AIDS on the Agenda: Adapting Development and Humanitarian Programmes to Meet the Challenge of HIV/AIDS

managing and mainstreaming HIVAIDS on the Agenda: Adapting Development and Humanitarian Programmes to Meet the Challenge of HIV/AIDS

My book on HIV mainstreaming written for policy-makers, managers, and programme staff in development and humanitarian agencies. AIDS on the Agenda was one of the first publications on this subject. Many of the definitions which I developed back then are now widely used.

You can download the entire book for free or buy it from Oxfam.

See also Mainstreaming HIV/AIDS in development and humanitarian programmes for a cut down version of this book.


This book is concerned with AIDS (Acquired Immune Deficiency Syndrome), but not with specific responses to it. If you are looking for advice about work that is focused exclusively on the problem of AIDS – home-based care, medical treatment, voluntary counselling and testing, condom promotion, or AIDS education – then you need a different book. But if you are concerned about the devastation that AIDS is causing, and you believe that more needs to be done, and by more people, than can be achieved by AIDS-specific work alone, then read on. You will find ideas based on experiences of adapting mainstream development and humanitarian work to address the problem of AIDS indirectly, along with ways in which organisations can respond from within to protect their employees and their business. AIDS has changed the world; this book is about the changes needed for effective development and humanitarian work in a world of AIDS.

This book considers the dual challenge for development and humanitarian organisations of ‘mainstreaming’ HIV and AIDS, which consists (i) of making changes to the internal management of their organisations, with a view to limiting the impacts of AIDS on their employees and their work, and (2) adapting their external work in order to take account of the causes and consequences of AIDS. In arguing that mainstreaming HIV and AIDS is a task for all organisations involved in development and humanitarian work, this book aims to stimulate thinking and debate about ways in which organisations can respond to AIDS without necessarily also doing work specifically focused on AIDS.

It is organised in three parts:

Part I: Mainstreaming HIV/AIDS in development and humanitarian programmes: background and rationale

Chapters 1 to 6 offer a general introduction to the global threat of AIDS and the international community’s response to it, and present the arguments for mainstreaming as an additional strategy.

Part II: Experiences of mainstreaming AIDS

Chapters 7 to 9 address the reality of work on the ground, and the lessons that emerge from the case studies.

Part III: Ideas for mainstreaming AIDS

Chapters 11 to 15 present practical ideas for agencies seeking to mainstream HIV/AIDS into their work.


The Resources section at the back of the book provides further practical ideas for mainstreaming AIDS, in the form of a series of ten user-friendly Units, designed to stimulate readers to think how they might introduce mainstreaming into their own organisations.