Missing the Target #5: Improving AIDS Drug Access ... - CD8 T cells

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ArgentinaDr. María Lorena Di GianoRESEARCH TEAMBelizeCaleb Orozco, United Belize Advocacy MovementCambodiaPen MonyCameroonWendi Losha Bernadette and Dr. Oliver Birnso VerbeChinaAnonymous research and writing teamDominican RepublicEugene Schiff and Felix ReyesIndiaAbraham KK, Celina D’Costa, Bobby Jayanta, Murali Shunmugam,Dr. Venkatesan Chakrapani, Indian Network for People living with HIV (INP+)KenyaElizabeth Owiti, Healthpartners;James Kamau, Kenya Treatment Access Movement-KETAMMalawiLot Nyirenda and Grace BongololoMoroccoOthman MelloukNigeriaOlayide Akanni, Journalists Against AIDS Nigeria;Bede Eziefule, Center for the Right to HealthPakistanProf. M. Ismail, Pakistan National AIDS ConsortiumPhilippinesNenet L. Ortega, Noel Quinto, and Eddy RazonRussiaShona Schonning, Eurasian Harm Reduction Network (EHRN);Sergey Kovalevsky, ITPC; Anastasia Agafonova, ITPC; Vladimir Osin, ITPC;Smiljka de Lussigny, European AIDS Treatment Group (EATG)i
UgandaRosette Mutambi, Aaron Muhinda, Beatrice Were, Prima Kazoora, andRichard HasuniraZambiaPaul Kasonkomona and Felix MwanzaZimbabweMatilda Moyo, Caroline Mubaira, and Martha TholanahAnalysis of drug access issuesBrook Baker and Asia RussellProject coordinatorsChris Collins, Gregg Gonsalves, and Maureen BaehrEditingJeff Hoover and Bob HuffResearch, editing, and administrative assistanceErika BaehrMedia coordinationKay MarshallDesignLei ChouThe report team would like to thank the following people for their assistance:David Barr, Roxana Bonnell, Mark Harrington, Irene Keizer, Susie Lim,Javid Syed, Mitchell Warren, Sonya Watson, Yuko Woodford,AIDS Vaccine Advocacy Coalition (AVAC), The HIV Collaborative Fund,Health GAP, The Tides Center, and Treatment Action Group (TAG).This report was made possible by support from the Open Society Institute,Aids Fonds, UK Department for International Development (DFID),the HIV Collaborative Fund, and the John M. Lloyd Foundation.The Missing the Target series is part of theTreatment Monitoring and Advocacy Project (TMAP).TMAP is a project of The Tides Center, San Francisco.Contact informationProject coordination:Chris Collins, ChrisCSF@aol.comGregg Gonsalves, gregg.gonsalves@gmail.comInternational Treatment Preparedness Coalition (ITPC): SG-ITPC@yahoogroups.comii
Page 1 and 2: Missing the Target #5:Improving AID
Page 8 and 9: Executive SummaryAt the G8 meeting
Page 12: • UN agencies should provide incr
Page 16 and 17: Price should not be a barrier when
Page 18 and 19: The Global Fund and UNITAID: The Fu
Page 20 and 21: The real cost of free treatmentBy a
Page 22 and 23: Remaining work for asuccessful prog
Page 24 and 25: DOMINICAN REPUBLICto access rapid t
Page 26 and 27: DOMINICAN REPUBLICIn Santo Domingo
Page 28 and 29: ZIMBABWEtreatment, representing 35
Page 30 and 31: ZIMBABWEAccording to the Medicines
Page 32 and 33: ZIMBABWEZimbabwe’s application fo
Page 34 and 35: ZIMBABWENational government• Addr
Page 36 and 37: RUSSIAMigrantsRussia, with the seco
Page 38 and 39: a person with HIV will die very qui
Page 40 and 41: FamiliesIn Kenya, families are the
Page 42 and 43: INDIA2. Provide pediatric formulati
Page 44 and 45: Linking nutrition and treatmentBy W
Page 46 and 47: Most people living with advanced HI
Page 48 and 49: only available in the capital, Yaou
Page 50 and 51: ZAMBIAFindings in particular provin
Page 52 and 53: The DACA for Chadiza District was a
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Many health care workers are inadeq
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DRUG REGISTRATION BARRIERS & LOGJAM
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Country ATV RLPV/rLPV/r(HS)TDFArgen
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development and registration. Likew
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Capacity issues and delays in the W
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Lack of post-approval quality assur
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ARV PROCUREMENT, REGISTRATION,AND S
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ARGENTINAParallel importingRelating
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ARGENTINAAccess to ARVsNo difficult
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Viral load tests are available, but
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Cambodiaby Mony PenOnly pharmacists
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ChinaBy anonymous Missing the Targe
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CHINAThe current process for regist
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Dominican RepublicBy Eugene Schiff
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IndiaBy Abraham KK, Celina D’Cost
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MalawiBy Lot Nyirenda and Grace Bon
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MALAWIStock-outsAccording to an ext
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MoroccoBy Othman MelloukMorocco has
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Determine the patent status of all
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MOROCCOThe shortage occurred becaus
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As of November 2007, the unit cost
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NIGERIADiagnostic testsDiagnostic t
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The government’s initial inabilit
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Increase training and capacity buil
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treatment practice. The Minster ann
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Ugandaby Richard Hasunira, Prima Ka
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UGANDAExtracts from the MoH’s rep
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ZAMBIAIn gathering this information
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However, since manufacturing prices
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105SHORT SUMMARY
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PAKISTANAccess for marginalized gro
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