PRIORITIZING THE SCOPE OF HIV/AIDS ACTION:


An Applied Research Project

POLICY REPORT AND EXECUTIVE SUMMARY

Frank Heller and Christiane Nöstlinger

April 2000


Frank Heller
THE TAVISTOCK INSTITUTE
30 Tabernacle Street
LONDON EC2 4UE
United Kingdom
Email: heller@tavinstitute.org

Christiane Nöstlinger
EUROPEAN CENTRE
Berggasse
171099 VIENNA
Austria
E-mail: nostlinger@compuserve.com











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CONTENTS

Our Objectives
Our Methods
What We Have Learned: The Dissonances

DISSONANCE : RESTRUCTURING THE WELFARE STATE

DISSONANCE : INCREASED LIFE EXPECTANCY
DISSONANCE : UNDER-REPRESENTED NEED GROUPS
DISSONANCES : NETWORKING VERSUS AUTONOMY, LEADERSHIP, POWER AND EVALUATION
DISSONANCE: INNOVATION versus TRADITION
DISSONANCE : INTEGRATION Versus SPECIALIZATION
DISSONANCE : PREVENTION versus TREATMENT (PRIMARY PREVENTION VERSUS SECONDARY PREVENTION)
DISSONANCE: ETHICS (DISCRIMINATORY LAWS, AGE OF CONSENT, NEEDLE EXCHANGE, COMPULSORY TESTING, THE SANCTITY OF THE BODY ETC.)
CONCLUSIONS

Summary Table of Dissonances and Outcomes

Recent Epidemiological Development in Selected European Countries
Table: Aids cases and incidence rate (per million population) by country and year of diagnosis