Document Detail

Access to highly active antiretroviral therapy (HAART) in the WHO European Region 2003-2005.
MedLine Citation:
PMID:  18519283     Owner:  NLM     Status:  MEDLINE    
AIMS: To assess changes in access to highly active antiretroviral therapy (HAART) between the end of 2002 and the end of 2005, and to review the capacity for further HAART scale-up in the then 52 Member States of the WHO European Region. METHODS: Analysis of data from four surveys evaluating access to HAART, supplemented by regional estimates of the number of people receiving HAART. Changes in access to HAART are evaluated in terms of changes in the number of people receiving HAART over time and changes in country-level HAART coverage. RESULTS: During 2003-2005, the total number of individuals receiving HAART increased by an estimated 101,000, from 242,000 to 343,000 (a 42% increase); 85,000 were in the west region (a 36% increase) and 16,000 in the centre and east regions (a 229% increase). The number of countries providing "high'' coverage with HAART (>75% of those in need receiving it) increased from 29 to 38, and the number of countries providing no HAART declined from eight to four. CONCLUSIONS: Despite high and increasing coverage in many European countries, access to HAART remained inequitable in terms of geographical location. By the end of 2005, all countries in the west provided "high'' HAART coverage as compared with half of countries in the centre and east. Six east countries still provided poor or no HAART coverage. Countries must address how to further equitably increase the number of people receiving HAART.
Annemarie R Bollerup; Martin C Donoghoe; Jeffrey V Lazarus; Stine Nielsen; Srdan Matic
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Scandinavian journal of public health     Volume:  36     ISSN:  1403-4948     ISO Abbreviation:  Scand J Public Health     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-06-03     Completed Date:  2008-06-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883503     Medline TA:  Scand J Public Health     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  183-9     Citation Subset:  IM    
World Health Organization Regional Office for Europe, Copenhagen, Denmark.
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MeSH Terms
Acquired Immunodeficiency Syndrome / drug therapy
Antiretroviral Therapy, Highly Active* / statistics & numerical data
European Union
HIV Infections / drug therapy
Health Services Accessibility* / statistics & numerical data
Retrospective Studies
World Health

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