Access to Medicines in Developing Countries – Business Management

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Business Management:

A major challenge for the global community in the fight against HIV is how to fund treatment for millions of people living with HIV also living in poverty. At the end of 2009, only about 36 percent of people living with HIV in low- and middle-income countries received antiretroviral therapy (ART).1 Given that people living with HIV require lifelong treatment and annual new infection rates have varied between 2 and 3.5 million per year since 1990, the magnitude of the problem is evident.2 Against these daunting figures, however, stand more encouraging ones, namely that approximately 5.25 million people living with HIV in developing countries have gained access to antiretroviral drugs (ARVs) in the past decade.2 This represents a more than 20-fold increase since 2001 when only about 240,000 people living with HIV in developing countries were receiving treatment. While the task ahead remains enormous, experience shows that expanding treatment on a large scale is possible. In order to explain the progress achieved in the global AIDS response during the past decade, many authors have emphasized the increased political momentum, especially on the part of governments and international organizations, as manifest in the 2001 UN General Assembly Special Session on HIV/AIDS and the 2006 UN General Assembly High Level Meeting on AIDS; the creation of new intergovernmental organizations, including the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the Global Fund to Fight AIDS, Tuberculosis and Malaria; and programmes within existing intergovernmental organizations, including the World Bank, the United Nations Children’s Fund (UNICEF) and the United Nations Population Fund (UNPFA), as well as programmes launched by individual governments, such as the US President’s Emergency Plan for AIDS Relief (PEPFAR).4 Also the governments of some developing countries have forcefully responded to the pandemic, notably Thailand and Brazil.5 By the end of the decade, eight developing countries had achieved universal access to ART.6 Some authors have also pointed at the critical role played by people living with HIV as well as civil
society organizations in national and global efforts to fight HIV.7

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Posted on : December 27th, 2017
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