| Titre : | Expanding access to antiretroviral therapy in Sub-Saharan Africa : Avoiding the pitfalls and dangers, capitalizing on the opportunities. (2005) |
| Auteurs : | David MCCOY ; Jean-Marion AITKEN ; CHOPRA (Mickey) : ZAF. University of Western Cape School of Public Health. Cape Town. ; Petrida IJUMBA ; Tendayi KUREYI ; LOEWENSON (Rene) : ZWE. Training and Research Support Centre. Harare. ; MUULA (Adamson) : MWI. University of Malawi. Lilongwe. ; NGULUBE (Thabale) : ZMB. Centre for Health. Science & Social Research. Lusaka. ; Sunanda RAY ; ROWSON (Mike) : GBR. Medact. London. ; Health Systems Trust. Durban. ZAF ; Southern Africa Aids Network. Harare. ZWE |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 95, n° 1, Janvier 2005) |
| Pagination : | 18-22 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; Thérapeutique ; Médicament antiviral ; Afrique ; Thérapeutique médicamenteuse ; Chimiothérapie ; Homme ; Médicament ; Pharmacoéconomie ; Economie santé ; Système santé ; Immunopathologie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS PR0xGag4. Diffusion soumise à autorisation]. We describe a number of pitfalls that may occur with the push to rapidly expand access to antiretroviral therapy in sub-Saharan Africa. These include undesirable opportunity costs, the fragmentation of health systems, worsening health care inequities, and poor and unsustained treatment outcomes. On the other hand, AIDS "treatment activism" provides an opportunity to catalyze comprehensive health systems development and reduce health care inequities. However, these positive benefits will only happen if we explicitly set out to achieve them. We call for a greater commitment toward health activism that tackles the broader political and economic constraints to human and health systems development in Africa, as well as toward the resuscitation of inclusive and equitable public health systems. |
Exemplaires (1)
| Code-barres | Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|---|
| 039560 | - | Périodique | Rennes | Indéterminé | Empruntable Disponible |