Navigation Links
New Analysis from 14 Countries Identifies Drug Access Priorities to Achieve 2010 AIDS Treatment Target

Dr. Jim Kim joins teleconference to release report with ITPC. Kim says foundations laid by AIDS response are "the best chance we've ever had to build comprehensive health systems in the poorest settings."

NEW YORK AND CAPE TOWN, South Africa, Nov.27 /PRNewswire-USNewswire/ -- The International Treatment Preparedness Coalition (ITPC), a group of 1,000 treatment activists from more than 125 countries, today issued its fifth report on scale up of AIDS services: Missing the Target #5: Improving AIDS Drug Access and Advancing Health Care for All. The report is available at

The comprehensive report investigates AIDS drug access in 14 countries and finds that scale up is working but high prices, patent and registration barriers, and ongoing stock-outs are core issues impeding better and faster AIDS drug delivery.

"The foundations to make the 2010 target are in place in many countries. If governments, global agencies, and drug companies focus on tactically improving AIDS drug access by continually lowering costs, ending patent and regulatory problems, and fixing drug availability logistics, while simultaneously strengthening health systems, there is real possibility for making the 'near universal access' target by 2010," said Gregg Gonsalves, a coordinator of the project.

Missing the Target teams in nine countries -- Cambodia, Cameroon, China, Dominican Republic, India, Kenya, Russia, Zambia, and Zimbabwe -- also looked at broader issues in AIDS service delivery in their countries. "AIDS treatment scale up cannot succeed without stronger health systems, adequate nutrition, and concerted action against stigma and marginalization," said Matilda Moyo of the Zimbabwe research team.

"Mobilization around AIDS has opened up fantastic new possibilities in health service delivery by infusing new resources, intensifying the engagement of people living with HIV/AIDS, and focusing on specific, measurable outcomes," said Dr. Jim Yong Kim, Director of the Francois-Xavier Bagnoud Center for Health and Human Rights (FXB) at Harvard University. "We must learn from and build on these foundations because they represent the best chance we've ever had to build comprehensive health systems in the poorest settings."

"It is irresponsible to get bogged down in debates on simplistic dichotomies like prevention versus treatment or disease-specific funding versus strong health systems. We can, and we must, do all of this, better, for more people, and in an increasingly coherent way," added Chris Collins, a coordinator of the project.

"The UNAIDS epidemiologic estimates released last week show that we're getting closer to reaching the goal of treatment for all," said Shona Schonning of the Russia research team. "The UNAIDS report shows that prevention and treatment programming have had impact. Now its time to scale up these programs and continue to make progress on what remains a devastating epidemic."

In the report, civil society advocates in 14 countries identify specific problems and recommend solutions to improve AIDS drug access:

-- In Argentina, high cost and restrictions on some drugs impede access to some second line and other medicines.

-- In Belize, human resources shortfalls, price increases and inadequate quality assurance hamper drug delivery.

-- In Cambodia, expanded access to drug resistance and viral load testing is needed, as is increased attention to drug quality.

-- In China, access to second-line therapy is extremely limited, new WHO treatment guidelines on improved first-line treatment have not been widely implemented and patents on key medicines are preventing cost-cutting generic competition.

-- In the Dominican Republic, new intellectual property laws and patent enforcement by Merck are leading to higher prices and limited access to some key drugs.

-- In India, drug stock-outs are reported across the country, particularly where IDUs require treatment regimens that are not hepatotoxic.

-- In Malawi, a chronic shortage of health care workers is a major impediment to drug access; while ARV stock-outs are rare, other important drugs are often unavailable.

-- In Morocco, new intellectual property laws threaten the provision of AIDS treatment.

-- In Nigeria, despite a rapid scale up of ARV treatment and a free treatment policy, treatment sites are not easily accessible in many parts of the country, and CD4 and other tests are still being offered at a fee in several locations.

-- In the Philippines, treatment is not yet accessible to all, there is a healthcare worker shortage and diagnostic testing access is limited.

-- In Russia, ARV stock-outs are a severe and ongoing problem.

-- In Uganda, stock-outs are commonplace, and limited support and care services undermine drug access.

-- In Zambia, there is concern that AIDS drug access depends on the work of NGOs and the government is not sufficiently engaged.

-- In Zimbabwe, stock-outs are frequent and the increasingly unfriendly general policy environment remains a cause for concern.

Action Recommendations for Global Agencies and National Governments

-- The World Health Organization: Take the lead to educate countries about changes to standard first- and second-line treatment regimens and lead global efforts to simultaneously expand AIDS services while strengthening broader care systems.

-- United Nations technical agencies: Clearly and publicly communicate changes in WHO ARV drug guidelines and provide technical support and guidance to countries to help implement the changes.

-- The Global Fund: Proactively support grantees in identifying and correcting procurement bottlenecks and strengthening national procurement systems for ARVs and other medicines and ensure grantees are procuring medicines at preferential prices.

