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báo cáo hóa học:" The adequacy of policy responses to the treatment needs of South Africans living with HIV (1999-2008): a case study"

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Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : The adequacy of policy responses to the treatment needs of South Africans living with HIV (1999-2008): a case study | Journal of the International AIDS Society BioMed Central Open Access Case study The adequacy of policy responses to the treatment needs of South Africans living with HIV 1999-2008 a case study Jeff A Gow1 2 Address 1School of Accounting Economics and Finance University of Southern Queensland Toowoomba Australia and 2Health Economics and HIV AIDS Research Division HEARD University of KwaZulu-Natal Durban South Africa Email Jeff A Gow - gowj@usq.edu.au Published 14 December 2009 Received 16 July 2009 Journal of the International AIDS Society 2009 12 37 doi 10.1186 1758-2652-12-37 Accepted I4 December 2009 This article is available from http www.jiasociety.Org content 12 1 37 2009 Gow licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract_ Introduction South Africa has the largest HIV AIDS epidemic of any country in the world. Case description National antiretroviral therapy ART policy is examined over the period of 1999 to 2008 which coincided with the government of President Thabo Mbeki and his Minister of Health Dr Manto Tshabalala-Msimang. The movement towards a national ART programme in South Africa was an ambitious undertaking the likes of which had not been contemplated before in public health in Africa. Discussion and evaluation One million AIDS-ill individuals were targeted to be enrolled in the ART programme by 2007 08. Fewer than 50 of eligible individuals were enrolled. This failure resulted from lack of political commitment and inadequate public health system capacity. The human and economic costs of this failure are large and sobering. Conclusions The total lost benefits of ART not reaching the people who need it are estimated at 3.8 .

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