• HIV and AIDS recommended readings

HIV and AIDS recommended readings

This report from the World Health Organization (WHO) outlines the results of a study into the human resources implications of delivering anti-retroviral therapy (ART) to those affected by HIV and AIDS. The objective was to provide countries with advice and guidance on how best to organise ART services in the context of the 3 by 5 initiative of the WHO which set a target of delivering ART to 3 million people by the end of 2005.

The study took place in 41 sites in 11 countries. The report identifies a wide range of models for ART delivery in the governmental, non-governmental organisation (NGO) and private sectors and in a range of settings. The study found that the key limitation to scaling up of ART delivery was the shortage of trained health workers. The report outlines the staffing requirements and structure of the different systems of ART delivery and points to existing solutions to the problems of scarce trained staff, staff shortages and overworked staff. The report suggests that less-labour intensive models of ART delivery need to be developed that involve less frequent patient contact, less input from the formal health system and more delegation of tasks to less-skilled personnel.

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