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Missing the target #5 : improving AIDS drug access and advancing health care for all

December 2007

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This report documents how the mobilisation around AIDS is driving health systems advancement in China, Dominican Republic, Zimbabwe, Russia, Kenya, India, Cameroon, Zambia and Cambodia, and it highlights the need for improvements in broader systems of care and services to meet the needs of people living with HIV & AIDS and the communities in which they live. It also considers ARV procurement, registration and stock-outs in Argentina, Belize, Cambodia, China, Dominican Republic, India, Malawi, Morocco, Nigeria, Philippines, Russia, Uganda, Zambia, Zimbabwe

Service delivery model on access to care and antiretroviral therapy for people living with HIV/AIDS


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The International Federation of Red Cross and Red Crescent Societies has developed a service model for the provision of ART in collaboration with governments and other potential partners. The model presented in this publication is based on the findings from seven African countries and from a review of the literature. The core issues determining the design of the approach include: holistic intervention; continuum of care; use of existing medical care structure; partnership (concerted efforts); phased approach; sustainability; advocacy; National Society entry point; focus on vulnerable groups; capacity building; and effective mechanism for mobilizing resources. The model reflects the IFRC belief that ART can be administered effectively only when it is part of a comprehensive intervention, and that some interventions like voluntary counselling and testing (VCT), community mobilization, treatment literacy and affordability of drugs are preconditions for beginning ART. In addition, nutritional and psychosocial support is vital. Information, education and communication (IEC), patient management with ART, prevention of mother-to-child transmission (PMTCT), post-exposure prophylaxis, and procurement and distribution of essential drugs in a sustainable manner are the other critical components of a holistic intervention. Continuing to build the capacity of the implementing institutions and a sound management structure that promotes administrative efficiency are also important.


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