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New 'From-the-Ground' Report Reformulates Simplistic Argument About HIV/ AIDS and Health Care Systems in a Fundamental Way
Date:7/29/2008

f the report.

"The scale up of antiretroviral therapy in the developing world is the most ambitious public health undertaking of our lifetimes," said Gregg Gonsalves, a co-coordinator of the project. "We were told it couldn't be done, and shouldn't be done, but we persevered, set ambitious goals and targets, and now 3 million people are on antiretroviral treatment."

"AIDS is a disease of primary health care, and we need to strengthen health systems to provide for the future of AIDS treatment," Gonsalves added. "We are the heirs of Alma Ata. We will make comprehensive primary care -- health for all -- a reality. We'll be told again that it is impossible. Well, we've done the impossible and will do it again. What ITPC is about is finding out what people need and what is happening on the ground, and then pushing to make the changes that will save people's lives."

"If the UN's health-related Millennium Development Goals (MDGs) are to have and chance of being realized, we need to do for health systems what we've done for AIDS, while increasing the momentum of the response to AIDS," added Collins.

Key findings from the report include:

1. The HIV/AIDS response to date has had sizeable positive impacts on health care in many settings: building infrastructure and systems, raising the bar on quality, extending the reach of health care to socially marginalized groups, and engaging consumers.

2. But new investments in HIV/AIDS services have also exposed existing fragilities in health systems. In some cases expanding demand has stretched already overextended human resources and placed increasing burdens on infrastructure.

3. The engagement of health consumers and advocates in AIDS scale up has forced global and national leaders toward a more vigorous sense of accountability and urgency, both critical elements in the success of AIDS programming.

About the International Treatment Preparedness Coalition

The Internationa
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SOURCE International Treatment Preparedness Coalition
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