Getting Ahead of the Wave: Lessons for the Next Decade of the AIDS Response
Geneva 11 May 2011 - This report will detail MSF’s experience implementing treatment strategies to improve care and reduce costs for patients and health systems. It presents results of a survey conducted by MSF teams in 16 countries where MSF works. The 16 countries represent a mix of low, general and hyper-endemic countries, and together account for 52.5% of the global HIV/AIDS burden.
The progress they have achieved in implementing WHO treatment guidelines as well as other important strategies to increase access to treatment, provides an important window into the current strengths and weaknesses of the international response to HIV/AIDS. Most countries have policies to better manage the co-epidemics of HIV and TB; to integrate HIV and maternal services; and to bring care closer to where people live, using existing facilities and health care workers. But most HIV-prevalent countries are still struggling to reach more than 50% of people in need of ART or provide ART in more than 50% of existing facilities.
The progress thus far would not have been possible without external financial support, but it will take more mobilisation of domestic and external resources so that the population benefits of ART in reducing infections, deaths, and illness can be fully realised. With more than six million lives saved there is a lot to show for the last ten years of effort. But with new evidence of ART as prevention, even more can be done in the next decade.
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