Sub-national response in HIV/AIDS: a case study in AIDS prevention and control from Sindh province, Pakistan

HIV/AIDS in Pakistan is slowly gaining recognition as a public health issue of great importance. However, the responses to the disease have been marre d by lack of coordination and commitment. We examine, in this paper, the si tuation in the Sindh province of Pakistan, which is recognized as having th e sole fully functioning AIDS prevention and control programme in the count ry. In discussing the results of the Sindh programme's activities we highli ght progress made as well as gaps in data and surveillance. We also recomme nd strategies for implementation at the provincial and national levels. In addition this example of a sub-national government programme provides a cas e study for similar programmes in the region.