Creating an Enabling Environment for HIV Prevention
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Understanding the social and demographic
impact of the pandemic and the analysis of population
dynamics associated with HIV/AIDS is another area in
which UNFPA has relevant expertise.
This would include critical analyses
to identify distinct population dynamics and trends
resulting from the pandemic, and how they influence,
for example, production patterns, resource allocation
and management in a given country.
The demographic consequences of
the epidemic include shifts in the dependency ratio,
with more young and aged persons having to take care
of families; declining resource capabilities (human
and material), especially in the health and education
sectors; and the changing content of education, particularly
in communities with high prevalence levels.
Among the questions to be addressed
are: will the population likely stabilize or decline
in the most affected countries because of the epidemic?
If so, what kind of population policies should be developed
and implemented? What are the policy implications for
the countries involved? What should be the priorities
for these countries to strike a balance between national
resources and population growth in the near future?
These projections and analyses,
combined with research in sexual behaviour, would support
more appropriate programme planning, population-based
policy dialogue and the integration of HIV/AIDS issues
in population policy development.
UNFPA should continue to support
and promote the inclusion of HIV-prevention issues in
population policies. The three core areas and cross-cutting
gender issues must be duly reflected in those policies.
UNFPA should also support multisectoral
policy dialogues on the impact of HIV/AIDS.
One important feature of the ICPD
Programme of Action is its focus on human rights and
social dimensions at the core of population and development
strategies.
Since the beginning of the HIV/AIDS
epidemic, a significant concern of decision makers has
been to understand its social and demographic consequences
on national development. However, the lack of reliable
data and statistical capacity in programme countries
has often hampered programme design and implementation.
Although this is a multisectoral,
multi-agency endeavour, UNFPA should, together with
other donors and partners, continue to advocate for
and selectively support national statistical capacity-building
efforts.
The aim is to promote suitable information
systems and population-based surveys to enhance gender-specific
demographic projections. UNFPA should encourage that
a special module to collect information on social and
sexual behavioural patterns and trends related to HIV/AIDS
should be included in national survey designs. These
data should be analyzed and presented in a way that
makes the gender and poverty dimensions easy to understand
and use for policy decisions and in programming for
HIV prevention.
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