Commentary & Opinion
"Enormous Barriers" Exist in Reaching WHO 3 by 5 Initiative Treatment Target, Editorial Says
May 6, 2005
There are "enormous barriers" to reaching the goal of the World Health Organization's 3 by 5 Initiative to treat three million people with antiretroviral drugs by the end of 2005, an editorial in the May 7 issue of the Lancet says. Although there have been "substantial success[es]" for the initiative -- including elevating antiretroviral treatment to a "mainstream" U.N. program, tripling the initial target of the number of outlets providing drugs, improving the focus on HIV prevention strategies and exceeding by 20,000 people the December 2004 treatment target of 700,000 people on antiretrovirals worldwide -- "closer inspection" of the measures taken to scale-up treatment "reveals important gaps between the achieved and published targets," the editorial says. The program's financial resources of $163 million is below the $174 million needed, and the number of WHO staff members assigned to the initiative "is well below what it should be," according to the Lancet. Even more "crucially," only 30 countries so far have established treatment goals, although the initiative aimed to have 50 countries with established targets by December 2004, the editorial says. In addition, India, South Africa and Nigeria "in particular" need to demonstrate their commitment to the initiative in order for the overall treatment target to be met within the next eight months, according to WHO HIV/AIDS Programme Director Jim Yong Kim, the editorial says. If the 3 by 5 Initiative had the "political clout" to influence South Africa into implementing its recommendations, then the three million treatment target would "more likely" be attained, according to the Lancet. "Without South Africa on board, with its 837,000 people affected by HIV/AIDS and its leadership position within Africa, 3 by 5 is but a pipe dream," the editorial says.
Reprinted with permission from kaisernetwork.org. You can view the entire Kaiser Daily HIV/AIDS Report, search the archives, or sign up for email delivery at www.kaisernetwork.org/dailyreports/hiv. The Kaiser Daily HIV/AIDS Report is published for kaisernetwork.org, a free service of the Kaiser Family Foundation, by The Advisory Board Company. © 2004 by The Advisory Board Company and Kaiser Family Foundation. All rights reserved.
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