Current HIV/AIDS Reports

, Volume 3, Issue 4, pp 182–186 | Cite as

Extending HIV care in resource-limited settings


Despite the clear benefits of antiretroviral therapy (ART), only three countries in sub-Saharan Africa have achieved the "3 by 5" goal of treating at least half of the persons living with HIV/AIDS who need it. A major obstacle faced by many lower income countries is the establishment of treatment programs in rural areas where there is a scarcity of trained health care providers and infrastructure. This paper reviews published data on rural ART programs in lower income countries to identify necessary components of such a program. No clearly superior model for rural ART delivery has emerged. All programs document the need for expanded physical infrastructure, laboratory development, recruitment/ training of additional health care providers, and/or the introduction of new technologies in order to effectively support the needs of ART roll-out.


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Copyright information

© Current Science Inc 2006

Authors and Affiliations

  1. 1.Division of Infectious DiseasesIndiana University School of Medicine, Wishard Memorial Hospital (Room OPW 430)IndianapolisUSA

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