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Scaling Up Treatment for the Global AIDS Pandemic:
Challenges and Opportunities
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Status: Available Now
Size: 344 pages, 6x9
Publication Year:2005
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PAPERBACK
ISBN-10: 0-309-09264-7
ISBN-13: 978-0-309-09264-7
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Authors:
James Curran, Haile Debas, Monisha Arya, Patrick Kelley, Stacey Knobler, and Leslie Pray, Editors, Committee on Examining the Probable Consequences of Alternative Patterns of Widespread Antiretroviral Drug Use in Resource-Constrained Settings
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Description:
An estimated forty million people carry the human immunodeficiency virus (HIV), and five million more become newly infected annually. In recent years, many HIV-infected patients in wealthy nations have enjoyed significantly longer, good-quality lives as a result of antiretroviral therapy ...
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Description
An estimated forty million people carry the human immunodeficiency virus (HIV), and five million more become newly infected annually. In recent years, many HIV-infected patients in wealthy nations have enjoyed significantly longer, good-quality lives as a result of antiretroviral therapy (ART). However, most infected individuals live in the poorest regions of the world, where ART is virtually nonexistent. The consequent death toll in these regions--especially sub-Saharan Africa--is begetting economic and social collapse. To inform the multiple efforts underway to deploy antiretroviral drugs in resource-poor settings, the Institute of Medicine committee was asked to conduct an independent review and assessment of rapid scale-up ART programs. It was also asked to identify the components of effective implementation programs. At the heart of the committee's report lie five imperatives:
- Immediately introduce and scale up ART programs in resource-poor settings.
- Devise strategies to ensure high levels of patient adherence to complicated treatment regimens.
- Rapidly address human-resource shortages to avoid the failure of program implementation.
- Continuously monitor and evaluate the programs to form the most effective guidelines and treatment regimens for each population.
- Prepare to sustain ART for decades.
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