Academic journal article Bulletin of the World Health Organization

Guidance Modules on Antiretroviral Treatments

Academic journal article Bulletin of the World Health Organization

Guidance Modules on Antiretroviral Treatments

Article excerpt

Issued by WHO and UNAIDS, this set of nine modules provides expert guidance through the many complex issues surrounding decisions to introduce antiretroviral treatments for HIV/AIDS, particularly in the resource-poor settings where the majority of patients reside. Addressed to decision-makers in governments, hospitals, and clinics, the modules respond to the great expectations raised by the new combination therapies and the corresponding pressure to make these costly and difficult treatments widely available. With this pressure in mind, the modules aim to help decision-makers understand their range of options, appreciate the host of immediate and long-term implications, make wise decisions, and justify their choices. Throughout, recommended lines of action are firmly rooted in findings from the latest research backed by lessons from recent country experiences.

Noting that, in many developing countries, antiretrovirals are restricted to a minority of patients, the modules give particular attention to questions of cost, accessibility, and the need to balance demand for antiretrovirals with the cost-effectiveness of other care and prevention interventions. Additional problems addressed range from the great difficulty of adhering to complicated treatment regimens, to the risk that resistance will develop and spread, from the almost inevitable emergence of a black market in counterfeit or substandard drugs, to the simple fact that, in many poor countries, the cost of treating all HIV-infected adults exceeds the gross national product by several factors. …

Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.