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close this bookHIV and Development in Multicultural Contexts (UNDP; 1996; 9 pages)

HIV and Development in Multicultural Contexts

HIV and Development Programme
UNDP, New York • 1996

By Elizabeth Reid

Printed October 1997


The HIV epidemic is a new, complex phenomenon in the world today. It is challenging accepted ways of understanding health and human development, and is demanding new forms of expertise and a more integrated and collaborative development practice. It is raising significant conceptual, ethical and programmatic issues, many of which still need to be named, which need to be better understood.

The aim of this series of papers is to raise new or neglected issues and to articulate the questions many of these issues raise about accepted ways of doing things. The issues included have been identified by the HIV and Development Programme of the United Nations Development Programme, its partners and other concerned people. The views expressed in the papers are those of the authors and may not necessarily reflect those of the United Nations Development Programme.

The publications policy of the HIV and Development Programme is to keep papers brief, simply written and limited to issues not addressed, or not addressed from the same perspective, elsewhere. Authors are asked not to outline solutions but rather to stimulate the processes of reflection and discussion essential for change to arise within the readers’ own contexts. Publications include issues and working papers, research studies, posters, statements of principles, training materials and books. Publications are made available in a number of languages.

The HIV and Development Programme welcomes the papers being reproduced in whole or in part by any person wishing to understand and explore these issues further. We would be grateful for acknowledgement, comments and feedback. We are also interested in suggestions for further papers and other publications and in receiving copies of the papers which have been translated into other languages.

There is a sense of urgency associated with this epidemic which is often not felt in the other areas of development. There is a need to find effective, sustainable and compassionate ways of responding. We hope the publications contribute to this quest.

Desmond Cohen
HIV and Development Programme


Listen to these words:

We have no desire for revenge. We harbor no hatred towards you. We, like you, are people, people who want to build a home. To plant a tree. To love, to live side by side with you. In dignity. In empathy. As human beings.

These words could have been said by people living with HIV, those infected themselves and those close to them. They could have been said to those who infected them, or to those who, knowing or suspecting that they were affected, humiliated, or rejected, or stigmatized, or in other ways stripped them of their dignity and their livelihoods.

Listen to the words again:

We have no desire for revenge. We harbor no hatred towards you. We, like you, are people, people who want to build a home. To plant a tree. To love, to live side by side with you. In dignity. In empathy. As human beings.

These words could have been said by women to the gatekeepers of the cultures which are structured by gendered relations of dominance and subjugation, to the men - the fathers, brothers, husbands, sons, pastors, employers - who limit women’s ability to express themselves as decisive, autonomous, free-wheeling, laughing, effective human beings. They could have been said by women to the husbands and sexual partners who infect them or who wantonly disregard their desire that they and their children remain uninfected.

These words could have been said by the poor, the homeless, the abused of our societies, those stripped of their rights to learn, to be well, to be trained, to cope, to be nurtured, to shelter, to have the means to create a livelihood, and so are forced to survive in whatever ways they can.

They could have been said in any situation of entrenched differences, of warring social groups, of culturally mediated prejudice, of ingrained patterns of domination of whatever form. But they will only be said by the dissenting voices, by the prophets and the peace makers, by those concerned with transforming the present into a better world.

They were in fact said by Yitzhak Rabin, in Washington, at the signing of the Israeli-Palestinian declaration of principle in September 1993. Poverty, he also continually stressed, is the breeding ground of terrorism and so the building of new relationships between people is inseparable from human development. He was also to say, prophetically, a year later, again in Washington, that hatred of others sows the seeds of hatred amongst yourselves.

Why are these words, drawn from a particular multicultural context, so relevant to our response to the HIV epidemic? The answer, I would like to contend, lies in an understanding of the role of empathy in the moral response to difference. Group differences are not universal, static and fixed but rather ambiguous, relational and shifting. But difference is threatening and violence to others often comes about because of a feeling that they are different. Conditions which foster and create violence also spread the epidemic. Acknowledging difference whilst creating a common purpose, creating solidarity, is difficult unless interpersonal understanding and communication is made possible and this is done through empathy.

Living within the horror of this epidemic, we too want to plant a tree, build a home, to love and to live as human beings. Yet so feared and fearful is this epidemic, that even the thought of it creates difference. So often the initial reaction within our different settings is to locate it somewhere else:


They are at risk
They are affected.
We need to design programmes to educate them
We need to protect them.
In saying this, we make clear that we are not them and the epidemic is not amongst us.
And so we are different from them.
The Them/Us barrier of difference has been erected.

An even more emotive, impenetrable barrier is erected between those known to be infected and others. Processes of exclusion are set up, singling out those brave enough to talk about being infected or those whose right to privacy has been abused. Reactions of stigma, rejection, humiliation and discrimination arise from and reinforce these patterns of exclusion. Existing patterns of entrenched difference, whether of lifestyle, of sexual expression, of gender, or of socio-economic stratification, become further ingrained.

In these ways, the epidemic tends to undermine social cohesion and to create contending social groups.

Listen to this conversation. Let us join Helen, Stephan, Miriam, and other friends who are sitting around in the evening, chatting over a glass or two of beer. Helen, not long returned from her fields, is presiding behind the counter. The setting is rural Uganda.

Stephan, smartly dressed, an electrical technician, exclaims that he wants to marry. But, he laments, none of the possible brides is going for less than five cows and his father says that times are hard and he cannot afford more than two and so his son must wait.

Bitterly, Stephan points to the Health Ministry anti-AIDS poster above the refrigerator: Love Carefully! Stick To One Partner! Why, he demands, is there no poster telling parents how to behave.

Well, ventures a visitor from outside, the notion of buying a wife is barbarous and must change if women are to be equal.

You don’t understand, bursts out Helen, you think a woman feels bad if she’s exchanged for cows or money. But if there’s no exchange she feels worth nothing.

Stephan raises his voice: I only want my own woman. I’m not crazy, I know all about AIDS. With a wife I wouldn’t live risky. Why must men pay to make women feel better?

That’s bad thinking, retorts Helen. Women must feel valued or we can’t look for equality. If my husband got me free, I couldn’t start a revolution. A free bride’s a slave - no worth, no status, no respect. Everyone knows my bride price was ten cows. When I talk revolution they listen, with respect.

So you see, Jill smiles softly at the outsider, for us, women’s liberation has to start from where we’re at, not where you’re at!

And so the evening ends but the problem remains unresolved. Stephan and other men in Bushenyi remain bitter and scared. Helen and the other women continue to demand that women be valued. Similar conversations with different details are occurring in communities around the world. Contending social groups - in this case, men and women - have been created and tensions and differences exacerbated.

This story captures the superficiality of analyses which couch the response in terms of gender analysis - improving women’s status or giving women voice; of economic growth - increased per capita income; or of HIV specific initiatives - transmission and protection information and access to condoms. Helen and Stephan are living the complexity of the situation and, for their sakes and that of others, there is an urgent need to find a way forward, a means of each understanding and appreciating the perspective of the other and of being able to reconcile their differences. We all have such stories in our own lives, particularly, perhaps, in our relationships with our children, where empathy is critical to the capacity to respond to difference.

In situations of entrenched difference, whether they be the Middle East or Rwanda, whether it be families or communities torn apart by destructive reactions to the epidemic, it is empathy that creates the possibility of a way forward. For empathy allows the coming together across barriers of difference and creates the possibility of responses of respect and inclusion.

As Yitzhak Rabin went on to say:

We wish to open a new chapter in the sad book of our lives together - a chapter of mutual recognition, of good neighbourliness, of mutual respect, of understanding.

The basic question in both situations, the response to the HIV epidemic and to situations of entrenched prejudice and contending cultural identities, is how do we create and strengthen the capacity to understand difference in such a way that change is possible?

Empathy is a skill or capacity and thus can be instilled, taught and developed. It is the skill through which compassion, as distinct from pity, can be exercised. It creates the possibility of solidarity and solidarity allows for mutual respect and trust whilst recognizing and accepting difference. Community, intimacy, trust, solidarity, respect and compassion do not spring into existence. They need to be created.

Thus recognition of the centrality of empathy in the response to the HIV epidemic is a recognition that we are connected in dense ways by bonds of affection, dependency, concern, kinship and reliance and that if we scorn or neglect these bonds we will not survive. It further recognizes that in the face of this epidemic we are interdependent and so to be able to survive what lies ahead of all of our communities we must find new ways of relating amongst ourselves, between men and women, between those affected and those not yet directly affected, between parents and children, between communities and government and amongst nations. The centrality of empathy is the centrality of caring, caring about oneself, caring about others, caring that the epidemic not destroy our desire to build a home, plant a tree and to live and love in dignity as human beings. It is thus a moral capacity.

At the beginning of the response to the epidemic, our understanding of what was needed was different. The critical questions were considered to be cognitive: What do we know about the virus and its transmission? How does this knowledge get transmitted from us to others? As a result, particular emphasis was placed on the production of educational materials - posters, pamphlets, manuals, books, etc. - and on the transmission of information, whether by modern or traditional cultural media.

This demanded deliberative patterns of reasoning. Conclusions had to be reached - this was safe, that not, this uncertain - so that they could be advocated, written down and passed on by the experts. But this approach ignored the very human fact that when answers are presented, there are no questions. However, introspection, reflection and self-questioning are essential to movement and change.

Access to information and to knowledge is critically important to communities, to each sexually active person and to those whose own behaviour or that of others puts them at risk of infection in different ways. This is not at issue. Thus cognitive processes - the gaining and the transmission of knowledge - are necessary but, we have learnt, they are not sufficient. We have to strive to produce and to enable, not just knowledge but also change.

But there is a cognitive process that is essential to empathy. It is the interactive and interpretive process of understanding. It is exercised through the capacity to listen and to contribute and to question in ways that lead to dialogue and discussion. It is understanding that leads to conviction and engagement and which must form the basis for action, for change.

Thus the critical processes have come to be understood as performative, but performative in a particular way, a way that is grounded in complex and sensitive processes of understanding and that reflects and accepts the affective content. This may better be captured as transformative: the catalyzing and supporting of processes through which people become engaged, personally as well as socially and professionally, processes which transform their way of being in and relating to the world.

The questions are now being seen to be about how people become actively involved, whether it is in processes of reconciliation and healing, of peacemaking, or of commitment to an introspective, reflective and inclusive response to the epidemic. What are the transformative experiences and how do they come about?

The tragic recent history of Israel, and of countries such as Rwanda and the former Yugoslavia, show how the horror of an act or acts can lead people to initiate processes of moral reflection, to understand the terrible consequences that the neglect of the exercising of moral skills and capacities can have. But this most not be our only way forward.

We are learning through living, sometimes wrenchingly, that where the rhetoric of vengeance, of hatred or of prejudice has been left unchallenged, where families and communities have not engaged in discussion and the search for consensus on difficult issues, havoc has been wreaked. We reflect our moral identity in our omissions as well as in our actions and attitudes.

Empathy is a mode of moral reflection in contexts of created and entrenched differences. It is a moral skill which enables the recognition and valuing of others. But the valuing of others essentially involves the valuing of and caring for self. Thus a particular type of nurturing and support is required, one that allows people to give and receive recognition. Moral reflection is interpersonal in nature for it develops and can be exercised only in relations of reciprocal recognition. As Prime Minister Rabin recognized, it is grounded in respectful connections with others. Recognition and understanding of self and others is essential for the moral courage to act.

Let us look at the exercise of this capacity for moral reflection and for the valuing and caring for others in a particular setting of this epidemic.

A little while ago, in 1991, three women were sitting talking. They lived in Matero compound, a poor neighbourhood of Lusaka, Zambia, a neighbourhood where more and more people are beginning to sicken and die. They had noticed that in the compound there was a growing number of families of children left to fend for themselves after their parents had died. They were children that they knew, children with whom their own children had grown up, with whom they played and went to school. They decided that they should discuss their concern with the other women of the compound and so asked the local parish priest if they could use the church as a meeting place.

About thirty women turned up to the first meeting to talk about what was happening in their midst. One of the women had been to Uganda and talked reflectively about how orphans there were being cared for in their communities, rather than in institutions. Kwasha Mukwenu - Help Your Friend Who is in Need - was born and soon about 120 women were involved. They accepted that they all had other commitments and responsibilities, and so they needed to find a way to care for and look after these children that was manageable in the rhythms and demands of their daily lives.

They felt that what the children most needed was the feeling that someone cared about what was happening to them, that there was someone that they could turn to for help and guidance, that there was someone there to ask the children how their day went, to touch them and hold them on their laps. And that it was important the children had a least one decent meal a day.

