ReviewAmerican journal of public health2005
Expanding access to antiretroviral therapy in sub-saharan Africa: avoiding the pitfalls and dangers, capitalizing on the opportunities.
Review in American journal of public health, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it.
- An exploration of group-based HIV/AIDS treatment and care models in Sub-Saharan Africa using a realist evaluation (Intervention-Context-Actor-Mechanism-Outcome) heuristic tool: a systematic review.Implementation science : IS · 2017Pooled it
- Task shifting and integration of HIV care into primary care in South Africa: the development and content of the streamlining tasks and roles to expand treatment and care for HIV (STRETCH) intervention.Implementation science : IS · 2011Trial
- Outreach education for integration of HIV/AIDS care, antiretroviral treatment, and tuberculosis care in primary care clinics in South Africa: PALSA PLUS pragmatic cluster randomised trial.BMJ (Clinical research ed.) · 2011Trial
- Four antenatal care visits by four months of pregnancy and four vital tests for pregnant mothers: impact of a community-facility health systems strengthening intervention in Migori County, Kenya.BMC pregnancy and childbirth · 2024Article
- Article
- Convergence in public health expenditure across the Sub-Saharan African countries: does club convergence matter?Health economics review · 2021Article
- Antiviral and antiretroviral drug shortages amidst COVID-19: How Africa is struggling.Innovations in pharmacy · 2021Article
- Scaling-up PrEP Delivery in Sub-Saharan Africa: What Can We Learn from the Scale-up of ART?Current HIV/AIDS reports · 2019Review
- The ART Advantage: Health Care Utilization for Diabetes and Hypertension in Rural South Africa.Journal of acquired immune deficiency syndromes (1999) · 2017Article
- District Health Officer Perceptions of PEPFAR's Influence on the Health System in Uganda, 2005-2011.International journal of health policy and management · 2017Article
- Task shifting or shifting care practices? The impact of task shifting on patients' experiences and health care arrangements in Swaziland.BMC health services research · 2017Article
- Synergies and tensions between universal health coverage and global health security: why we need a second 'Maximizing Positive Synergies' initiative.BMJ global health · 2017Article
- Exploring Pathways Between HIV+ Status and Excellent Overall Health Among Kenyan Women: Family Functioning, Meaningfulness of Life, Seroconcordance, Social Support and Considering the Need for Integrated Care.Journal of community health · 2016Article
- Did PEPFAR investments result in health system strengthening? A retrospective longitudinal study measuring non-HIV health service utilization at the district level.Health policy and planning · 2016Article
- The Effect of Antiretroviral Treatment on Health Care Utilization in Rural South Africa: A Population-Based Cohort Study.PloS one · 2016Article
- Article
- [Impact of antiretroviral therapy on the biological profile of HIV positive children followed-up at Yaounde University Hospital in Cameroon].The Pan African medical journal · 2015Article
- [Prevalence and factors associated with HIV and viral hepatitis B and C in the city of Bafoussam in Cameroon].The Pan African medical journal · 2015Article
- Payday, ponchos, and promotions: a qualitative analysis of perspectives from non-governmental organization programme managers on community health worker motivation and incentives.Human resources for health · 2014Article
- Factors associated with four or more antenatal care visits and its decline among pregnant women in Tanzania between 1999 and 2010.PloS one · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We describe a number of pitfalls that may occur with the push to rapidly expand access to antiretroviral therapy in sub-Saharan Africa. These include undesirable opportunity costs, the fragmentation of health systems, worsening health care inequities, and poor and unsustained treatment outcomes. On the other hand, AIDS "treatment activism" provides an opportunity to catalyze comprehensive health systems development and reduce health care inequities.However, these positive benefits will only happen if we explicitly set out to achieve them. We call for a greater commitment toward health activism that tackles the broader political and economic constraints to human and health systems development in Africa, as well as toward the resuscitation of inclusive and equitable public health systems.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.