BMJ 2002;325:954-957 ( 26 October )

Education and debate

Comprehensive health care for people infected with HIV in developing countries

Mari M Kitahata, director of health services research ^a, Mary K Tegger, healthcare specialist ^a, Edward H Wagner, director ^b, King K Holmes, director ^a. 

^a Center for AIDS and STD, University of Washington, Harborview Medical Center, Box 359931, 325 9th Avenue, Seattle, WA 98104, USA, ^b MacColl Institute for Health Care Innovation, Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, Washington

Correspondence to: M M Kitahata kitahata@u.washington.edu

The first 150 words of the full text of this article appear below.

By far the greatest burden of disease from HIV infection is in developing countries, where health services are generally ill equipped to cope. The authors consider how effective HIV services can be delivered in such countries

HIV infection poses tremendous challenges to healthcare systems globally. Over 90% of the estimated 40 million people living with HIV infection in 2001¹ live in resource poor settings and do not share the improved prognosis now achieved in developed countries.² The World Health Organization estimates that in 2002, of the 6 million people in developing countries in need of antiretroviral therapy, only 4% are getting such treatment, half of whom live in Brazil.² In 2001 about 900 000 people were infected with HIV in the United States, and over 500 000 (over 55%) were receiving antiretroviral therapy.¹ In sub-Saharan Africa, however, of the more than 28 million people with HIV infection in 2001, fewer than 30 000 (just over 0.1%) were receiving antiretroviral . . . [Full text of this article]

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