And so they divided the compound up into quarters and the women of each quarter look after the children within it. They felt that the orphaned children should know the “mother” who was looking after them. The children should feel that they belong in the neighbourhood and so should be cared for where they belong.

After some time, most of the married women found it too difficult to combine the demands of husband and home with caring for the orphans. Kwasha Mukwenu today still has the original three women and has a core group of 30 women. All of them are widows. All have lost their husbands to AIDS. Many of the women know or suspect that they themselves are infected. They are themselves mothers. They care for 1, 050 children in the compound.

We visited them one lunch time recently in the church as they fed their children together with the children whose parents had died. They sat to talk with us afterwards. They explained that they had become engaged because they knew the children and they wanted to make sure that they were cared for. Sometimes, they said, they were very tired. And they worried about not managing to secure enough food, not being able to pay for the children’s school fees, to find ways to train the older children in an occupation. Some of the older girls were going to the bars to find ways of helping their family to survive.


Here is how they described what they are doing:

We are planting the seed of love in these children so that they will grow up to be caring persons.

We know that not all these seeds will grow but we have to put our faith in the future of these children.

Many of these children are very rough and difficult. They fight you. But it is because they are looking for love. They feel betrayed. They are deeply grieving. But we must have patience and keep on caring for them in the hope that they will come through.

By helping these children, we are also helping our own children for we want our children to know that in helping others lies the only hope for the future.

It will be these children who will in time look after our own children.

Here empathy is manifested by these women not only in an intimate awareness of and attention to these children’s lives and emotions but also to their own lives and their pain and limitations. Further, communication is understood to be not only a verbal dialogue but as much about touch and being there to listen, to counsel and to support. It is about being attentive to and discerning of others. In this, the women are being active moral agents, exercising the ability to perceive others in their own, different terms and to respond to their needs. This is a narrative of relationships that were already established in 1991 and which will continue well beyond the life of these women and of Kwasha Mukwenu.

That this must be the core of HIV education and prevention was profoundly understood by the Israeli Minister of Education when he said last night that HIV education was not only about the transmission of knowledge about prevention but about the allaying of fears and the creation of tolerance and compassion and the ability to help those who need our assistance. The focus of our HIV education and prevention, care and support programmes is shifting to the exploration of how such profoundly moral skills and capacities can be strengthened and opportunities, the literal and metaphorical space, for their exercise created and encouraged.

Thus empathy engages complex intellectual capacities along with affective ones. It is a loving regard, the paying of attention to people in the contexts and details of their lives.

Moral understanding involves a blend of perceptive, imaginative, appreciative and expressive skills and capacities which make it possible for us to remain in contact with our own selves as moral agents and to hear and communicate with others across differences, to interpret wisely and to nourish each others capacity for attentiveness. Movements for personal and social change emerge out of this dynamic.

Thus the critical question for overcoming exclusion, humiliation and a lack of valuing of others is: How can empathy be created and strengthened and the transformative processes of personal and social change be facilitated? But in order to respect the fact that empathy and action require introspection, reflection and self recognition, perhaps the primary question should be: How can we draw on empathy in our own moral response to difference?

This is not an idle question. As I drew on examples from the Middle East and East and Southern Africa, was your reaction one of the valuing and recognition of the experiences of others? Or was it a distancing of self from them, a creation of difference: that has happened there and not in my community or country and so is not relevant to me? As you undertook your research and prepared your statistics and analyses for presentation here, what was the relation you created between yourself and those whose lives you are documenting and discussing.

As we discuss our different perspectives on what is required to respond to this epidemic, do we do it with mutual respect and a sense of a common cause? As we come become sensitive to the creation of Them and Us, how do we recreate our roles and responsibilities in the response to the epidemic? Do we remain the experts or do we become the partners of others, the facilitators of processes of change and of the creation of ways forward? How do we draw on empathy to help ourselves live the lives that we wish to lead?


1. The Story is taken from Dervla Murphy, The Ukimwi Road: From Kenya to Zimbabwe, London: Flamingo/Harper Collins, 1994, pp. 123, 127-128.


This paper was first presented at the 9th International Conference on HIV/AIDS Education in Jerusalem, 1995.

Biographical Note

Elizabeth Reid is Senior Adviser, Bureau for Policy and Programme Support, United Nations Development Programme (UNDP), New York. Before joining UNDP, she worked closely with community groups working within the HIV epidemic in Australia and was responsible for the formulation of Australia’s first National HIV/AIDS Strategy. She has extensive experience in development theory and practice, including programme design and evaluation in Africa, Asia, the Pacific, the Middle East, and Latin America and the Caribbean.