-- Bilateral programs (PEPFAR, etc.): Work with national treatment programs, community organizations, PLWHA and other partners to support national efforts to switch to optimized first-line treatment.

-- UNITAID (the international drug purchase facility): Work aggressively to support initiatives to increase competition and further reduce the price of new standardized treatment regimens.

-- Drug companies: Act with enlightened self-interest to expand access to products by registering them much more expeditiously and stop intimidating countries that use flexibilities in trade law.

-- National governments: Build local and regional drug regulatory capacity, make fuller use of the WHO drug prequalification process, and use flexibilities in international trade rules to secure the lowest possible drug prices.

About the International Treatment Preparedness Coalition

The International Treatment Preparedness Coalition (ITPC) was born out of the International Treatment Preparedness Summit that took place in Cape Town, South Africa in March 2003. That meeting brought together for the first time community-based HIV treatment activists and educators from over 60 countries. Since the Summit, ITPC has grown to include more than 1,000 activists from over 125 countries and has emerged as a leading civil society coalition on treatment preparedness and access issues.

SOURCE International Treatment Preparedness Coalition
Copyright©2007 PR Newswire.
All rights reserved

Related medicine technology :

1. Trubion Announces Preliminary Analysis of Phase IIb Results With TRU-015 in Rheumatoid Arthritis
2. Oncology Drugs Development Update - Worldwide Markets and Forecasts of Approved EGFr/HEr2 Inhibitors, Treatment Costs, Pathway Analysis, Current and Expanded Clinical Indications, and Novel Agents in Development
3. New Data From Large Safety Analysis of MYCAMINE Shows Favorable Clinical Safety Profile
4. Immtech Announces Interim Analysis in Phase III African Sleeping Sickness Trial
5. Analysis Shows Vernakalant Hydrochloride Injection Increases Conversion to Normal Heart Rhythm in Acute Atrial Fibrillation Patients Treated Within 48 Hours of Onset
6. New Analysis of Study Data Shows That Asacol(R) (Mesalamine) Delivers Rapid Symptom Relief for Ulcerative Colitis Patients
7. A Sociolinguistic Analysis of In-Office Dialogue Reveals Psychiatrists and Parents Have Significantly Different Perceptions on ADHD and Psychiatric Comorbidities
8. Favrille Provides Update on Timing of Analysis from Pivotal Phase 3 Clinical Trial; Reports Third Quarter 2007 Financial Results
9. Results Of VYVANSE(TM) (lisdexamfetamine dimesylate) Effect Size Analysis Presented at Major Scientific Meeting
10. Progen Presents Additional Analysis of Data from PI-88 Phase 2 Liver Cancer Study at American Association for the Study of Liver Diseases
11. Retrospective Analysis Finds That Initiation of Insulin Glargine in Patients With Type 2 Diabetes was Associated With a Lower Incidence Rate of Myocardial Infarction as Compared With NPH Insulin
Post Your Comments:
(Date:11/24/2015)... , Nov. 24, 2015   HeartWare International, ... of less-invasive, miniaturized circulatory support technologies that are revolutionizing ... President and Chief Executive Officer Doug Godshall ... th Annual Healthcare Conference on December 1, 2015 ... December 1-2 in New York . ...
(Date:11/24/2015)... 24, 2015 F1000Workspace - a ... since it was launched just six months ago. --> ... authoring platform for scientists - since it was launched just ... been loaded on to F1000Workspace - a research ... it was launched just six months ago. ...
(Date:11/24/2015)... Nov. 24, 2015 iRhythm Technologies, Inc. , a ... today announced that it will participate in the 27th Annual Piper ... New York, NY . Kevin King , ... December 1, 2015 at 8:50am ET. --> ... . --> . --> iRhythm ...
Breaking Medicine Technology:
(Date:11/24/2015)... MI (PRWEB) , ... November 24, 2015 , ... Serenity ... released a series of recent video interviews with some of the staff members at ... at the residential treatment facility, as well as some of the things that make ...
(Date:11/24/2015)... ... November 24, 2015 , ... Aided by seed funding from the Ron Foley ... to yield insights into how to detect and treat pancreatic cancer (PC). , ... small, non-coding RNA molecules (ncRNA), genetic material that is present in the blood of ...
(Date:11/24/2015)... ... November 24, 2015 , ... ... been designated an Aetna Institute of Quality® Bariatric Surgery Facility for treating individuals ... and cost of health care services available to its members to help them ...
(Date:11/24/2015)... Peoria, IL (PRWEB) , ... November 24, 2015 , ... Dr. Rodney E. Willey ... His new venture, Koala Center for Sleep Disorders, provides treatment for snoring and ... dentists who have opened a Koala Center for Sleep Disorders in the US, one of ...
(Date:11/24/2015)... ... November 24, 2015 , ... ... Healthy Aging Program have announced their endorsement of the Medical Fitness Network ... Fitness is proud to have the MFN as one of our endorsed organizations,” ...
Breaking Medicine News(10 mins):