MIN/Sp/AU/CAMH3/6 HIV/AIDS Page 15 Figure Fig 4.2:3.8: ART Coverage and Target, Selected Countries, 2007 100 90 100 100 100 95 95 90 80 95 95 90 90 82 80 70 90 80 75 69 60 70 70 66 ART Coverage 60 50 55 UA Target 40 39 30 20 Zimbabwe Zambia Swaziland Senegal Congo Nigeria Namibia Mozambique Mauritius Mali Madagascar Ghana Gambia Gabon Ethiopia DRC Comoros Chad Cape Verde Burkina Faso Benin 0 Cote d'Ivoire 10 Source: 2007 UNGASS Country Reports WHO recommends a simplified public health approach, known as the integrated management of adult and adolescent illnesses (IMAI), to scale up anti-retroviral therapy (ART) in resource limited countries—to reduce morbidity and mortality among people living with HIV/AIDS. By the end of 2007, half of the countries in the region, were implementing IMAI, and in the process trained thousands of various health workers to manage patients with HIV/AIDS and related illnesses. Consequently, ART services have expanded to sub-district levels. Another factor that contributed to increasing ART coverage in the region is the falling prices of ARVs and other HIV-related commodities. However, almost two thirds of people in the region who are in need of antiretroviral therapy have no access yet. One way of measuring the level of effort countries are placing on care and treatment scale up, is the equitable expansion of ART outlets. In 2007, a total of 3,393 facilities providing ART services were reported in 35 countries—but this figure can easily exceed 4,000 if facilities in remaining 11 countries are included. Table 4.2 shows the distribution of number of people on ART in 2006 and 2007, percentage increase, and number of ART sites in 2007, by country. Women receiving ART in Somalia and Sudan is 1.0%. In Tunisia the figure for all women receiving ART is 34%.

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