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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Scale-up of HIV treatment through PEPFAR: A historic public health achievement
Journal of Acquired Immune Deficiency Syndromes, Volume 60, No. SUPPL.3, Year 2012
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Description
Since its inception in 2003, the US President's Emergency Plan for AIDS Relief (PEPFAR) has been an important driving force behind the global scale-up of HIV care and treatment services, particularly in expansion of access to antiretroviral therapy. Despite initial concerns about cost and feasibility, PEPFAR overcame challenges by leveraging and coordinating with other funders, by working in partnership with the most affected countries, by supporting local ownership, by using a public health approach, by supporting task-shifting strategies, and by paying attention to health systems strengthening. As of September 2011, PEPFAR directly supported initiation of antiretroviral therapy for 3.9 million people and provided care and support for nearly 13 million people. Benefits in terms of prevention of morbidity and mortality have been reaped by those receiving the services, with evidence of societal benefits beyond the anticipated clinical benefits. However, much remains to be accomplished to achieve universal access, to enhance the quality of programs, to ensure retention of patients in care, and to continue to strengthen health systems. Copyright © 2012 by Lippincott Williams & Wilkins.
Authors & Co-Authors
El-Sadr, W. M.
United States, New York
Mailman School of Public Health
Holmes, Charles B.
United States, Washington
Office of the U.s. Global Aids Coordinator
Mugyenyi, Peter N.
Uganda, Kampala
Joint Clinical Research Center Uganda
Thirumurthy, Harsha
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Ellerbrock, Tedd V.
United States, Atlanta
Centers for Disease Control and Prevention
Ferris, Robert E.
United States, Washington, D.c.
United States Agency for International Development
Sanne, Ian
South Africa, Johannesburg
University of the Witwatersrand
Asiimwe, Anita
Rwanda, Kigali
Rwanda Biomedical Centre
Hirnschall, Gottfried O.
Switzerland, Geneva
Organisation Mondiale de la Santé
Nkambule, Rejoice N.
Swaziland, Mbabane
Ministry of Health
Stabinski, Lara
United States, Washington
Office of the U.s. Global Aids Coordinator
Affrunti, Megan
United States, New York
Mailman School of Public Health
Teasdale, Chloe A.
United States, New York
Mailman School of Public Health
Zulu, Isaac S.
United States, Atlanta
Centers for Disease Control and Prevention
Whiteside, Alan W.
South Africa, Durban
University of Kwazulu-natal
Statistics
Citations: 99
Authors: 15
Affiliations: 11
Identifiers
Doi:
10.1097/QAI.0b013e31825eb27b
ISSN:
15254135
Research Areas
Health System And Policy
Infectious Diseases