Scaling Up Treatment for the Global AIDS Pandemic

Challenges and Opportunities

AvInstitute of Medicine,Board on Global Health

Häftad, Engelska, 2004

869 kr

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Beskrivning

An estimated forty million people carry the human immunodeficiency virus (HIV), and five million more become newly infected annually. In recent years, many HIV-infected patients in wealthy nations have enjoyed significantly longer, good-quality lives as a result of antiretroviral therapy (ART). However, most infected individuals live in the poorest regions of the world, where ART is virtually nonexistent. The consequent death toll in these regions--especially sub-Saharan Africa--is begetting economic and social collapse. To inform the multiple efforts underway to deploy antiretroviral drugs in resource-poor settings, the Institute of Medicine committee was asked to conduct an independent review and assessment of rapid scale-up ART programs. It was also asked to identify the components of effective implementation programs. At the heart of the committee's report lie five imperatives: * Immediately introduce and scale up ART programs in resource-poor settings. * Devise strategies to ensure high levels of patient adherence to complicated treatment regimens. * Rapidly address human-resource shortages to avoid the failure of program implementation.* Continuously monitor and evaluate the programs to form the most effective guidelines and treatment regimens for each population. * Prepare to sustain ART for decades.

Produktinformation

Utgivningsdatum:2004-11-24
Mått:152 x 229 x 25 mm
Vikt:572 g
Format:Häftad
Språk:Engelska
Antal sidor:344
Förlag:National Academies Press
ISBN:9780309092647

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1 Front Matter; 2 Executive Summary; 3 1 Introduction; 4 2 Opportunities and Challenges; 5 3 Lessons Learned; 6 4 Principles of Scale-Up; 7 5 Managing Scale-Up of Antiretroviral Therapy; 8 6 The Path Forward; 9 Appendix A: Information Gathering Workshop Agenda; 10 Appendix B: Primer on Humanimmunodeficiency Virus, Acquired Immune Deficiency Syndrome and Antiretroviral Therapy; 11 Appendix C: Scaling Up Antiretroviral Therapy in Resource-Limited Settings: Treatment Guidelines for a Public Health Approach; 12 Appendix D: Human Ethical Issues Arising in ARV Scale-Up in Resource Constrained Settings; 13 Appendix E: Human Resource Requirements for Scaling Up Antiretroviral Therapy in Low-Resource Countries; 14 Appendix F: Glossary and Acronyms; 15 Appendix G: Committee and Staff Biographies

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Utgivningsdatum:2004-11-24
Mått:152 x 229 x 25 mm
Vikt:572 g
Format:Häftad
Språk:Engelska
Antal sidor:344
Förlag:National Academies Press
ISBN:9780309092647

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