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Despite the urgent need for HIV prevention and the broad range of proven interventions available, a new report by The Global HIV Prevention Working Group says fewer than one in five people at risk of infection today have access to prevention programmes.Meanwhile, only 5 per cent of pregnant women have access to voluntary HIV counselling and testing, and only 24 per cent of people at high risk have AIDS education available to them.The Working Group comprises some 40 leading public health experts, clinicians, biomedical and behavioural researchers and people affected by HIV/AIDS, including those from the Joint UN Programme on HIV/AIDS (UNAIDS), the World Health Organization (WHO) and the UN Children’s Fund (UNICEF).Entitled “Access to HIV Prevention: Closing the Gap,” the report identifies funding gaps for each region in the world and examines current spending levels versus projected need. It recommends that global spending from all sources on HIV prevention should be increased from the current level of $1.9 billion to $5.7 billion by 2005 and to $6.6 billion by 2007 to cater for the shortfall.The report recommends a combination prevention approach, using a range of science-based strategies. It also stresses that prevention and treatment programmes must be scaled up to ensure those who test positive have fast access to treatment and the tools to protect others from infection.Convened last year by the Bill and Melinda Gates Foundation and the Henry Kaiser Family Foundation, the Panel seeks to inform global policy-making, programme planning and donor decisions on HIV prevention, and advocate for a comprehensive response that integrates prevention and care.


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