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The most important issue in the fight against HIV/AIDS
is how to scale up existing programs that are only reaching small
numbersof people to the national level. Here, I present suggestions onhow to tackle the daunting challenge of building truly nationalHIV/AIDS programs, based on insights gained from participatory,decentralized rural development experiences and from HIV/AIDSprograms.
Rural Development and Environment for Africa, World Bank,
Washington, DC 20005, USA.
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