With almost half the world's population, Asia will determine the future of the global HIV/AIDS pandemic. This paper outlines a strategic direction for the World Bank in its multisectoral response to HIV/AIDS in the East Asian and Pacific region in light of this challenge. There is a significant risk of a large-scale HIV/AIDS epidemic in the region. Governments, civil society, and other partners are key players in this response. However, with new methods of funding, issues of capacity, and an evolving epidemic, responses must take into account five key challenges: political commitment and multi-sectoral support
public health surveillance and monitoring and evaluation
prevention
care, treatment and support
and health services delivery. This paper identifies options for how the World Bank, in close partnership with government, civil society and other partners, can assist in the response at the country and regional levels. The paper stresses the need for country specific strategies to address the diversity of issues within the region. It highlights the importance of analytic and advisory work in this area to support ongoing and planned programs as well as capacity building efforts.