The first decade of antiretroviral therapy in Africa

Dados Bibliográficos

ID19533967
AutoresNathan Ford (0000-0001-8752-9078, Médecins Sans Frontières, autor correspondente), Alexandra Calmy (0000-0002-1137-6826, University Hospital of Geneva), Edward J Mills (0000-0003-3120-9694, University of Ottawa)
Ano2011
Volume7
Fascículo1
Páginas33
Data de publicação2011-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoGlobalization and Health (JOURNAL)
Identificadores do periódicoISSN: 1744-8603 • E-ISSN: 1744-8603
EditoraSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1186/1744-8603-7-33
PMID21958478
PMCIDPMC3192657
OpenAlexW2121255260
IdiomaEN
Citações recebidas16
Referências citadas34

The past decade has seen remarkable progress in increasing access to antiretroviral therapy in resource-limited settings. Early concerns about the cost and complexity of treatment were overcome thanks to the efforts of a global coalition of health providers, activists, academics, and people living with HIV/AIDS, who argued that every effort must be made to ensure access to essential care when millions of lives depended on it. The high cost of treatment was reduced through advocacy to promote access to generic drugs; care provision was simplified through a public health approach to treatment provision; the lack of human resources was overcome through task-shifting to support the provision of care by non-physicians; and access was expanded through the development of models of care that could work at the primary care level. The challenge for the next decade is to further increase access to treatment and support sustained care for those on treatment, while at the same time ensuring that the package of care is continuously improved such that all patients can benefit from the latest improvements in drug development, clinical science, and public health

Antiretroviral therapy · Business · Economic growth · Economics · Family medicine · Health care · Health services research · Political science · Public health · Public relations · Social policy · Universal design · Viral load · Computer Science · HIV/AIDS drug development and treatment · HIV/AIDS Research and Interventions · Medicine · Nursing · Poverty, Education, and Child Welfare · Health Policy