TRIPS, Public Health Systems and Free Access
Edited by Benjamin Coriat
Chapter 3: Evolution of Prices and Quantities for ARV Drugs in African Countries: From Emerging to Strategic Markets
3. Evolution of prices and quantities of ARV drugs in African countries: from emerging to strategic markets Julien Chauveau, Constance Marie Meiners, Stéphane Luchini and Jean-Paul Moatti INTRODUCTION Access to antiretroviral therapies (ART) in the developing world has made signiﬁcant progress over recent years. The World Health Organization (WHO) reported that treatment coverage increased more than threefold in three years, beneﬁting more than 1.3 million patients at the end of 2005. The spread of ART was of particular importance in Sub-Saharan Africa, the most severely stricken region in the world, where more than half of the people under treatment in the developing world are currently living (WHO/UNAIDS, 2006). Bolstered by such progress, the ﬁght against the HIV/AIDS epidemic moved into a new phase in June 2006, with the commitment from United Nations member states, during the General Assembly High Level Meeting on AIDS, to work toward the goal of ‘universal access to comprehensive prevention programmes, treatment, care and support’ by 2010 (WHO, 2006a). The desirable, yet ambitious, goal of achieving universal access still faces the challenge of its implementation. Optimism that can be legitimately drawn from concrete advances made in Sub-Saharan African countries has to be weighed against the fact that only 17 per cent of patients who needed them had access to multi-therapies in 2005 (WHO/UNAIDS, 2006). Beyond the need to accelerate access to HIV/AIDS treatments, a broader ART coverage raises the issue of programme continuity and sustainability. Treatment costs are a major challenge to be...
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