change harmful social and gender norms and practices.
Highlight the impact of harmful social and gender norms on the epidemic and promote dialogue with stakeholders who influence norms including political, religious and community leaders and the media.
  Promote effective, evidence-informed programmes to encourage positive social and gender attitudes towards vulnerable and most at risk groups
Support national partners to implement, expand and monitor programmed to reduce stigma and document and disseminate evidence on effective approaches to stigma reduction.  

Rukia Kenya

9/17/2010 11:29:09 AM #

UNAIDS Vision

Zero new infections. Zero discrimination. Zero AIDS-related deaths.


UNAIDS Mission

The Joint United Nations Programme on HIV/AIDS (UNAIDS) is an innovative partnership of ten United Nations Cosponsors  and the UNAIDS Secretariat. UNAIDS’ strength derives from the diverse expertise, experience and mandate of its Cosponsors and the added value of the Secretariat in leadership and advocacy, coordination and joint accountability. UNAIDS’ mission is to lead and inspire the world in achieving universal access to HIV prevention, treatment, care and support by:

Uniting the efforts of the United Nations system, civil society, national governments, the private sector, global institutions and people living with and most affected by HIV;
Speaking out in solidarity with the people most affected by HIV in defence of human dignity, human rights and gender equality;
Mobilising political, technical, scientific and financial resources and holding ourselves and others accountable for results;
Empowering agents of change with strategic information and evidence to influence and ensure that resources are targeted where they deliver the greatest impact and bring about a prevention revolution; and
Supporting inclusive country leadership for sustainable responses that are integral to and integrated with national health and development efforts.

UNAID will

Support national partners to implement program mes and mobilize communities to change harmful social and gender norms and practices.
Highlight the impact of harmful social and gender norms on the epidemic and promote dialogue with stakeholders who influence norms including political, religious and community leaders and the media.
  Promote effective, evidence-informed programmes to encourage positive social and gender attitudes towards vulnerable and most at risk groups
Support national partners to implement, expand and monitor programmed to reduce stigma and document and disseminate evidence on effective approaches to stigma reduction.  

Rukia Kenya