This report from ActionAid, Oxfam GB and Save the Children UK explores mainstreaming of HIV/AIDS. Mainstreaming can be defined as the process of analysing the impact that HIV/AIDS has, and will have, on all sectors including but not limited to health. It is split into two types: external and internal. External mainstreaming refers to adapting humanitarian and development work to reduce the impact of HIV/AIDS, whilst internal mainstreaming looks to change organisational policy to reduce the impact of the disease. The aim of mainstreaming is to reduce the unintentional, and sometimes negative, effects of development work, and to ensure that all work makes the most of opportunities to reduce the impact of HIV/AIDS.

In the first half of the report the authors highlight the case for HIV, followed, in the second half by practical ideas for mainstreaming. They recognise that there are significant issues and challenges with mainstreaming including a lack of clarity of meaning, making it difficult to explain and promote, resulting in a lack of supporters and resources. However the report concludes that mainstreaming represents a necessary and possible tool to reduce the impact of the epidemic in addition to existing direct AIDS work. It calls for building of the evidence base around mainstreaming. [adapted from author]