SidaSubSaharaV1, Main, Exploration, bibRecord, 007905

Antiretroviral treatment in resource-poor settings: public health research priorities

Identifieur interne : 007905 ( Main/Exploration ); précédent : 007904; suivant : 007906

Antiretroviral treatment in resource-poor settings: public health research priorities

Auteurs : Shabbar Jaffar [Royaume-Uni] ; Thilo Govender [Afrique du Sud] ; Anupam Garrib [Afrique du Sud] ; Tanya Welz [Afrique du Sud] ; Heiner Grosskurth [Ouganda] ; Peter G. Smith [Royaume-Uni] ; Hilton Whittle [Gambie] ; Michael L. Bennish [Afrique du Sud, États-Unis, Royaume-Uni]

Source :

TM & IH. Tropical medicine & international health [ 1360-2276 ] ; 2005.

RBID : Pascal:05-0217291

Descripteurs français

Pascal (Inist)
- SIDA, Antiviral, Traitement, Santé publique, Afrique subsaharienne, Médecine tropicale, Homme, Chimiothérapie.
Wicri :
- topic : Santé publique, Homme.

English descriptors

KwdEn :
- AIDS, Antiviral, Chemotherapy, Human, Public health, Sub-Saharan Africa, Treatment, Tropical medicine.

Abstract

Many countries in Africa are planning to provide highly active antiretroviral therapy (HAART) to millions of people with acquired immune deficiency syndrome. This will be a highly complex therapy programme. Physician-based models of care adapted from industrialized countries will not succeed in providing treatment to the majority of those who need it in resource-constrained settings. A high priority is to identify care models for Africa that will increase coverage of HAART safely and effectively: key issues are (i) whether nursing staff or non-clinically qualified staff can take the major role in the treatment programme and reduce the workload of physicians, (ii) whether treatment and monitoring can be delivered through peripheral health centres or through home visits and achieve better adherence and be more cost-effective than delivery at hospitals and (iii) which clinical algorithms used by nursing or non-clinically qualified staff will be effective for screening, diagnosing and managing treatment-related side-effects and medical problems being incurred. Many current ART support programmes are making little or no investment in research, but answering important questions on delivery of HAART will be essential if HAART programmes are to be successful in African nations with a high burden of human immunodeficiency virus infection.

Affiliations:

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: 000754
to stream PascalFrancis, to step Curation: 000238
to stream PascalFrancis, to step Checkpoint: 000656
to stream Main, to step Merge: 007A45
to stream Main, to step Curation: 007905

Le document en format XML

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<front><div type="abstract" xml:lang="en">Many countries in Africa are planning to provide highly active antiretroviral therapy (HAART) to millions of people with acquired immune deficiency syndrome. This will be a highly complex therapy programme. Physician-based models of care adapted from industrialized countries will not succeed in providing treatment to the majority of those who need it in resource-constrained settings. A high priority is to identify care models for Africa that will increase coverage of HAART safely and effectively: key issues are (i) whether nursing staff or non-clinically qualified staff can take the major role in the treatment programme and reduce the workload of physicians, (ii) whether treatment and monitoring can be delivered through peripheral health centres or through home visits and achieve better adherence and be more cost-effective than delivery at hospitals and (iii) which clinical algorithms used by nursing or non-clinically qualified staff will be effective for screening, diagnosing and managing treatment-related side-effects and medical problems being incurred. Many current ART support programmes are making little or no investment in research, but answering important questions on delivery of HAART will be essential if HAART programmes are to be successful in African nations with a high burden of human immunodeficiency virus infection.</div>
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	Le SIDA en Afrique subsaharienne (serveur d'exploration)
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Le SIDA en Afrique subsaharienne (serveur d'exploration)

Antiretroviral treatment in resource-poor settings: public health research priorities

Antiretroviral treatment in resource-poor settings: public health research priorities

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri