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The result of collaboration between the University of New South Wales and the Tsinghua University in Beijing, this unique chronicle maps some of the most important social, political, and cultural characteristics of the HIV epidemic in China. Demonstrating that the epidemic was propelled by three main economic drivers-the blood trade, the drug trade, and the sex trade-this informative compilation of essays uncovers the hidden truths about the spread of HIV and analyzes its social impacts

Culturally responsive evaluation recognises the existence of diverse ontologies and epistemologies or understandings of existence and ways that people know, reason and perceive the world respectively. Its exponents argue that these should be reflected in evaluation practice. Buddhism has a significant global influence today, particularly in some countries in South East and East Asia, where it is practised by a large majority of the population. In this article, we suggest an applied approach to culturally responsive evaluation by first analysing the ontologies and epistemologies underpinning Buddhism and the Most Significant Change technique, a participatory method for monitoring and evaluation that involves the collection of stories of significant change. We then identify where these converge and diverge. Finally, we suggest practical ways in which the Most Significant Change technique could be adapted to enhance its compatibility with a Buddhist world view.

Globally each year, HIV continues to infect millions of people, and the number of people living with HIV and AIDS grows. While there has been an increase in funding for HIV and AIDS, there is a growing gap between the funds available and the funds needed for both prevention and treatment. Yet, one of the means of closing that gap - preventing new infections - has slipped down the agenda. In arguing for a significant intensification of the HIV prevention response, and the relevance of a strong social stance within this response, this paper addresses the need to manage finding a balance between prevention and treatment and care. Not only is there not enough being spent on HIV prevention, but also in some instances, the prevention agenda has been hijacked by those who favour morally conservative, but ineffective, HIV prevention strategies. We argue that effective prevention needs to be firmly located within the everyday realities affecting communities and societies, and needs to focus on what is known to work. In particular, we need to move beyond a public health underpinned by neo-liberal notions of agency and individual responsibility to a public health that recognises the collective nature of epidemics, and works with communities and networks to transform social relations. This latter, more `social` public health, is concerned with the social, political and economic factors that produce HIV risk and responses to it. Contrary to what some might suggest, HIV prevention has not failed, rather, governments and donors have failed HIV prevention.

The relevance of community in the face of mounting individualism remains a pressing sociological issue. Social fragmentation challenges traditional communities of shared identifications and collective memberships while flexible relationship options lead sociologists to question the real benefits of friendships and the viability of personal commitments. These issues are sharply defined in current debates about 'gay community' and whether sexual practices can generate solidarity among a diversified social group. AIDS educators have long relied on notions of 'gay community attachment' and sociologists enthusiastically explore the innovative potential of gay and lesbian friendships for rethinking community today. Drawing evidence from a national e-male survey of the social relationships and sexual behaviour of over 4000 gay and bisexual men, we suggest that community pessimism is exaggerated. We contest unified sexualized notions of (gay) community and identify a potential for solidarity within these men's friendships, sexual relationships and personal communities.

IntroductionLeadership is a key factor in the success of HIV prevention and treatment. Positive HIV‐related outcomes are also affected by funding levels for HIV, health sector resources, disease burden and the socio‐economic environment. Leadership on HIV as well as these other factors are affected by the quality of political governance of the country, which may be an overarching factor that influences the making of effective responses to the HIV epidemic.AimThe aim of the study was to investigate the association between quality of political governance, on one hand, and coverage of antiretroviral therapy (ART) and prevention of mother‐to‐child transmission (PMTCT), on the other, in low‐ to middle‐income countries.MethodsThis investigation was carried out through a global review, online data sourcing and statistical analyses. We collected data on health burden and resources, the socio‐economic environment, HIV prevalence, ART and PMTCT coverage and indicators of political governance. Outcome variables were coverage of ART (from 2004) and PMTCT (from 2007) to 2009 as a percentage of persons needing it. Potential predictors of treatment coverage were fitted with a baseline multilevel model for univariable and multivariable analyses.ResultsCountries with higher levels of political voice and accountability, more political stability and better control of corruption have higher levels of ART coverage but not PMTCT coverage. Control of corruption (in standard deviation units) had a strong association with ART (AOR=1.82, p=0.002) and PMTCT (AOR=1.97, p=0.01) coverage. Indicators of economic development were not significant when control of corruption was included in the multivariable regression model. Many countries in all income groups had high ART but not PMTCT coverage (e.g. Mexico, Brazil and Romania in the upper‐middle‐income group; Papua New Guinea and Philippines in the lower‐middle‐income group; and Cambodia, Laos and Comoros in the low‐income group). Very few low‐income countries (notably, Haiti and Kenya) had high PMTCT coverage.ConclusionsOur research found a significant relationship between quality of political governance and treatment coverage. Measures and policies for improving the quality of political governance should be considered as a part of HIV programme implementation to more effectively improve the welfare of people living with HIV, particularly mothers living with HIV and their babies.