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

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INDIA2. Provide pediatric formulations for ARTFollow-up:Based on NACO’s revised estimates, about 70,000 children are living withHIV in India, and pediatric ARVs are available in all the currently functional(a total of 127) government ART centers. National pediatric ART and dosingguidelines are being followed at these centers. The current goal is provideART to 40,000 children by 2012.The national pediatric ART program is supported by the Clinton Foundation.In an e-mail communication to this report’s authors, the Foundation said thatit did not have any plans for supporting second-line regimens for childrenliving with HIV in India.Additional challenges for the pediatric program include whether and how todisclose the HIV status of children; explaining to the children why they needto take their medications (ART) on a regular basis; and a lack of trainedcounselors to provide counseling on treatment adherence in children.3. Develop a policy to ensure equity in ART access to members of vulnerablegroupsFollow-up:No information is yet available on how many MSM, IDUs, and sex workers—all members of vulnerable groups—are receiving ART through the nationalprogram. However, the numbers are likely to be very low because of actualor perceived discrimination. In an October 2007 e-mail communication,NACO’s national ART program officer mentioned that specific informationregarding vulnerable groups’ ART access might be available at individualcenters, but that the centers did not report such data to NACO.Currently there is no national action plan for equity in ART access that isdesigned to ensure that marginalized populations living with HIV are notexcluded from the national ART program.4. Establish enough ART centers across the country to help facilitate universalaccessFollow-up:NACO’s target is to have at least 188 public sector ART centers by December2007, up significantly from the total of 127 at the end of August 2007. Inan e-mail communication to the Indian Network for People Living with HIV(INP+), a NACO official mentioned that 16 additional ART centers will havebecome functional by the end of October and 31 more ART centers are soonto be established.35
ARV shortages in national ART centers:INDIAIn an e-mail communication to INP+, a NACO staff member mentioned that “therehad been low stock-outs [ARV shortages] in the last six months” and that whenshortages occur in any center there is a system designed to facilitate immediatereplenishment from another ART center. The NACO staff member also mentionedthat it is developing a mechanism for supply chain management of ARVs and settingup a dedicated team for the same endeavor. Despite these claims, stock-outs havebeen noted by activists in several regions of India, and the response to a shortagehas caused particular problems in the state of Manipur (see the report on shortagesin Manipur in the Drug Access section).36
Page 1 and 2: Missing the Target #5:Improving AID
Page 4 and 5: ArgentinaDr. María Lorena Di Giano
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 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
Page 54 and 55: Many health care workers are inadeq
Page 56 and 57: DRUG REGISTRATION BARRIERS & LOGJAM
Page 58 and 59: Country ATV RLPV/rLPV/r(HS)TDFArgen
Page 60 and 61: development and registration. Likew
Page 62 and 63: Capacity issues and delays in the W
Page 64 and 65: Lack of post-approval quality assur
Page 66 and 67: ARV PROCUREMENT, REGISTRATION,AND S
Page 68 and 69: ARGENTINAParallel importingRelating
Page 70 and 71: ARGENTINAAccess to ARVsNo difficult
Page 72 and 73: Viral load tests are available, but
Page 74 and 75: Cambodiaby Mony PenOnly pharmacists
Page 76 and 77: ChinaBy anonymous Missing the Targe
Page 78 and 79: CHINAThe current process for regist
Page 80 and 81: Dominican RepublicBy Eugene Schiff
Page 82 and 83: IndiaBy Abraham KK, Celina D’Cost
Page 84 and 85: MalawiBy Lot Nyirenda and Grace Bon
Page 86 and 87: MALAWIStock-outsAccording to an ext
Page 88 and 89: MoroccoBy Othman MelloukMorocco has
Page 90 and 91: Determine the patent status of all
Page 92 and 93:
MOROCCOThe shortage occurred becaus
Page 94 and 95:
As of November 2007, the unit cost
Page 96 and 97:
NIGERIADiagnostic testsDiagnostic t
Page 98 and 99:
The government’s initial inabilit
Page 100 and 101:
Increase training and capacity buil
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treatment practice. The Minster ann
Page 104 and 105:
Ugandaby Richard Hasunira, Prima Ka
Page 106 and 107:
UGANDAExtracts from the MoH’s rep
Page 108 and 109:
ZAMBIAIn gathering this information
Page 110 and 111:
However, since manufacturing prices
Page 112 and 113:
105SHORT SUMMARY
Page 114:
PAKISTANAccess for marginalized gro
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Missing the Target #5: Improving AIDS Drug Access ... - CD8 T cells

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