• Russia and Commonwealth of Independent States

Russia and Commonwealth of Independent States

This report describes global progress on the “3 by 5” (Treating 3 million by 2005: making it happen) project in scaling up access to antiretroviral therapy (ART). It details the areas in which important progress has been made and lessons learned, and outlines the remaining challenges and roadblocks to treatment access. The report argues that although the targets have not been met, the lessons learned in scaling up access to treatment have fundamentally altered the public health landscape.

The report argues that key actions are needed to continue and increase momentum in scaling up treatment. These include: sustainable and predictable funding needs to be guaranteed; improved equity between urban and rural, and for women and children should be addressed; links with other health programmes need to be improved; testing and counselling should be expanded; prevention should include people living with HIV and AIDS and address the needs of populations at high risk; information systems should be improved to gather important epidemiological evidence; and budget constraints need to be addressed. The report also outlines the need to strengthen the health sector. These efforts include the need to: increase the numbers and skills of health workers, improve management and planning skills, strengthen the supply chain management systems and expand laboratory capacity.

[adapted from author]

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