Antiretroviral Rollout in Resource-Constrained Settings: Achievements and Challenges

During the past decade, the collective efforts of activists, researchers, service providers, pharmaceutical companies, policymakers, and international agencies have generated real momentum in scaling up HIV treatment and prevention across the globe, with special emphasis on Africa. The successes have been immense, but so too the challenges.

Successes

In July 2000, diverse groups from around the world joined forces at the 13th International AIDS Conference in Durban, South Africa, to demand global access to HIV treatment. Shortly thereafter, the Global Fund to Fight AIDS, Tuberculosis and Malaria was conceived, followed by the U.S. President's Emergency Plan for AIDS Relief. Since then, the number of people receiving antiretroviral therapy (AR…