Issues Paper No. 1

The HIV Epidemic and Development:

The Unfolding of the Epidemic

Figure 2

Programming the Epidemic and its Impact

 EPICENTRE

WAVE I

WAVE II

WAVE III

WAVE  IV

SPREAD OF THE VIRUS

TRAUMA, ILLNESS AND DEATH

SURVIVORS

SOCIAL AND ECONOMIC IMPACT

LONG-TERM POTENTIAL IMPACT

Level of Primary Intervention

Individual

Community
Family

Community
Family

Community
Workplace

Nation
Nation

Community

Primary Programme/ Policy Focus

Change in norms and behaviour

Voluntary testing and counselling sites

Legal, ethical and human rights

Prevention technology

Socio-economic causes

Social/sexual development

Social inclusion

Psychological support

Legal, ethical and human rights issues

Welfare maintenance

Care and treatment

Future planning

Legal, ethical and human rights

Assistance

Programmes

Social/sexual development

Social inclusion

Psychological support

Legal, ethical and human rights issues

Labour market and social services planning

Productivity maintenance

Governance

Governance

Decentralization

Community survival strategies

External aid flow