While basic guidelines on HIV prevention in emergencies have been available
for several years, international agencies involved in the provision of hea
lth services have not placed sufficient priority, on the prevention of the
human immune deficiency virus (HIV) and other sexually transmitted infectio
ns (STIs) in complex emergencies. This payer reviews the factors that may i
ncrease the risk of HIV transmission in populations affected by complex eme
rgencies and outlines recommendations for research and programmes. Research
into the most appropriate methods of carrying out HIV surveillance and int
erventions in these settings is needed. In the post-emergency phase program
mes need to be far more extensive than those offered under the Minimal Init
ial Services Package (MISP). While the potential for stigmatisation represe
nts ala important constraint, there is a need to prioritise HIV/STI interve
ntions in order to prevent HIV transmission in emergency-affected populatio
ns themselves, as well as to contribute to regional control of the epidemic
.