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

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

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CAMBODIARecommendationsAs noted throughout this analysis, public health efforts to provide care to PLWHAin Cambodia are constrained by inadequate health care infrastructure, shortagesof trained workers, limited access to free diagnostics, and HIV-related stigma anddiscrimination. However, international donors and national stakeholders have beenfar too timid in responding to <strong>the</strong>se persistent problems, claiming that respect forcultural norms necessitates proceeding slowly and incrementally. Improvements willcontinue to be limited unless <strong>the</strong>se attitudes change and more aggressive steps aretaken to develop new plans and strategies.Until now, <strong>the</strong>re have been no efficient programs to respond to <strong>the</strong>se issues.Therefore, we would like to appeal to <strong>the</strong> Cambodian government and civil societyto take urgent action on <strong>the</strong> following points:Revise and streng<strong>the</strong>n <strong>the</strong> health care infrastructure, policies, and systems,with an emphasis on providing equivalent human resources in both urbanand rural areas and improved salaries for health care workers.As a step toward increasing capacity as soon as possible, it may benecessary to implement while training, which is a quicker way to improve<strong>the</strong> situation than waiting until training is completed.The enforcement of HIV/<strong>AIDS</strong> medical ethics needs to be enhanced within<strong>the</strong> health care setting.Civil society, including PLWHA organizations, must become stronger andunited to effectively communicate <strong>the</strong>ir demands.48

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