Scale-up of HIV care and treatment: can it transform healthcare services in resource-limited settings?
The rapid expansion of HIV care and treatment in resource-limited settings will undoubtedly ameliorate conditions in communities ravaged by this epidemic around the world and enable persons living with HIV to live longer, more productive lives. Concerns have been raised, however, regarding the possible deleterious effects on other health services. This paper argues that efforts to scale up HIV care and treatment in resource-limited countries, if designed and implemented with the additional goal of achieving broad health benefits, may serve as a catalyst for the establishment of more effective and responsive health systems. In order to determine these broader effects, mechanisms need to be established that enable relevant research and evaluation questions to be answered.
El-Sadr
Wafaa M
WM
International Center for AIDS Care and Treatment Programs, Columbia University Mailman School of Public Health, New York, New York 10032, USA. wme1@columbia.edu
Abrams
Elaine J
EJ
D019380:Anti-HIV Agents / Q000600:supply & distribution* / Q000627:therapeutic use; D023241:Antiretroviral Therapy, Highly Active; D003695:Delivery of Health Care / Q000458:organization & administration / Q000592:standards*; D003906:Developing Countries; D015658:HIV Infections / Q000188:drug therapy*; D015276:Health Care Rationing / Q000379:methods; D018166:Health Care Reform / Q000379:methods; D006282:Health Personnel / Q000592:standards; D006801:Humans; D040841:Resource Allocation
D019380:Anti-HIV Agents