3. Using knowledge for a better future

This chapter envisages radical changes in our approach to AIDS programs and policies. Achievements will need to be measured with a longer-term perspective, focusing on outcomes rather than process. Uncomfortable topics that have long been avoided will need to be opened up and discussed frankly. These include the long-term future of AIDS treatment, or the equivocal evidence base of some of the programmatic strategies that the AIDS community has pursued. And all stakeholders will need to be more honest and critical when life-saving services are withheld from marginalized communities that need them the most, whether due to funding problems or through apathy, discomfort, or malice.

Much has been achieved in ...

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