4

 

PRINCIPLES OF SCALE-UP

 

89

   

 Reducing Stigma and Discrimination,

 

90

   

 Identifying Points of Entry,

 

91

   

 Clinical Principles,

 

94

   

 The Importance of Adherence,

 

116

   

 Integration of Prevention and Treatment,

 

121

   

 Palliative Care for AIDS Patients in Developing Countries,

 

124

   

 References,

 

127

5

 

MANAGING SCALE-UP OF ANTIRETROVIRAL THERAPY

 

134

   

 Building Human Resource Capacity,

 

134

   

 Developing a Sustainable Workforce,

 

141

   

 Securing and Delivering Effective Drugs,

 

150

   

 Monitoring and Evaluation,

 

162

   

 References,

 

172

6

 

THE PATH FORWARD

 

176

   

 Operations Research: Closing the Gap Between Research and Care,

 

176

   

 Applied Clinical Research,

 

185

   

 Behavioral Research,

 

189

   

 Ensuring Sustainability Along the Path Forward,

 

194

   

 References,

 

196

 

 

APPENDIXES

 

 

A

 

Information Gathering Workshop Agenda

 

199

B

 

Primer on Human Immunodeficiency Virus, Acquired Immune Deficiency Syndrome, and Antiretroviral Therapy

 

207

C

 

Scaling Up Antiretroviral Therapy in Resource-Limited Settings: Treatment Guidelines for a Public Health Approach

 

220

D

 

Human Ethical Issues Arising in ARV Scale-up in Resource-Constrained Settings

 

279

E

 

Human Resource Requirements for Scaling-up Antiretroviral Therapy in Low-Resource Countries

 

292

F

 

Glossary and Acronyms

 

309

G

 

Committee and Staff Biographies

 

318



The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement