Antiretroviral therapy for HIV prevention: many concerns and challenges, but are there ways forward in sub-Saharan Africa?

Hdl Handle:
http://hdl.handle.net/10144/95574
Title:
Antiretroviral therapy for HIV prevention: many concerns and challenges, but are there ways forward in sub-Saharan Africa?
Authors:
Zachariah, R; Harries, A D; Philips, M; Arnould, L; Sabapathy, K; O'Brien, D P; Ferreyra, C; Balkan, S
Journal:
Transactions of the Royal Society of Tropical Medicine and Hygiene
Abstract:
Scientists from the WHO have presented a theoretical mathematical model of the potential impact of universal voluntary HIV testing and counselling followed by immediate antiretroviral therapy (ART). The results of the model suggests that, in a generalised epidemic as severe as that in sub-Saharan Africa (SSA), HIV incidence may be reduced by 95% in 10 years and that this approach may be cost effective in the medium term. This offers a 'ray of hope' to those who have thus far only dreamed of curbing the HIV/AIDS epidemic in SSA, as until now the glaring truth has been pessimistic. When it comes to ART, approximately 7 of 10 people who clinically need ART still do not receive it. From an epidemic point of view, for every person placed on ART an estimated four to six others acquire HIV. The likelihood of achieving the targets of the Millennium Development Goals for 2015 and universal ART access by 2010 are thus extremely low. A new window of opportunity may have now opened, but there are many unanswered feasibility and acceptability issues. In this paper, we highlight four key operational challenges linked to acceptability and feasibility and discuss possible ways forward to address them.
Affiliation:
Médecins Sans Frontières, Medical Department (Operational Research), Brussels Operational Centre, Belgium.
Issue Date:
28-Jan-2010
URI:
http://hdl.handle.net/10144/95574
DOI:
10.1016/j.trstmh.2010.01.004
PubMed ID:
20116814
Language:
en
ISSN:
1878-3503
Appears in Collections:
HIV/AIDS

Full metadata record

DC FieldValue Language
dc.contributor.authorZachariah, Ren
dc.contributor.authorHarries, A Den
dc.contributor.authorPhilips, Men
dc.contributor.authorArnould, Len
dc.contributor.authorSabapathy, Ken
dc.contributor.authorO'Brien, D Pen
dc.contributor.authorFerreyra, Cen
dc.contributor.authorBalkan, Sen
dc.date.accessioned2010-04-05T19:49:35Z-
dc.date.available2010-04-05T19:49:35Z-
dc.date.issued2010-01-28-
dc.identifier.citationAntiretroviral therapy for HIV prevention: many concerns and challenges, but are there ways forward in sub-Saharan Africa? 2010:notTrans R Soc Trop Med Hygen
dc.identifier.issn1878-3503-
dc.identifier.pmid20116814-
dc.identifier.doi10.1016/j.trstmh.2010.01.004-
dc.identifier.urihttp://hdl.handle.net/10144/95574-
dc.description.abstractScientists from the WHO have presented a theoretical mathematical model of the potential impact of universal voluntary HIV testing and counselling followed by immediate antiretroviral therapy (ART). The results of the model suggests that, in a generalised epidemic as severe as that in sub-Saharan Africa (SSA), HIV incidence may be reduced by 95% in 10 years and that this approach may be cost effective in the medium term. This offers a 'ray of hope' to those who have thus far only dreamed of curbing the HIV/AIDS epidemic in SSA, as until now the glaring truth has been pessimistic. When it comes to ART, approximately 7 of 10 people who clinically need ART still do not receive it. From an epidemic point of view, for every person placed on ART an estimated four to six others acquire HIV. The likelihood of achieving the targets of the Millennium Development Goals for 2015 and universal ART access by 2010 are thus extremely low. A new window of opportunity may have now opened, but there are many unanswered feasibility and acceptability issues. In this paper, we highlight four key operational challenges linked to acceptability and feasibility and discuss possible ways forward to address them.en
dc.languageENG-
dc.language.isoenen
dc.rightsPublished by Elsevier Archived on this site with the kind permission of Elsevier Ltd. ([url]http://www.sciencedirect.com/science/journal/00359203[/url]) and the Royal Society of Tropical Medicine and Hygiene ([url]http://www.rstmh.org/transactions.asp[/url])en
dc.titleAntiretroviral therapy for HIV prevention: many concerns and challenges, but are there ways forward in sub-Saharan Africa?en
dc.contributor.departmentMédecins Sans Frontières, Medical Department (Operational Research), Brussels Operational Centre, Belgium.en
dc.identifier.journalTransactions of the Royal Society of Tropical Medicine and Hygieneen

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