Scaling-up the HIV/AIDS response: From alignment and harmonisation to mutual accountability

This report argues that attempts to scale-up efforts to combat HIV/AIDS are being hampered by insufficient alignment and harmonisation. The paper discusses the relationship between the 'Three Ones' principles and scaling-up. Recent initiatives to put the principles into practice are described. It is argued that the limited progress that has been achieved bodes poorly for accelerated scaling-up. More aggressive pursuit of the alignment and harmonisation agenda is needed.