title: Implementing early-warning indicators of HIV drug resistance in the Caribbean.
abstract: A key component of the World Health Organization's (WHO's) Global HIV Drug Resistance (HIVDR) prevention and assessment strategy is to monitor HIVDR early-warning indicators (EWIs), which provide strategic information for HIVDR containment. The Pan American Health Organization (PAHO)/WHO supported implementation of HIVDR EWI monitoring in 16 Caribbean countries. Results from 15 countries were analyzed by year of patient initiation of antiretroviral therapy for the period 2005-2009. This report demonstrates the need for capacity-building to standardize prescribing practices and to strengthen adherence strategies and antiretroviral drug procurement management systems.
authors.affiliation: HIV Caribbean Office, Pan American Health Organization, Port of Spain, Trinidad and Tobago. jackn@phco.paho.org
authors.forename: Noreen
authors.initials: N
authors.lastname: Jack
authors.forename: Giovanni
authors.initials: G
authors.lastname: Ravasi
authors.forename: Ward
authors.initials: W
authors.lastname: Schrooten
authors.forename: Donald
authors.initials: D
authors.lastname: Sutherland
authors.forename: Massimo
authors.initials: M
authors.lastname: Ghidinelli
authors.forename: Amalia
authors.initials: A
authors.lastname: Del Riego
mesh_terms: D044966:Anti-Retroviral Agents / Q000494:pharmacology* / Q000600:supply & distribution / Q000627:therapeutic use; D017691:Caribbean Region / Q000453:epidemiology; D003695:Delivery of Health Care; D024882:Drug Resistance, Viral; D015658:HIV Infections / Q000188:drug therapy / Q000453:epidemiology*; D006305:Health Status Indicators; D006801:Humans; D059012:Lost to Follow-Up; D055118:Medication Adherence; D010349:Patient Compliance / Q000706:statistics & numerical data; D011159:Population Surveillance; D014944:World Health Organization
chemical_list: D044966:Anti-Retroviral Agents