| Summary |
We describe a number of pitfalls that may occur with the push to rapidly expand access to antiretroviral therapy in sub-Saharan Africa. These include undesirable opportunity costs, the fragmentation of health systems, worsening health care inequities, and poor and unsustained treatment outcomes. On the other hand, AIDS treatment activism provides an opportunity to catalyze comprehensive health systems development and reduce health care inequities. |
| More Details |
However, these positive benefits will only happen if we explicitly set out to achieve them. We call for a greater commitment toward health activism that tackles the broader political and economic constraints to human and health systems development in Africa, as well as toward the resuscitation of inclusive and equitable public health systems.
Correspondence: Requests for reprints should be sent to Petrida Ijumba, Health Systems Trust, PO Box 808, Durban 4000, South Africa (e-mail: petrida@hst.org.za). |
| Publication Webpage |
http://www.ajph.org/cgi/content/abstract/95/1/18 |
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| Keywords |
This Item is associated with the Following
Keywords: ART. |
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