The end of AIDS and the NGO Code of Conduct

Publication Date:

23 Aug 2014


Pfeiffer J, Robinson J, Hagopian A, Johnson W, Fort M, Gimbel-Sherr K, et al. (2014). The end of AIDS and the NGO Code of Conduct. Lancet. 384(9944), 639-40. doi: 10.1016/S0140-6736(14)61259-9



Country ownership and health-system strengthening are key global health slogans in the current era of HIV/AIDS treatment scale-up. Their meaning, however, is hotly debated. Is country ownership equivalent to government ownership? 1 Which health system should be strengthened—health care delivered by non-governmental organisations (NGOs), the public sector, private for-profit organisations, or some combination of these actors? Although breakthroughs in HIV treatment have provoked rallying cries for an “AIDS-free generation” and the “end of AIDS”, these calls clash with the reality of understaffed public health systems across Africa that struggle to manage their current patient load, let alone the millions of additional patients who require treatment under new WHO HIV treatment guidelines.


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Our mission is to promote policies and support programs that strengthen government primary health care and foster social, economic, and health equity for all. Our vision is a just world that promotes health and well-being, including universal access to quality health care.

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Health Alliance International began in 1987 as a US-based international solidarity organization committed to supporting the public sector provision of health care for all.  Over 35 years, HAI conducted programs in 17 countries, with flagship programs in Mozambique, Côte d'Ivoire, and Timor-Leste.

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