Yes, Strengthen the Health System—But Strengthen It for All

Community activism has played a crucial role in achieving better access to HIV treatment. Although there is comparatively better access to treatment now than in the past, communities must remain at the center of the global HIV response.

The International Treatment Preparedness Coalition (ITPC) was established in 2003 as a loose but fierce coalition of AIDS activists from across the world, united in a common belief in the right to health for all. Over the years, this movement has grown into a global network of treatment activists, with regional structures in Africa, Asia, Latin America, the Caribbean, and Eastern Europe.

In mid-2013, I took over the leadership of ITPC and was one of the first recipients of the Open Society New Executives Fund. With this support, we focused on two strategic initiatives: 1) making the global coalition a more cohesive and strategic advocacy force, bringing local and regional community treatment–access voices to the global health discourse, and 2) establishing the network as its own legal entity in the Global South.

Both of these initiatives have been vital to ITPC’s mission, ensuring that local issues around access to medicine and health funding provide a counter-narrative to the often overly celebratory tone of the global health debate.

But there is still much to do. The current emphasis on health system strengthening runs the risk of neglecting to address the real issues faced by marginalized and stigmatized communities. There is a need for community activists to monitor service provision at a time when national governments increasingly take responsibility for the delivery of HIV services. We need to repoliticize the AIDS movement to counter the complacency and bureaucratization of community engagement.

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The only way to improve the system lives in one individual.
All efforts should be focus on changing the thought process of an individual and ultimately individuals.
The net effect is the product in the form of care for each other .
Beautiful minds are always a blessing for any country and all efforts should be made to produce such minds.

As Africans we need to stand up and make our Leaders in office realise We have as much rights as We have . Our Tax payers money is not doing enough for the Health sector

The more the community involvement ,the more government takes up responsibility in HIV/AIDS care the more sustainable the programs will be once funding is curtailed and when there is no support.Nurses who form 90% of the work force in most African countries have a critical role in reaching this marginalized group.

More empowerment needs to be raised to all.

The world suffer from AIDS and other terrible deseases,the only issue we can do is to provide education on how to avoid by morden science and technology and to increase effort on innovation and researchs all over the world .BY LAURENT.C.BILIHANYUMA ,a research proposal and projects writer.

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