By Nancy Harris
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Extra resources for AIDS in Developing Countries
It’s one thing to get a child through school, quite another to shatter a legacy of fear, ignorance and stigma. Fortunately, bigger players are now embracing that goal. The Gates Foundation has yet to work out the details of its new $100 million program, but its immediate goal is to target the country’s huge mobile population—not only truckers but also soldiers, railway workers and oil workers. The foundation has the clout to foster alliances among employers in all those sectors, and the freedom to cross the public-private divide.
But at every level of Indian society, one sees hints that change is possible. Pattamal may live humbly, but she learned about HIV in time to avoid contracting it herself. She has used condoms consistently for the past five years. As an educator for Santoshi, she now distributes them to her clients and her peers. In a benevolent pyramid scheme, she then enlists them to do the same. Similar programs have sprouted in most of India’s red-light districts in recent years, and some have shown dramatic results.
Rich countries have the expertise and experience to develop and test HIV vaccines but do not have sufficient numbers of patients to conduct clinical trials of efficacy. • Most poor countries have poor infrastructure and inadequate resources to conduct major trials of an HIV vaccine but are fertile ground for such trials. Thus, rich and poor nations are obliged to cooperate in the successful development of an HIV vaccine. • Any trial of an HIV vaccine must take into account the history of exploitation and abuse of vulnerable people in clinical trials.