HIV Treatment in TANZANIA: Low uptake of ARVs hampering universal access

From: Hermengild Mayunga
Date: Tue, Oct 27, 2009 at 5:56 AM

Photo: John Nyaga/IRIN http://www.irinnews.org/
http://www.irinnews.org/PhotoDetail.aspx?ImageId=200511303 Pregnant women are not making adequate use of prevention of mother-to-child transmission servicesDAR ES SALAAM, 27 October 2009 (PlusNews) – HIV-positive Tanzanians are not taking advantage of the availability of life-prolonging anti-retroviral medication in hospitals around the country, says a senior government official.

“We have an adequate supply of ARVs in our hospitals and other outlets, but there are few people who are turning out for this important service,” David Mwakyusa, Health and Social Welfare Minister, told IRIN/PlusNews.

An estimated 250,000 people are taking ARVs, while another 190,000 who need them are not accessing them. In 2008, the government re-affirmed its commitment to achieving universal access to ARVs by 2010.

“We are working hard to encourage people to check their HIV status and those infected to go for further medical attention and when necessary start taking ARVs, which are in good supply,” the minister said.

Mwakyusa also bemoaned the fact that few pregnant women made use of prevention of mother-to-child transmission (PMTCT) services available at antenatal clinics; just 33 percent of pregnant women who require PMTCT services access them, according to UNAIDS.

Research http://www.ncbi.nlm.nih.gov/pubmed/16987051 has found that although HIV-positive Tanzanians welcome anti-retroviral therapy,
transportation, supplementary food costs, ill-treatment at hospitals and
difficulties in sustaining long-term treatment all act as barriers to
accessing treatment. Fear of stigma as well as HIV denial, which often led patients to seek treatment from alternative healers, and inadequate numbers of trained medical personnel, also prevented patients from accessing healthcare.

“Multi-faceted interventions are required to promote regular HIV clinic
attendance, including ongoing education, counselling and support in both clinic and community settings,” authors of a recent study http://www.ncbi.nlm.nih.gov/pubmed/19444672?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_Discovery_RA&linkpos=1&log$=relatedarticles&logdbfrom=pubmed
by the Centre for Population Studies and the London School of Hygiene and Tropical Medicine recommended.

Mwakyusa noted that Tanzania was planning to cut the cost of ARVs by producing them locally. He said it was important for the country to become more self-sufficient, especially in the face of the global economic downturn.

“We are praying that despite the global financial crisis, donors will
continue supporting our efforts,” he said. “The financial crisis is clearly
affecting the capacity of donors to fund international programmes on AIDS.”

jk/kr/mw

*Theme(s):* (PLUSNEWS) Care/Treatment – PlusNews http://www.plusnews.org/Theme.aspx?Service=PNE&Theme=CT,
(PLUSNEWS) Education http://www.plusnews.org/Theme.aspx?Service=PNE&Theme=EDU,
(PLUSNEWS) HIV/AIDS (PlusNews) http://www.plusnews.org/Theme.aspx?Service=PNE&Theme=HIV,
(PLUSNEWS) PWAs/ASOs – PlusNews http://www.plusnews.org/Theme.aspx?Service=PNE&Theme=PA,
(PLUSNEWS) Stigma/Human Rights/Law – PlusNews http://www.plusnews.org/Theme.aspx?Service=PNE&Theme=SHL

[ENDS]

[This report does not necessarily reflect the views of the United
Nations]

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Dr Hermengild Mayunga
ORES Tanzania
P.O.BOX 1190
Songea, RUVUMA
Tanzania

Tel +255 25 2600419
Tel +255 784 520680

drmayunga@ores.or.tz
drmayunga@gmail.com
info@ores.or.tz
www.ores.or.tz


Dr Hermengild Mayunga
ORES Tanzania
P.O.BOX 1190
Songea, RUVUMA
Tanzania

Tel +255 25 2600419
Tel +255 784 520680

drmayunga@ores.or.tz
drmayunga@gmail.com
info@ores.or.tz
www.ores.or.tz

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Subject: [Fwd: HIV Treatment in TANZANIA: Low uptake of ARVs hampering universal access]

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