Abstract
'It's impossible to roll out antiretrovirals in Africa!' I clearly remember hearing this on a daily basis while studying in Canada 13 years ago. And there were strong points made: too expensive, not enough doctors, risk of resistance, how to monitor patients in resource-limited settings, and so forth. Thankfully, not everyone believed this and we advocated and pressured from all around the world, and the price of antiretroviral therapy (ART) did come down, by more than ten times.
Highlights
After studying medicine in the United Kingdom (UK), I moved to Mseleni Hospital in northern KwaZulu-Natal for my ‘voluntary community service’
We were working in the outpatient department where AIDS patients often presented very late, and on the ward where we had very complex co-infected TB/HIV patients with poor referral systems
I recall the particular case of a 9-year-old boy who had virological failure on antiretroviral therapy (ART), despite adherence reinforcement
Summary
After studying medicine in the United Kingdom (UK), I moved to Mseleni Hospital in northern KwaZulu-Natal for my ‘voluntary community service’. Within minutes from Mseleni to Cape Town ... Dr Aurélie Nelson is the Early Infant Diagnosis Project Manager for Médecins Sans Frontières, Khayelitsha, Cape Town, South Africa
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