id author title date pages extension mime words sentences flesch summary cache txt cord-016829-37i1bn9m nan Bilateral and Multilateral Financing of HIV/AIDS Programs: The World Bank, the International Monetary Fund, the Global Fund, Bilateral Donors and the Private Sector 2008 .txt text/plain 13448 586 47 This review listed the following key barriers and challenges: (1) Many national HIV/AIDS plans are not strategic, and are poorly prioritized; (2) Prevention, care and treatment efforts are too small, and coverage is too low; (3) Management and implementation constraints hamper action; (4) Health systems are weak and overwhelmed, particularly with efforts to expand access to treatment; (5) The effort to expand antiretroviral (ARV) treatment raises difficult issues of equity, sustainability and adherence; (6) Prevention remains inadequate, regardless of the stage of the epidemic in a given country; (7) Stigma and discrimination, denial and silence persist, to the point that some people would rather die than let others know they are HIV positive; and (8) Donors sometimes create additional problems for countries, for example in Tanzania, where program managers spend more time meeting the needs of visiting donors than implementing the programs. ./cache/cord-016829-37i1bn9m.txt ./txt/cord-016829-37i1bn9m.txt