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- W2289778936 abstract "The response to the AIDS epidemic in Zambia in 1985 was constrained by 1) a downturn in the economy and 2) denial on the part of government. Finally in 1986 the government recognized AIDS was a major public health problem, but it concentrated on mobilizing support from international organizations. During 1988-89 one local nongovernmental organization (NGO) in Zambia recognized that care for people with AIDS was a necessary condition of modifying sexual ritual cleansing. They have been particularly successful in organizing preventive measures as well as taking care of people with AIDS in the community. The concerns expressed by Zambian NGOs encompass guaranteed donor and government funding for NGOs and for the future; the benefit of innovative strategies for all Zambians; and agreement on the best strategies. The Zambian government since 1990 has moved to develop a health reform policy to ensure leadership by government; accountability towards Zambia's people; and the building of partnership with the public, NGOs, and donors. The government, in collaboration with major donors and NGOs, has articulated a Strategic Health Plan. The major items of the Plan are: a) a coordinator for donors and NGOs has been appointed within the Ministry of Health, b) donors have agreed to standardize the reporting and evaluation of donor-supported programs, c) in order to improve the financial accounting system and consequently accountability at the district level, one major donor has funded a training program for accounts assistants, d) the government has agreed to guarantee the Ministry of Health's funding under an agreement reached with the World Bank, and to implement a multisectoral plan in the fight against AIDS, and e) NGOs are moving to establish an administrative secretariat to assist in coordination of their activities." @default.
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- W2289778936 date "1994-12-01" @default.
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- W2289778936 title "Building an effective response. International cooperation." @default.
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