Language and the images it evokes shape and influence behaviour and attitudes. The words used locate the speaker with respect to others, distancing or including them, setting up relations of authority or of partnership, and affect the listeners in particular ways, empowering or disempowering, estranging or persuading, and so on. The use of language is an ethical and a programmatic issue.

UNDP has adopted the following principles to guide its HIV-related language.

Language should be inclusive and not create and reinforce a Them/Us mentality or approach. For example, a term like “intervention” places the speaker outside of the group of people for or with whom he or she is working. Words like “control” set up a particular type of distancing relationship between the speaker and the listeners. Care should be taken with the use of the pronouns “they”, “you”, “them”, etc.

It is better if the vocabulary used is drawn from the vocabulary of peace and human development rather than from the vocabulary of war. For example, synonyms could be found for words like “campaign”, “control”, “surveillance”, etc.

Descriptive terms used should be those preferred or chosen by persons described. For example, “sex workers” is often the term preferred by those concerned rather than “prostitutes”; “people living with HIV” or “people living with AIDS” are preferred by infected persons rather than “victims”.

Language should be value neutral, gender sensitive and should be empowering rather than disempowering. Terms such as “promiscuous”, “drug abuse” and all derogatory terms alienate rather than create the trust and respect required. Terms such as “victim” or “sufferer” suggest powerlessness; “haemophiliac” or “AIDS patient” identify a human being by their medical condition alone. “Injecting drug users” is used rather than “drug addicts”. Terms such as “living with HIV” recognize that an infected person may continue to live well and productively for many years.

Terms used need to be strictly accurate. For example, “AIDS” describes the conditions and illnesses associated with significant progression of infection. Otherwise, the terms used include “HIV infection”, “HIV epidemic”, “HIV-related illnesses or conditions”, etc. “Situation of risk” is used rather than “risk behaviour” or “risk groups”, since the same act may be safe in one situation and unsafe in another. The safety of the situation has to be continually assessed.

The terms used need to be adequate to inform accurately. For example, the modes of HIV transmission and the options for protective behaviour change need to be explicitly stated so as to be clearly understood within all cultural contexts.

The appropriate use of language respects the dignity and rights of all concerned, avoids contributing to the stigmatisation and rejection of the affected and assists in creating the social changes required to overcome the epidemic.



RECOGNIZING the impact that the HIV epidemic is having on all aspects of human life;

RECOGNIZING the need for an urgent response;

RECOGNIZING that the fundamental value of respect for human rights, life and human dignity provides the foundation on which all is built,

WE, the participants at the Intercountry Consultation of the African Network on Ethics, Law and HIV, affirm that any action, whether personal, institutional, professional or governmental, in response to the HIV epidemic, should be guided by the following principles:

THE PRINCIPLE OF RESPONSIBILITY: Every person, government, community, institution, private enterprise and medium must be aware of his or her responsibility and must exercise it in an active and sustainable manner.

THE PRINCIPLE OF ENGAGEMENT: Every person is affected, directly or indirectly, and therefore should respond with commitment, concern, courage and hope for the future.

THE PRINCIPLE OF PARTNERSHIP AND CONSENSUS-BUILDING: All persons, couples, families, communities and nations must work together with compassion to build and share a common vision. These partnerships must reflect and actively promote solidarity, inclusion, integration, dialogue, participation and harmony.

THE PRINCIPLE OF EMPOWERMENT: The empowerment of every person, but particularly women, the poor, the uneducated and children, is essential and must guide all action. Empowerment requires recognition of the right to knowledge, information and technology, freedom of choice and economic opportunity.

THE PRINCIPLE OF NON-DISCRIMINATION: Every person directly affected by the epidemic should remain an integral part of his or her community, with the right of equal access to work, housing, education and social services, with the right to marry, with freedom of movement, belief and association, with the right to counselling, care and treatment, justice and equality.

THE PRINCIPLE OF CONFIDENTIALITY AND PRIVACY: Every person directly affected by the epidemic has a right to confidentiality and privacy. It can only be breached in exceptional circumstances.

