MIN/Sp/AU/CAMH3/6 HIV/AIDS
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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%.