PMID: 22358418Feb 24, 2012Paper

Progress of implementation of the World Health Organization strategy for HIV drug resistance control in Latin America and the Caribbean

Revista Panamericana De Salud Pública = Pan American Journal of Public Health
Giovanni RavasiMassimo Ghidinelli

Abstract

By the end of 2010, Latin America and the Caribbean (LAC) achieved 63% antiretroviral treatment (ART) coverage. Measures to control HIV drug resistance (HIVDR) at the country level are recommended to maximize the efficacy and sustainability of ART programs. Since 2006, the Pan American Health Organization has supported implementation of the World Health Organization (WHO) strategy for HIVDR prevention and assessment through regional capacity-building activities and direct technical cooperation in 30 LAC countries. By 2010, 85 sites in 19 countries reported early warning indicators, providing information about the extent of potential drivers of drug resistance at the ART site. In 2009, 41.9% of sites did not achieve the WHO target of 100% appropriate first-line prescriptions; 6.3% still experienced high rates (> 20%) of loss to follow-up, and 16.2% had low retention of patients (< 70%) on first-line prescriptions in the first year of treatment. Stock-outs of antiretroviral drugs occurred at 22.7% of sites. Haiti, Guyana, and the Mesoamerican region are planning and implementing WHO HIVDR monitoring surveys or threshold surveys. New HIVDR surveillance tools for concentrated epidemics would promote further scale-up. Extending the ...Continue Reading

Citations

Mar 14, 2014·Current HIV/AIDS Reports·J Peter Figueroa
Aug 9, 2013·Epidemiology and Infection·M J C SallesUNKNOWN Latin America Working Group on Bacterial Resistance
Mar 24, 2016·Revista Do Instituto De Medicina Tropical De São Paulo·Bertinellys TeixeiraMarcos DE Donato
Oct 3, 2017·The Journal of Infectious Diseases·Catherine GodfreyRami Kantor

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