The adequacy of policy responses to the treatment needs of South Africans living with HIV (1999-2008): a case study
Article
Article Title | The adequacy of policy responses to the treatment needs of South Africans living with HIV (1999-2008): a case study |
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ERA Journal ID | 42245 |
Article Category | Article |
Authors | |
Author | Gow, Jeff |
Journal Title | Journal of the International AIDS Society |
Journal Citation | 12 (37), pp. 1-11 |
Number of Pages | 11 |
Year | 2009 |
Place of Publication | United Kingdom |
ISSN | 1758-2652 |
Digital Object Identifier (DOI) | https://doi.org/10.1186/1758-2652-12-37 |
Web Address (URL) | https://onlinelibrary.wiley.com/doi/full/10.1186/1758-2652-12-37 |
Abstract | Introduction: South Africa has the largest HIV/AIDS epidemic of any country in the world. Case description: National antiretroviral therapy (ART) policy is examined over the period of 1999 to 2008, which coincided with the government of President Thabo Mbeki and his Minister of Health, Dr Manto Tshabalala-Msimang. The movement towards a national ART programme in South Africa was an ambitious undertaking, the likes of which had not been contemplated before in public health in Africa. Discussion and evaluation: One million AIDS-ill individuals were targeted to be enrolled in the ART programme by 2007/08. Fewer than 50% of eligible individuals were enrolled. This failure resulted from lack of political commitment and inadequate public health system capacity. The Conclusions: The total lost benefits of ART not reaching the people who need it are estimated at 3.8 million life years for the period, 2000 to 2005. The economic cost of those lost life years over this period has been estimated at more than US$15 billion. |
Keywords | HIV/AIDS; epidemic; South Africa; national antiretroviral therapy policy; human and economic costs; South African public health; policy responses; antiretrovirals; HIV- and AIDS-specific funds |
ANZSRC Field of Research 2020 | 440808. International relations |
320499. Immunology not elsewhere classified | |
320211. Infectious diseases | |
Byline Affiliations | School of Accounting, Economics and Finance |
https://research.usq.edu.au/item/9z704/the-adequacy-of-policy-responses-to-the-treatment-needs-of-south-africans-living-with-hiv-1999-2008-a-case-study
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