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| Srl | Item |
| 1 |
ID:
142624
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| Summary/Abstract |
This article explores the interplay between international donors and local NGOs in Kyrgyzstan's HIV/AIDS sector. It argues that donors have transposed ready-made policies without sufficient consideration of the local context and that NGOs have responded strategically, adapting their proposals and reports to the expectations of donors. This complex interplay has resulted in unintended consequences that have undermined an effective response to the HIV/AIDS epidemic. It has given rise to ‘virtual realities’ detached from developments on the ground. The funding system has also led to corruption and misappropriation of funds and the failure of NGOs to become sustainable. Largely bypassing the state in the allocation of funds, international donors have also undermined an already weak state.
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| 2 |
ID:
119509
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| Publication |
2013.
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| Summary/Abstract |
As in other countries of Central Asia, HIV infections in Kyrgyzstan have increased steeply in recent years, driven by factors such as the sharing of drug paraphernalia among injecting drug users, sex work and other risky sex behaviours, prison settings and infections acquired in hospitals. In contrast to its neighbours, Kyrgyzstan has long been considered a regional pioneer in its response to the HIV/AIDS epidemic, displaying political will and strong leadership, a timely response, and a multi-sectoral approach to tackle the disease. Yet this progress has become increasingly difficult to sustain in recent years, as it has been undermined by political and social instability, the reorganization of the Country Coordinating Committee to fight HIV/AIDS, Tuberculosis and Malaria, the lack of unified mechanisms for data collection, monitoring and evaluation, a high rate of turnover of senior and mid-level staff, stigma and discrimination faced by those most at risk, and heavy dependence on external donors.
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