The scale of the human immunodeficiency virus (HIV)/AIDS epidemic has excee
ded all expectations since its identification 20 years ago. Globally, an es
timated 36 million people are currently living with HIV, and some 20 millio
n people have already died, with the worst of the epidemic centred on sub-S
aharan Africa. But just as the spread of HIV has been greater than predicte
d, so too has been its impact on social capital, population structure and e
conomic growth. Responding to AIDS on a scale commensurate with the epidemi
c is a global imperative, and the tools for an effective response are known
. Nothing less than a sustained social mobilization is necessary to combat
one of the most serious crises facing human development.