PMID: 29770102May 18, 2018Paper

Rolling out HIV antiretroviral therapy in sub-Saharan Africa: 2003-2017

Canada Communicable Disease Report = Relevé Des Maladies Transmissibles Au Canada
G Taylor

Abstract

Multiple issues need to be addressed in order to control the HIV pandemic in sub-Saharan Africa. Combination antiretroviral therapy (cART) is key to reducing morbidity and mortality among people living with HIV and has a role in preventing HIV transmission. However, access to cART is very unevenly distributed globally, especially in sub-Saharan Africa. Although cost of cART is no longer a major barrier as effective treatment can be had for under US$100 per year, HIV management is compromised by the inadequate number of trained clinicians, the lack of clinical and laboratory infrastructure and the increased prevalence of co-morbidities (e.g., tuberculosis). To address this disparity, a number of initiatives have been undertaken. One of these was the development of the Infectious Diseases Institute (IDI) at Makerere University, Kampala, Uganda. The goals of the IDI are the clinical care of people living with HIV, clinical research relevant to Uganda (in particular) and sub-Saharan Africa, and clinical training. My initial participation was as a trainer in a program to educate large numbers of clinicians in antiretroviral therapy and other aspects of HIV/AIDS management, with the intention that they become leaders of large clinica...Continue Reading

References

Aug 12, 2009·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Asgeir JohannessenCarmen de Mendoza
Jun 2, 2011·Infectious Disease Clinics of North America·Allan RonaldNelson Sewankambo
Dec 3, 2016·MMWR. Morbidity and Mortality Weekly Report·Shirley LecherJohn Nkengasong

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