Advocating a public health approach to HIV/AIDS, the WHO describes antiretroviral (ARV) treatment programmes in developing countries as powerful demonstrations that expanded access to ARVs is both feasible and essential.

This paper outlines the elements of such a public health approach, in particular noting the participation of family and community members in support and monitoring of treatment adherence, and other tasks that in other settings may rely on more specialised healthcare personnel.

It follows on from the release of a set of standardised guidelines for the scaling up of treatment access, Scaling Up Anti-retroviral Therapy in Resource-Limited Settings in April 2002, and highlights the need for community partnership and capacity building.


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