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Hard choices: rationing antiretroviral therapy for HIV/AIDS in Africa
| Content Provider | Semantic Scholar |
|---|---|
| Author | Rosen, Sydney Sanne, Ian Collier, Alizanne Simon, Jonathon L. |
| Copyright Year | 2005 |
| Abstract | As the world intensifies its fight against the global AIDS epidemic African countries have begun to develop largescale prevention and treatment programmes. A combination of funds from African governments and international donors are paying for drugs diagnostics clinic and laboratory infrastructure and medical personnel. Although these funds which reach into the billions of dollars will pay for antiretroviral therapy for many thousands of HIV-positive Africans there is almost no chance that African countries will have the human infrastructural or financial resources to treat everyone who is in need at least in the early years. The numbers of patients targeted for treatment are ambitious but they are only a small fraction of those who are eligible for antiretroviral drugs on even the most conservative medical grounds. In Zambia for example the first-year target for treatment is 10000 patients; 100000 Zambians have already reached the clinical threshold of fewer than 200 CD4 cells per µL and thousands more become eligible each year. Ghana is targeting 12000 patients for therapy in the first 2 years; 58000 are believed to be medically eligible now. Kenya’s target is 50% coverage as is the global target of WHO’s 3X5 initiative. (excerpt) |
| Starting Page | 354 |
| Ending Page | 356 |
| Page Count | 3 |
| File Format | PDF HTM / HTML |
| DOI | 10.1016/S0140-6736(05)17792-7 |
| Alternate Webpage(s) | http://image.thelancet.com/extras/04art3077web.pdf |
| Alternate Webpage(s) | https://api.elsevier.com/content/article/pii/S0140673605177927 |
| Alternate Webpage(s) | https://www.sciencedirect.com/science/article/pii/S0140673605177927?dgcid=api_sd_search-api-endpoint |
| PubMed reference number | 15664233 |
| Alternate Webpage(s) | https://doi.org/10.1016/S0140-6736%2805%2917792-7 |
| Journal | Medline |
| Volume Number | 365 |
| Journal | The Lancet |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
