PHA-Exchange> WHO: Provision of antiretroviral therapy in resource-limited settings

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From: "Vern Weitzel" <vern.weitzel at undp.org>
http://www.who.int/3by5/publications/documents/dfid/en/

Provision of antiretroviral therapy in
resource-limited settings:
a review of experience up to August 2003
WHO and the UK’s Department for International
Development


Authors: Kathy Attawell and Jackie Mundy

This paper was developed by HSRC on behalf of DFID and
in collaboration with the World Health Organization
(WHO). 
This background paper aims to increase understanding
of the requirements for introducing and scaling up
provision of antitetroviral therapy (ART) as part of
comprehensive HIV/AIDS programmes in resource-poor
countries. The paper provides an overview of
experience and lessons learned with regard to:

The feasibility of ART in resource-poor settings.
The different approaches being taken to delivery of
ART.
The issues to be considered in scaling up ART
provision.
The review is based on published and unpublished
literature, interviews with key informants, web
searches and country information. It also draws on a
review conducted by the Health Systems Resource Centre
(HSRC) and John Snow International (JSI) for the
Government of Kenya in late 2002 (under the DFID
supported HAPAC Project managed by the Futures Group)
and a review of the impact of HIV on health systems
conducted by HSRC and JSI in early 2003.

Source: WHO

- Download PDF file in English (111 pages, 310 kb)

http://www.who.int/3by5/publications/documents/en/ARTpaper_DFID_WHO.pdf

WHO has also published draft technical and operational
recommendations for achieving its 3 x 5 goals – the
delivery of antiretroviral therapy to 3 million people
in resource-limited settings by the end of 2005.

The recommendations emphasise the need to devolve care
as quickly as possible to the primary health care
level within the health care system, and to involve
community organizations, people with HIV and community
health care workers in the delivery of treatment and
its ongoing monitoring.

Drawn up by an expert meeting that took place in
Zambia in November 2003, the recommendations draw in
experience from existing treatment programmes, and
provide guidance on the actions to be prioritized
during the first stage of treatment scale-up.

Source:
http://www.who.int/3by5/publications/documents/zambia/en/
Click here to download the recommendations
http://www.who.int/3by5/publications/documents/en/zambia_doc_final.pdf