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final program.qxd - Parallels Plesk Panel

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The hospital reform in progress may be to a great extent a break for many innovating<br />

actions which had to be carried out in the past... Therefore, there is today a considerable<br />

risk, to see certain professionals moving away from the field of the HIV. It is, as already<br />

said, difficult to mobilize new energies. We are in a transitional period which makes that<br />

the "old hands" must do their best to relay their experiment and thus to teach and share<br />

their knowledge with younger health care workers.<br />

About the Southern countries, the role of associations of patients is particularly important<br />

in terms of mobilization and education. A long-term action must be completed there taking<br />

into account the importance of HIV care in these countries where <strong>final</strong>ly one perceives that<br />

the access to Haart is not any more the challenge that it could be in a recent past.<br />

Inequalities still too obvious in certain areas must be withdrawn step by step. Let us insist<br />

on the irreplaceable character of the NORTH-SOUTH exchanges within individual<br />

initiatives of professionals or within international <strong>program</strong>s, as ESTHER <strong>program</strong> with<br />

partnerships defined between hospitals or with actions carried out within the SIDACTION<br />

with associative support but also financing therapeutic <strong>program</strong>s. There is important<br />

<strong>program</strong>s carried out by other Non Governmental Organizations such as "Médecins Sans<br />

Frontières", "Médecins du Monde" and many others with an important role of expertise.<br />

The existence of an association of health care workers like the Société Française de Lutte<br />

Contre le SIDA (SFLS), is an opportunity to have a personal reflexive attitude or more<br />

largely inter professional exchanges.<br />

In conclusion, the history of AIDS was marked by the advent of Haart, one of the most<br />

important events, but it is quite clear that the health care workers, whatever their<br />

professional category, must more than ever imply themselves, to progress technically and<br />

ethically. On all the fields of HIV care, a multipartite working way should be with<br />

associations of patients, the politicians, without forgetting cultural and religious<br />

dimensions.<br />

“ Focusing FIRST on PEOPLE “ 32 w w w . i s h e i d . c o m

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