Titre : | Antiretroviral therapy in resource-poor countries : Illusions and realities. (2005) |
Auteurs : | DESVARIEUX (Moïse) : USA. Department of Epidemiology. Mailman School of Public Health. Columbia University. New York. NY. ; Pierre-Marie GIRARD ; Roland LANDMAN ; LIAUTAUD (Bernard) : FRA. Hôspital dejour en Maladies Infectieuses. Centre Hospitaller Universitaire de Fort-de-France. Fort de France Martinique. ; Institut de Médecine et d'Epidémiologie Appliquée. (I.M.E.A.). Paris. FRA ; Intrepide Initiative in Global Health. INC ; Université de Paris. Centre Hospitalier Universitaire Bichat Claude Bernard. Service de Maladies Infectieuses. Paris. FRA |
Type de document : | Article |
Dans : | American journal of public health (vol. 95, n° 7, 2005) |
Pagination : | 1117-1122 |
Langues: | Anglais |
Mots-clés : | Sida ; Virose ; Infection ; Thérapeutique ; Pays voie développement ; Médicament antiviral ; Thérapeutique médicamenteuse ; Chimiothérapie ; Immunopathologie |
Résumé : | [BDSP. Notice produite par INIST-CNRS 51SkDR0x. Diffusion soumise à autorisation]. The prospects for antiretroviral therapy in resource-poor settings have changed recently and considerably with the availability of generic drugs, the drastic price reduction of brand-name drugs, and the simplification of treatment. However, such cost reductions, although allowing the implementation of large-scale donor programs, have yet to render treatment accessible and possible in the general population. Successfully providing HIV treatment in high-prevalence/high-caseload countries may require that we redefine the problem as a public health mass therapy program rather than a multiplication of clinical situations. The public health goal cannot simply be the reduction of morbidity and mortality for those treated but must be the reduction in morbidity and mortality for the many, that is, at a population level. |