Abstract
Yibeltal Assefa and colleagues describe the successes and challenges of the scale-up of antiretroviral treatment across Ethiopia, including its impact on other health programs and the country's human resources for health.
Highlights
The provision of antiretroviral treatment (ART) has decreased morbidity and mortality in people living with HIV/AIDS [1,2]
We present Ethiopia’s experience in expanding access to ART using the public health approach and highlight the system-wide effects associated with the rapid scale-up of the ART program
Our analysis is based on secondary data sources, mainly (1) official documents from the Ethiopian Ministry of Health, including annual health service coverage reports on health and healthrelated indicators such as HIV/AIDS, tuberculosis, maternal and child health, and human resources for health (HRH); (2) the national ART treatment and implementation guidelines and proceedings of HIV/AIDS program review meetings; and (3) monthly ART reports available on the National AIDS Resource Centre Web site
Summary
The provision of antiretroviral treatment (ART) has decreased morbidity and mortality in people living with HIV/AIDS [1,2]. Once pilot projects indicated the feasibility of ART delivery in resource-limited settings, the World Health Organization catalyzed the global effort by declaring lack of access to effective HIV treatment a global emergency. This resulted in the ‘‘3 by 5’’ initiative, which aimed to provide 3 million people in developing countries with ART by the end of 2005 [4]—a 10-fold increase in two years, as in 2003, only 100,000 people living with HIV/AIDS in developing countries were able to access ART [4]. The Health in Action section is a forum for individuals or organizations to highlight their innovative approaches to a particular health problem
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