how can an hiv/aids free generation be achieved

Once upon a time jaundice was uncurable--now it's not.

Humen have very short memory--The example is recent Mumbai attack--Nothing happened--India is again back to famous TALKS.

So it is important to invent a cure to this HIV/AIDS--because it is very risky to believe in our ever forgetting people's mind.

It can be done by seemingly small things.Acceptance by society of HIV+/AIDS and hope to such people and their families.Along with medicines and their livelihood rehabilitation

My unit manages an hiv/aids program" HIV/AIDS Prevention and Control Program" which is funded by the World Bank. This is a very big topic and I do not think anyone at Toostep will be able to give the answer in a nut shell. However I will share some of the strategies adopted by my country to deal with the epidemic.

Government of Guyana (GOG) : Key elements of the GOG’s current response to the epidemic include:

• Strengthening of the surveillance system to produce information that will inform the design of interventions for HIV/AIDS reduction and planning care for those affected;

• Increase access to appropriate STI diagnosis and management as a key prevention strategy

• A plan to increase access to voluntary counseling and testing (VCT);

• A Plan to increase PMTCT Plus sites.

• AIDS awareness and education training at worksites;

• Rigorous blood screening for HIV and other infectious markers

• To reduce the risk and vulnerability to infection with HIV through targeted public education efforts focused on health care providers, youth, employers, employees, entertainers, commercial sex workers and men who have sex with men , and,

• Provision of free HIV services including antiretroviral therapy for HIV-positive patients

• Early infant diagnosis

• Plan for the expansion of the Laboratory diagnosis and monitoring of HIV and for the diagnosis of opportunistic infections

• Support for persons living with HIV ( nutritional, psychosocial, economic and others)

• Support for orphans and vulnerable children

New strategies will need to be combined with a scaling up of traditionally effective interventions that are tailored for local epidemiology and context to maximize public health impact despite resource constraints.

Partnerships

Eliminating HIV/AIDS in the United States cannot be achieved by any single agency or group, but will require public health partnerships comprising persons, communities, agencies, and the private sector. Strong partnerships are especially important to address stigma and discrimination and to promote greater acceptance of those living with HIV/AIDS. Religious and business communities and correctional and mental health services all need to be part of a national mobilization in the prevention of HIV transmission. Improved collaboration across government agencies is also required to provide a unified public health infrastructure dedicated to research, prevention, treatment, care, and rehabilitative services for persons affected by HIV/AIDS.

Increased Access to Voluntary HIV Testing

For the estimated quarter of a million persons living with HIV who are unaware of their HIV infection, testing is the gateway to lifesaving treatment. Persons who know they are infected with HIV are more likely to take steps to prevent themselves from transmitting the virus to others. To reduce the number of persons with undiagnosed HIV infections, a sustained expansion of access to and uptake of HIV testing will be required. This reduction can be achieved by making voluntary HIV testing a routine part of medical care, reducing the barriers to HIV testing, and ensuring easy access to new rapid HIV tests that, in many jurisdictions, can be performed by trained persons who are not clinicians.

Prevention Messages Focused on Both HIV-positive and HIV-negative Persons

Providing culturally and contextually appropriate messages is essential to help persons at risk avoid contracting HIV infection and to help those who are infected with HIV avoid transmitting the virus. Prevention messages also need to focus on the role of alcohol and drug abuse in HIV risk. Substance abuse (via injection drugs, alcohol, or methamphetamines) can facilitate risky behaviors among persons who might otherwise protect themselves and others from HIV. Preventing substance abuse and increasing access to substance-abuse treatment are examples of effective interventions for reducing HIV transmission.

Integrated Prevention Programs

Federal, state, and local prevention measures are increasingly focused on maximizing public health impact for any given program. One approach to increasing program effectiveness is increasing the development and implementation of integrated HIV-prevention programs. Several integrated programs exist across the nation, combining HIV, sexually transmitted disease (STD), viral hepatitis, mental health, and substance abuse services.Effective integration requires that program leaders 1) better define program integration goals, 2) identify best practices in the field and ensure that they are disseminated and implemented widely, 3) implement policies and regulations that enhance and support integration at local levels, and 4) evaluate the most cost-effective strategies.

Improved Monitoring of New HIV Infections

Reliable, population-based data are essential to track the HIV epidemic and target prevention measures accurately. For decades, AIDS surveillance has been a cornerstone of national, state, and local efforts to monitor the scope and impact of the HIV epidemic. However, AIDS surveillance data no longer accurately describe the full extent of the epidemic because effective therapies have slowed the progression of the disease. Since 1999, CDC has recommended that states conduct HIV reporting using the same name-based approach currently used for AIDS surveillance nationwide. Currently, 43 states and five territories use confidential, name-based HIV case reporting. Several of the remaining states intend to implement name-based HIV surveillance in 2006. Moreover, in 2006, data from a new national HIV incidence surveillance system will provide the most accurate estimates of new HIV infections. These data, combined with improved surveillance of the patterns and distributions of risk behaviors in the population, will refine the targeting and delivery of HIV-prevention efforts.

New Prevention Technologies

Certain prevention technologies still under development, including preexposure prophylaxis, microbicides, and vaccines, are unlikely to provide full protection against HIV, might offer little or no protection against other STDs such as gonorrhea and chlamydia infections, and will not prevent unwanted pregnancies. Instead, new technologies are more likely to be incorporated into the spectrum of tools for comprehensive approaches to disease prevention. Effective behavior-change programs will still be needed to address possible behavioral disinhibition (i.e., continuing or returning to high-risk behaviors when one feels protected) among persons who receive these interventions. Prevention counseling that addresses informed choice and consent; the HIV-prevention behaviors of abstinence and delay of sexual debut, being monogamous, having fewer sex partners, and using condoms correctly and consistently; and other reproductive health needs (e.g., STD treatment and family planning) must be incorporated alongside these new prevention interventions.