Key achievements and prospective issues
LAC concentrates only 2.3%of the total worldwide HIV/AIDS burden, landing in fourth place after Sub-Saharan Africa, South Asia, and East Asia and the Pacific. From 2000 to 2013, LAC had the second-highest decreasing rate on HIV/AIDS burden worldwide (42 %). At the end of 2015, roughly 1.6m people were living with HIV in a region with more than 500m people (discounting USA and Canada). The same year, Cuba became the first country in the world to receive validation from WHO for eliminating mother-to-child transmission of HIV and syphilis, with another five LAC countries close to achieving the same goal; this was one important step towards having an AIDS-free generation worldwide.
The early introduction of universal access to treatment initiated by Brazil and Argentina, massive social mobilization, new legal regulations, and efforts to control vertical transmission, stigma and discrimination converted the region in a leader in combating the HIV/AIDS epidemic.
HIV program expenditure in LAC, annually is around three billion USD. While substantial, it is under 1% of LAC’s total health expenditure. In the context of less external financing support in future and the need to improve efficiencies, LAC decided to undertake a series of 12 studies within eight countries.
Pasco, Peru. This Andean community stands out for several reasons: at 4,380 meters above sea level, it is the highest and one of the oldest cities in Peru. The birthplace of the millenary Wari culture, it is home to several peoples who honor their traditions and strive to improve their quality of life.
The Meyer family from Anitapolis, Santa Catarina, southern Brazil
A rude awakening by geese screaming at my door was not the way I envisioned starting my day. With temperatures near freezing, the 6.00 AM milking session seemed a daunting first task in my 12-hour internship as a family farmer in Santa Catarina, Brazil.
It has been almost four years since I first became involved with the regional public-private dialogue initiative, the Caribbean Growth Forum (CGF). In June 2012, I walked into the conference room at University of the West Indies, Mona Campus for the Launch of the first phase of the initiative and there was something electric in the air. It was new and fresh, but old fears lingered; was this to become 'just another regional talk-shop?'
Wide-eyed and optimistic I was determined that for my small part it wouldn't turn out that way.
A student in a laboratory. Francisco Obreque/World Bank
“Don’t waste your time in local breeding programs if someone else can improve the seed for you. We are a small country and cannot afford to reinvent the wheel”. This was the pragmatic advice of a Bhutanese agro-scientist visiting Bolivia a few years ago. His statement might be true, especially in resource-limited countries. However, I strongly believe that implementing agricultural innovations requires bridging the global with the local in a two-way partnership, with strong capabilities in the field. Here's a good example.
From the moment the earthquake happened, I was anxious to go to the coastal areas that were most affected. Possibly because of my past life working for a relief agency, where emergencies were an immediate call to action to help those who were, and are, facing so much loss – loss of family and friends, of homes, of livelihoods, of a sense of peace and security. But also a sense of uncertainty to be faced with such loss –to look beyond the tragedy to find the hope. While at the same time, managing the risks for my colleagues and myself of possibly facing another strong replica that might leave us among the disaster.