Researchers who conducted this study believe their overall findings hold a lesson for HIV providers: They argue that providers should not let concerns about barriers to adherence stop them from prescribing the newest antiretroviral
combinations at early stages of HIV infection.
The total cost of home-based testing and initiation of antiretroviral
treatment was US$20,005, or US$172 per participant who initiated home care.
The new WHO guidelines also recommend providing antiretroviral
therapy to all children younger than 5, all pregnant and breastfeeding women with HIV, and all HIV-positive patients with partners who are not infected, regardless of a person's T-cell count.
In Namibia, which has an 18% adult HIV prevalence rate, antiretroviral
treatment is free of charge at public-sector clinics.
Following the convention of UNAIDS and the World Health Organization (WHO), antiretroviral
coverage is calculated as the number of individuals receiving antiretroviral
treatment, divided by the sum of the number of untreated individuals needing treatment and the number of treated individuals.
It is interesting to note that while early initiation of antiretroviral
therapy was prominent on the programmes of all the international conferences last year, arguments against early initiation were distinctly lacking.
20 Gardner LI, Holmberg SD, Moore J, Use of highly active antiretroviral
therapy in HIV-infected women: impact of HIV specialist core.
concentrations in breast-feeding infants of women in Botswana receiving antiretroviral
Early diagnosis of primary HIV infection can lead to successful antiretroviral
intervention (12) and prevention of secondary transmission.
Characteristics, determinants, and clinical relevance of CD4 T cell recovery to <500 cellsl/[micro]L in HIV type 1-infected individuals receiving potent antiretroviral
To determine the current magnitude of that problem, researchers at the Centers for Disease Control and Prevention in Atlanta estimated how many people nationwide are receiving antiretroviral
drugs and how many others could benefit from them.
The program includes education and personal support by nurse coordinators, regular consultations and tests to monitor insureds' health, and an additional 1,200 rand, or about $172, per beneficiary per month to be used for medicines--including antiretroviral
therapy, vaccinations and vitamins--related to the treatment of HIV or AIDS.