THE PRINCIPLE OF ADAPTATION: Every person and community should change and adapt social and cultural conditions to the new challenges of the epidemic in order to respond effectively.

THE PRINCIPLE OF SENSITIVITY IN LANGUAGE: Language should uphold human dignity, reflect inclusion, be gender sensitive, accurate and understandable.

THE PRINCIPLE OF ETHICS IN RESEARCH: The interests of the research subjects or communities should be paramount. Research should be based on free and informed consent, be non-obtrusive and non-coercive, and the results should be made available to the community for timely and appropriate action.

THE PRINCIPLE OF PROHIBITION OF MANDATORY HIV TESTING: HIV testing without consent should be prohibited. HIV testing should also not be a pre-requisite for access to work, travel or other services.

This Declaration was drafted and endorsed by participants at the Intercountry Consultation of the African Network on Ethics, Law and HIV, organized in Dakar, Senegal, from 27 June to 1st July 1994, by the UNDP HIV and Development Programme (Dakar and New York). Participants came from Central African Republic, Côte d’Ivoire, Ghana, Kenya, Rwanda, Senegal, South Africa, Uganda, Zambia, the WHO Global Programme on AIDS, the WHO Regional Office for Africa, the UNDP Management Development and Governance Division, the UNDP HIV and Development Project in Asia and the Pacific, the Asian and Latin American Networks on Law, Ethics and HIV, the African Council of AIDS Service Organizations (AFRICASO), the Association of African Jurists (AJA), ENDA Tiers Monde, the Network of African People Living with HIV/AIDS (NAP+), the Organisation Pan-Africaine de Lutte contre le SIDA (OPALS) and ORSTOM.

Documents listed below are also available on the HIV and Development Programme World Wide Web Page:

Issues Papers

1. The HIV Epidemic and Development: The Unfolding of the Epidemic, 1992 (Also available in French, Spanish)

2. The Economic Impact of the HIV Epidemic, 1992 (Also available in French, Spanish)

3. Female Genital Health and the Risk of HIV Transmission, 1991 (Also available in French)

4. People Living with HIV: The Law, Ethics and Discrimination, 1992 (Also available in French, Spanish)

5. Sharing the Challenge of the HIV Epidemic: Building Partnerships, 1992 (Also available in French)

6. Placing Women at the Centre of the Analysis, 1990 (Also available in French, Spanish)

7. Behaviour Change in Response to the HIV Epidemic: Some Analogies and Lessons from the Experience of Gay Communities, 1991 (Also available in French)

8. Women, the HIV Epidemic and Human Rights: A Tragic Imperative, 1991 (Also available in French)

9. “A Tora Mousso Kele La” A Call Beyond Duty: Often Omitted Root Causes of Maternal Mortality in West Africa, 1991

10. Gender, Knowledge and Responsibility, 1992

11. The Role of the Law in HIV and AIDS Policy, 1991 (Also available in French)

12. Young Women: Silence, Susceptibility and the HIV Epidemic, 1992 (Also available in French, Spanish)

13. Children in Families Affected by the HIV Epidemic: A Strategic Approach, 1993 (Also available in French)

14. Approaching the HIV Epidemic, 1993

15. HIV and the Challenges Facing Men, 1995

16. Development Practice and the HIV Epidemic, 1995

17. Development as a Moral Concept: Women’s Practices as Development Practices, 1994

18. Meanings of Sustainability for HIV Programmes: From Financial Independence to Long Term Behaviour Change, 1995

19. Living With HIV, 1994

20. HIV Prevention in Multicultural Contexts, 1996

21. Women and HIV: Our Silences and Our Strengths, 1995

22. The Impact of HIV on Families and Children, 1996

23. HIV Epidemic and Development in Nicaragua, 1996

24. What Constitutes Effective IEC Programmes?, 1997

25. Neurological Disorders of HIV Infection and AIDS in Africa: Clinical Diagnosis, Treatment and Care, 1997

26. National Strategic Planning and the HIV Epidemic, 1996

Books and Monographs

1. Development and the HIV Epidemic: A Forward Looking Evaluation of the Approach of the UNDP HIV and Development Programme, United Nations Development Programme, 1996 (Also available in French, Spanish)

2. HIV & AIDS: The Global Inter-Connection, United Nations Development Programme, 1995. Published by Kumarian Press, Inc., available at book sellers in the U. S. and distributed by the HIV and Development Programme to developing countries.

