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International Journal of Epidemiology 2005 34(3):509-512; doi:10.1093/ije/dyi110
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2005; all rights reserved.

Editorial

Antiretroviral therapy in resource-poor settings: scaling up inequalities?

Matthias Egger1,*, Andrew Boulle2, Mauro Schechter3 and Paolo Miotti4

1 Institute for Social and Preventive Medicine, University of Berne, Berne, Switzerland
2 School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa
3 Hospital Universitario Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
4 Office of AIDS Research, National Institutes of Health (NIH), Bethesda, USA

* Corresponding author. Institute for Social and Preventive Medicine, University of Berne, Finkenhubelweg 11, CH-3012 Bern, Switzerland. egger@ispm.unibe.ch

The first 150 words of the full text of this article appear below.

Since 1996, the increasingly widespread use of potent antiretroviral therapy (ART), a combination of at least three drugs from different classes, has transformed a fatal infection into a chronic disease that is manageable in most patients.1–3 However, in resource-poor settings in Africa, Asia, and Latin America, where 90% of people with HIV/AIDS live, access to ART has so far been limited to a minority of patients, owing to the high cost of drugs and the lack of an infrastructure capable of delivering ART on a large scale. In recent years, costs of proprietary drugs have fallen and low-cost generic preparations have increasingly become available. Many African countries have qualified for grants from the ‘Global Fund to fight AIDS, Tuberculosis, and Malaria’. Worldwide, the Fund has approved over 1 billion US dollars for programmes against HIV/AIDS.4 On December 1, 2003 (World AIDS Day) WHO launched the ‘3 by 5’ initiative (3 . . . [Full Text of this Article]

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Multilevel, multisite action research


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