Unplanned ART Interruption Report Released
Southern Africa is plagued by numerous crises that can lead to unplanned treatment interruptions for people on ART. Understanding the effect of different types of crises and how they were handled might help us to develop strategies to keep patients on treatment under difficult circumstances. HEARD's recently released report examines the impact of three crises: the 2007 public sector strike in South Africa, the ongoing political and economic crisis in Zimbabwe and the Mozambican floods in 2008.
Adherence to ART treatment is a central issue as access to treatment expands rapidly in sub-Saharan Africa; currently 44 percent of adults and children in need of ART in the region receive it (UNAIDS, 2009). Early adherence studies from sub-Saharan Africa showed adherence to have been higher in sub-Saharan Africa compared to North America. Concern remains that many of the early ART programmes, which have logically been the subject of early adherence studies in sub-Saharan Africa, have captured a set of circumstances that will not be the norm once treatment scales up. Getting more people on treatment in the region will increase stresses on fragile health systems, and so we need to remain cognisant of potential breaking points.
Click here to download report.