Provision of antiretroviral therapy in South Africa: unique challenges and remaining obstacles

The Journal of Infectious Diseases
Bisola OjikutuGita Ramjee

Abstract

From 2003 to 2006, the number of human immunodeficiency virus-infected people in sub-Saharan Africa able to access antiretroviral therapy (ART) has increased from 100,000 to >1 million. The World Health Organization estimates that >3.5 million patients are still in need. The challenges to more expeditious provision of ART in Africa are many. This article is an analysis of the barriers to ART scale-up that are unique to South Africa. With 5.3 million people infected and 1 million needing ART, this country carries nearly one-quarter of the treatment burden of the continent. Although South Africa is undeniably a middle-income nation, inequities born of apartheid, lack of political commitment, poverty, and cultural barriers have significantly slowed efforts to provide universal access to ART to South African citizens.

References

May 7, 1999·Kidney International·H Kaaroud Ben Miaz H
Mar 27, 2003·American Journal of Preventive Medicine·James W Curran
Apr 2, 2003·BMC Public Health·Max O Bachmann, Frederick L R Booysen
May 25, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Gerald FriedlandWafaa El Sadr
Jun 11, 2004·Tropical Medicine & International Health : TM & IH·David CoetzeeMarleen Boelaert
Jun 29, 2004·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Christopher JackGerald Friedland
Sep 7, 2005·Statistics in Medicine·E BorghiUNKNOWN WHO Multicentre Growth Reference Study Group
Jul 27, 2006·Nursing Standard·Alan Pringle
Oct 5, 2006·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Nicoli Nattrass

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Citations

Aug 12, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Han-Zhu Qian, Sten H Vermund
May 28, 2010·International Immunology·Motohiko KadokiYoichiro Iwakura
Jul 8, 2009·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Michael D AprilRobin Wood
Aug 30, 2011·BMC Health Services Research·Rachel MukoraAlan Karstaedt
Jan 18, 2013·HIV/AIDS : Research and Palliative Care·Michael L Scanlon, Rachel C Vreeman
Dec 25, 2013·International Journal of Clinical Pharmacy·Karine Wabø RuudElse-Lydia Toverud
Nov 17, 2009·Advanced Drug Delivery Reviews·José das NevesBruno Sarmento
May 13, 2015·Applied Health Economics and Health Policy·Else-Lydia ToverudHelle Håkonsen
Feb 26, 2014·Artificial Cells, Nanomedicine, and Biotechnology·Lalit KumarAmit Kumar Jain

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