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Crisis Among Crises Among Crises: HIV/AIDS in the Eyes of Russian Health Care Experts
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Crisis Among Crises Among Crises:
HIV/AIDS in the Eyes of Russian Health Care Experts
Theodore P
1
. Gerber, Ph.D.
Associate Professor
Department of Sociology
Center for Demography and Ecology
University of Wisconsin,
Madison, WI
and
Sarah E. Mendelson, Ph.D.
Senior Fellow
Russia and Eurasia Program
Center for Strategic and International Studies
Washington DC
December 2003
ABSTRACT. Many fear a catastrophic HIV/AIDS crisis awaits Russia unless the Russian government makes the struggle against HIV/AIDS a top policy priority. Based on survey data and individual and focus group interviews with Russian health officials and health care workers who deal with HIV/AIDS, we conclude the case for prioritizing HIV/AIDS will find little resonance in Russia. HIV/AIDS is perceived to be just one aspect of the broader health crisis, and the health crisis is just one among many other crises that have befallen Russian society during the last decade. This perception is reinforced by uncertainty about the disease’s prevalence in Russia, the preponderance of intravenous drug users among Russian PLWHA, satisfaction with the government’s current policies, and skepticism regarding efforts to increase policymakers’ concerns about HIV/AIDS. Accordingly, the HIV/AIDS campaign in Russia should be integrated into a broader strategy to address Russia’s health crisis in all its aspects.
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The research reported herein was supported by a grant from the Bill and Melinda Gates Foundation to the
Center for Strategic and International Studies. The authors thank Tanja Grechukhina and Olga Stuchevskaya for advice and assistance in Russia and Steve Morrison and Celeste Wallander for helpful suggestions.
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| | Authors: Gerber, Theodore. and Mendelson, Sarah. |
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1
Crisis Among Crises Among Crises:
HIV/AIDS in the Eyes of Russian Health Care Experts
Theodore P
1
. Gerber, Ph.D.
Associate Professor
Department of Sociology
Center for Demography and Ecology
University of Wisconsin,
Madison, WI
and
Sarah E. Mendelson, Ph.D.
Senior Fellow
Russia and Eurasia Program
Center for Strategic and International Studies
Washington DC
December 2003
ABSTRACT. Many fear a catastrophic HIV/AIDS crisis awaits Russia unless the
Russian government makes the struggle against HIV/AIDS a top policy priority. Based
on survey data and individual and focus group interviews with Russian health officials
and health care workers who deal with HIV/AIDS, we conclude the case for prioritizing
HIV/AIDS will find little resonance in Russia. HIV/AIDS is perceived to be just one
aspect of the broader health crisis, and the health crisis is just one among many other
crises that have befallen Russian society during the last decade. This perception is
reinforced by uncertainty about the disease’s prevalence in Russia, the preponderance of
intravenous drug users among Russian PLWHA, satisfaction with the government’s
current policies, and skepticism regarding efforts to increase policymakers’ concerns
about HIV/AIDS. Accordingly, the HIV/AIDS campaign in Russia should be integrated
into a broader strategy to address Russia’s health crisis in all its aspects.
1
The research reported herein was supported by a grant from the Bill and Melinda Gates Foundation to the
Center for Strategic and International Studies. The authors thank Tanja Grechukhina and Olga
Stuchevskaya for advice and assistance in Russia and Steve Morrison and Celeste Wallander for helpful
suggestions.
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