Expanding antiretroviral therapy provision in resource-constrained settings: social processes and their policy challenges.

摘要

Political pressure to provide antiretroviral therapy (ART) in poor countries, alongside falling drug prices, led to a dramatic increase in ART delivery from 2002. In that year the Global Fund for AIDS, TB and Malaria was established. In 2003, President George W. Bush pledged USDollars 15 billion towards his Presidential Emergency Programme for AIDS Relief (PEPFAR) and the World Health Organisation (WHO) launched the "3 x 5" campaign aiming to place three million people on treatment by 2005. Although the WHO goal was not achieved, the investment meant by the end of 2008 about four million people in low- and middle-income countries were receiving ART.