Which patients first? Setting priorities for antiretroviral therapy where resources are limited

Research output: Contribution to journalArticle

Abstract

The availability of limited funds from international agencies for the purchase of antiretroviral (ARV) treatment in developing countries presents challenges, especially in prioritizing who should receive therapy. Public input and the protection of human rights are crucial in making treatment programs equitable and accountable. By examining historical precedents of resource allocation, we aim to provoke and inform debate about current ARV programs. Through a critical review of the published literature, we evaluate 4 precedents for key lessons: the discovery of insulin for diabetes in 1922, the release of penicillin for civilian use in 1943, the development of chronic hemodialysis programs in 1961, and current allocation of liver transplants. We then describe current rationing mechanisms for ARVs.

Original languageEnglish (US)
Pages (from-to)1173-1180
Number of pages8
JournalAmerican Journal of Public Health
Volume95
Issue number7
DOIs
StatePublished - Jul 2005

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International Agencies
Resource Allocation
Financial Management
Penicillins
Developing Countries
Renal Dialysis
Therapeutics
Insulin
Transplants
Liver

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

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abstract = "The availability of limited funds from international agencies for the purchase of antiretroviral (ARV) treatment in developing countries presents challenges, especially in prioritizing who should receive therapy. Public input and the protection of human rights are crucial in making treatment programs equitable and accountable. By examining historical precedents of resource allocation, we aim to provoke and inform debate about current ARV programs. Through a critical review of the published literature, we evaluate 4 precedents for key lessons: the discovery of insulin for diabetes in 1922, the release of penicillin for civilian use in 1943, the development of chronic hemodialysis programs in 1961, and current allocation of liver transplants. We then describe current rationing mechanisms for ARVs.",
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