Development Challenges of HIV/AIDS in Small States

Experiences from the Pacific, Southern Africa and the Caribbean

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Development Challenges of HIV/AIDS in Small States provides an up-to-date and comprehensive analysis of the economic impacts of the epidemic in the Pacific, Southern Africa and the Caribbean. The authors examine specific features of these three regions that contribute towards the spread of HIV/AIDS and identify the responses by various local and external stakeholders. What is clear from the research is that small states must see in the epidemic opportunities for modernisation and, with external support, put emphasis on strengthening policy design and implementation in key areas to strengthen the development effort so urgently needed by their populations.




Developing countries in the African, Caribbean and Pacific regions have been struggling for decades to meet the traditional developmental challenges they faced alongside a rapidly increasing population. In more recent decades a new challenge has arrived on the scene which at first was not fully recognised for the threat that it was. This challenge was the human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS). HIV causes AIDS, a disease that causes a slow and progressive collapse of the immune system. The focus of this book will be on the impact of the HIV/AIDS epidemic on the small countries of the three regions. While there is no universally accepted definition of a small country, since the work of Jalan (ed., 1982) it is customary to measure size by population or land area. The Commonwealth Secretariat uses a population of 1.5 million.


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