Safe and Effective: Use of Antiretroviral Treatments in Adults with Particular Reference to Resource Limited Settings: SECTION TWO. SOME EXPERIENCES WITH ART IN RESOURCE LIMITED SETTINGS: 2.1. ART COVERAGE

Safe and Effective: Use of Antiretroviral Treatments in Adults with Particular Reference to Resource Limited Settings
(2001; 36 pages) [French]

Table des matières

	ACKNOWLEDGEMENTS
	INTRODUCTION
	SECTION ONE. PRINCIPLES OF ANTIRETROVIRAL THERAPY (ART)*
		1.1. BACKGROUND
		1.2. CHARACTERISTICS OF AVAILABLE ANTIRETROVIRAL DRUGS
		1.3. INITIATION OF THERAPY
		1.4. MONITORING
		1.5. TREATMENT FAILURE
		1.6. HIV RESISTANCE TO ANTIRETROVIRAL DRUGS
		1.7. FUTURE APPROACHES TO THERAPY
	SECTION TWO. SOME EXPERIENCES WITH ART IN RESOURCE LIMITED SETTINGS
		2.1. ART COVERAGE
		2.2. CONTEXT: PUBLIC OR PRIVATE SECTOR, DONOR SUPPORTED AND RESEARCH PROJECTS
		2.3. QUALITY OF CARE AND OUTCOMES
		2.4. LABORATORY MONITORING SERVICES
		2.5. SURVEILLANCE FOR DRUG RESISTANCE
		2.6. SUPPLY AND DISTRIBUTION OF THE DRUGS
		2.7. INITIATION OF TREATMENT
		2.8. CHOICE OF THERAPEUTIC REGIMEN
	SECTION THREE. GUIDE TO ART IN RESOURCE LIMITED SETTINGS
		3.1. WHAT SHOULD BE IN PLACE BEFORE INITIATING ART PROGRAMMES*
		3.2. COUNSELLING FOR ART
		3.3. CLINICAL EVALUATION BEFORE INITIATION OF ART
		3.4. INITIATION OF THERAPY
		3.5. MONITORING ANTIRETROVIRAL THERAPY*
		3.6. CONSIDERATIONS OF DRUG INTERACTIONS
		3.7. FURTHER RESEARCH NEEDS
		3.8. INFORMATION AND TRAINING NEEDS
	ANNEX I. LIST OF PARTICIPANTS
	ANNEX II. DRUG CHARTS

2.1. ART COVERAGE

The proportion of people with symptomatic HIV infection who are receiving ART ranges from small to insignificant. In Uganda, probably less than 1% of people with HIV related illnesses are receiving ART. In Thailand, in 1996, nearly 10% of people eligible for treatment were being treated through the Ministry of Public Health (MOPH) programme in 58 hospitals, but that proportion has substantially decreased since then. In Brazil, however, nearly 100,000 out of 530,000 people with HIV infection are receiving ART following a presidential decree, in November 1996, that access to antiretroviral drugs be made universally available through the public health system.