title: HIV/AIDS policy-making in Kyrgyzstan: a stakeholder analysis.
abstract: Kyrgyzstan has adopted a number of policy initiatives to deal with an accelerating HIV/AIDS epidemic. This article explores the main actors in HIV/AIDS policy-making, their interests, support and involvement and their current ability to set the agenda and influence the policy-making process. Fifty-four semi-structured interviews were conducted in the autumn of 2011, complemented by a review of policy documents and secondary sources on HIV/AIDS in Kyrgyzstan. We found that most stakeholders were supportive of progressive HIV/AIDS policies, but that their influence levels varied considerably. Worryingly, several major state agencies exhibited some resistance or lack of initiative towards HIV/AIDS policies, often prompting international agencies and local NGOs to conceptualize and drive appropriate policies. We conclude that, without clear vision and leadership by the state, the sustainability of the national response will be in question.
authors.affiliation: Faculty of Public Health and Policy, Department of Health Services Research and Policy London School of Hygiene & Tropical Medicine, London, UK and Faculty of Public Health and Policy, Department of Health Services Research and Policy, European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, UK svetlana.ancker@lshtm.ac.uk.
authors.forename: Svetlana
authors.initials: S
authors.lastname: Ancker
authors.affiliation: Faculty of Public Health and Policy, Department of Health Services Research and Policy London School of Hygiene & Tropical Medicine, London, UK and Faculty of Public Health and Policy, Department of Health Services Research and Policy, European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, UK.
authors.forename: Bernd
authors.initials: B
authors.lastname: Rechel
mesh_terms: D006077:Government Agencies; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control; D006291:Health Policy; D006801:Humans; D007407:Interviews as Topic; D007707:Kyrgyzstan / Q000453:epidemiology; D011050:Policy Making
keywords: HIV/AIDS; Kyrgyzstan; policy; stakeholder analysis