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ARV Scaleup: A Threat to the Health System

Josh Ruxin, PhD, Center for Global Health and Economic Development, Mailman School of Public Health and The Earth Institute at Columbia University, 215 W. 125th Street, Suite 3F, New York, NY 10025, 646-284-9671, jnr4@columbia.edu

The rapid rise of international financing for HIV/AIDS programs has a startling and potentially damaging ramification: the dismantling of existing health programs and systems. With medical resources at a premium in all poor developing countries, the ability of new funds to draw medical personnel from one medical area (such as child health) to AIDS treatment is enormous. The necessary response is tight donor and government coordination that can help provide a unified plan that takes advantage of new funds and promotes the overall scaling up of the health system. This approach is currently being taken in Rwanda while other countries struggle to come to terms with their newly-found wealth in health.

Learning Objectives:

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Controversies in the Financing and Delivery of Antiretroviral Drugs for AIDS in Africa

The 132nd Annual Meeting (November 6-10, 2004) of APHA