Rwanda plans to treat HIV-discordant couples as soon as they test positive.
Article Type: Brief article
Subject: AIDS treatment (Planning)
AIDS treatment (Demographic aspects)
HIV infection (Care and treatment)
Pub Date: 11/01/2011
Publication: Name: Reproductive Health Matters Publisher: Elsevier Science Publishers Audience: General Format: Magazine/Journal Subject: Family and marriage; Health; Women's issues/gender studies Copyright: COPYRIGHT 2011 Reproductive Health Matters ISSN: 0968-8080
Issue: Date: Nov, 2011 Source Volume: 19 Source Issue: 38
Topic: Event Code: 220 Strategy & planning; 970 Government domestic functions Computer Subject: Company business planning
Geographic: Geographic Name: Rwanda Geographic Code: 6RWAN Rwanda
Accession Number: 276275753
Full Text: Following the results of the HPTN 052 study that demonstrated that earlier initiation of HIV treatment led to a 96% reduction in HIV transmission to an HIV-negative partner, Rwanda has announced that all HIV-positive Rwandans in discordant relationships should start antiretroviral therapy as soon as they test positive. According to government data, 93% of people needing treatment under current WHO guidelines are currently enrolled in the antiretroviral treatment programmes. Yet infections within stable relationships are one of the main sources of new cases in Rwanda, and an estimated 7.1% of cohabiting couples seeking voluntary counselling and testing services in the capital, Kigali, are HIV discordant. Consequently, the Ministry of Health has developed new guidelines that start HIV-positive people in discordant relationships on treatment regardless of their CD4 count. The government argues that the added cost of putting more people on treatment early will be compensated for by the reduction in new HIV infection and treatment down the line. (1)

(1.) Rwanda: plan to treat HIV discordant couples. Irin PlusNews, 12 September 2011.

DOI: 10.1016/S0968-8080(11)38588-6
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