Future of HIV and Pakistan's National Response
Going forward the Government of Pakistan has approved a new ambitious 5 year plan that will be worth almost PKR 8 billion. However, a number of challenges will have to be met during this phase. The most immediate perhaps will be developing the methodology of measuring the impact of program interventions. A National M&E Framework has been developed but implementation on it has yet to start. Lack of the ability to measure the outcomes or impact of interventions in real time (so that this knowledge can inform program direction) was likely the most important factor in the low performance of the first Enhanced Program. Other challenges that must be overcome include establishment of a transparent financial management and a smooth logistical and procurement system. Much of the Enhanced Program services are contracted out and delays in procurement of these services meant that many of the cities went without services for months to years. More complex (and longer term) challenges will include determining how to integrate many of HIV activities within other health activities, improve planning to anticipate future direction of the epidemic and its response and to enhance efficiency and effectiveness of the interventions. For these research must become part of the interventions to guide their implementation using local context and to involve epidemiological tools such as routine analysis of available data and even mathematical modeling to guide program planning.
Read more about this topic: HIV/AIDS In Pakistan
Famous quotes containing the words future of, future, national and/or response:
“Our Last Will and Testament, providing for the only future of which we can be reasonably certain, namely our own death, shows that the Will’s need to will is no less strong than Reason’s need to think; in both instances the mind transcends its own natural limitations, either by asking unanswerable questions or by projecting itself into a future which, for the willing subject, will never be.”
—Hannah Arendt (1906–1975)
“It is given to few to add the store of knowledge, to strike new springs of thought, or to shape new forms of beauty. But so sure as it is that men live not by bread, but by ideas, so sure is it that the future of the world lies in the hands of those who are able to carry the interpretation of nature a step further than their predecessors.”
—Thomas Henry Huxley (1825–95)
“The Federated Republic of Europe—the United States of Europe—that is what must be. National autonomy no longer suffices. Economic evolution demands the abolition of national frontiers. If Europe is to remain split into national groups, then Imperialism will recommence its work. Only a Federated Republic of Europe can give peace to the world.”
—Leon Trotsky (1879–1940)
“... the most extreme conditions require the most extreme response, and for some individuals, the call to that response is vitality itself.... The integrity and self-esteem gained from winning the battle against extremity are the richest treasures in my life.”
—Diana Nyad (b. 1949)