Access to antiretroviral therapy: Successes, challenges and future

摘要

The number of people living with HIV accessing antiretroviral treatment in resource-limited countries has increased from a few thousands pre-2000 to almost 10 million in 2013. This achievement is unprecedented in the history of public health and has resulted in important decreases in HIV-related mortality, including a 10 year increase in life expectancy in South Africa. Yet, this scale up is not without problems. Retention in care is poor, data on virological success rates is scarce, significant numbers of patients are seeking health care with advanced immunosuppression, and increasing medicine stock outs are symptomatic of the limits of existing health systems.