3. The Feeling of Infinity, 1993. Published by the National Library of Australia, Canberra.

Study Papers

1. The HIV Epidemic in Uganda: A Programme Approach, 1993

2. The Socio-Economic Impact of HIV and AIDS on Rural Families in Uganda, 1994

3. Wheeling and Dealing: HIV and Development on the Shan State Borders of Myanmar, 1994

4. Other Ways of Doing Things, 1994

5. Riding the Roller Coaster: Experiencing Transitions from HIV to AIDS, 1997

Working Papers

1. Some Thoughts on Women and HIV


Why Women and HIV? It Takes Two to Tango, Safely, 1992
Young Women and the HIV Epidemic, 1990
Women, HIV and Development, 1989

2. Some Ethical Issues of the HIV Epidemic


Lost Souls, 1989
Towards an Ethical Response to the HIV Epidemic, 1994 (Also available in French)
Care Research and Ethics, 1995 (Also available in French)

3. Behaviour Change: A Central Issue in the Response to the HIV Epidemic

, Informal Consultation Report, Dakar, Senegal, December 1991

4. Challenges for UNDP in a Changing World 1990-2000: Social Trends, 1991

5. HIV Coordination at the United Nations, 1992

6. HIV and Development in Africa, 1993 (Also available in French)

7. The Linkages Amongst Population, Development, Women and the HIV Epidemic, 1994

8. Mainstreaming Policy and Programming Responses to the HIV Epidemic, 1995

10. Rwanda: Did the HIV Epidemic contribute?, 1994

UNDP HIV and Development Information Kit

• Legal and Ethical Networking: Enabling a Community Response, 1996

• African Network on Ethics, Law and HIV: Dakar Declaration, 1994 (poster)

• Law, Ethics and Human Rights: Cebu Statement, Philippines, 1993 (poster)

• Statement of Belief on Behaviour Change: Saly Portudal, Senegal, 1991 (poster)

• UNDP Guiding Principles on HIV & AIDS, 1991 (poster)

• The Challenge of the HIV Epidemic, 1991

• Workshop on the Development Dimensions of the HIV Epidemic, 1993

• United Nations Volunteers. The Role of UNV Specialists in HIV/AIDS-Related Work: A Community-Oriented Programme Approach, 1992

• UN HIV/AIDS Personnel Policy, 1993

• Role of UNDP in Combating HIV/AIDS: Policy Framework for the Response of UNDP to HIV/AIDS (DP/I 991/57), 1991

• UNDP HIV-Related Language Policy, 1992

Contents available separately or as a complete kit. Available in English, French, Spanish, Portuguese, Arabic & Russian.

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The UNDP HIV and Development programme draws together UNDP’s headquarters, regional and country programming and other initiatives designed to strengthen the capacity of nations and organizations to respond effectively to the HIV epidemic. The activities covered in this programme include:


• establishing priority needs through consultations with those directly affected by the epidemic;

• national capacity building through field missions, consultations and HIV and development workshops on multisectoral programme development and coordination;

• development of gender-sensitive and community-based approaches through pilot programmes, consultations, workshops and publications;

• multisectoral policy development and advocacy through intercountry consultations, colloquia, the establishment of regional networks (legal, economic, for example), publications and technical assistance;

• programme development through workshops and facilitated study tours which explore innovative ways of increasing and measuring programme effectiveness and sustainability;

• mainstreaming HIV in key programming areas, for example, in village self-help schemes, food security systems, regional planning approaches, etc., through studies, workshops, training and technical assistance;

• establishing operational research priorities relevant to effective and sustainable programme and policy development and evaluation through colloquia, commissioned reviews and consultations; and

• mobilising and coordinating the response of the UN system and other players at the national level to maximise the effectiveness of their support for the national response to the epidemic.

The work of the UNDP HIV and Development programme is coordinated within the UN system by the Joint United Nations Programme on HIV/AIDS (UNAIDS). The HIV and Development Programme was established by the UNDP Governing Council and its mandate is contained in its Policy Framework and Guiding Principles (DP/I 991/5 7). UNDP works in close collaboration with UNAIDS and other multilateral and bilateral agencies, national governments, non-governmental and community based organizations, and academic and private sector institutions to contribute towards an effective, sustainable and coordinated response to the HIV epidemic.

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