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Report of the expert meeting: “3 by 5”, What Are the Implications? Organized by the Royal Tropical Institute, Aids Fonds and Share-Net, 16 September 2004, Amsterdam.
Amsterdam, Netherlands, KIT, 2004. 27 p.In 2003, the WHO started an initiative to expand access to HIV treatment. “3 by 5” is the name of the global target of providing anti-retroviral therapy (ART) to three million people living with HIV/AIDS in resource-limited countries by the end of 2005. It is a step towards the goal of providing universal access to treatment for all who need it. The WHO’s framework for emergency scaling up of anti-retroviral therapy contains 14 key strategic elements. These elements fall into five categories – the pillars of the “3 by 5” campaign: i) global leadership, strong partnership and advocacy; ii) urgent, sustained country support; iii) simplified, standardized tools for delivering antiretroviral therapy; iv) effective, reliable supply of medicines and diagnostics; and v) rapid identification and application of new knowledge and successes. The strategy also aims to develop guidelines for ensuring the quality of anti-retroviral drugs and to build country-level capacity for delivery and utilization of simple diagnostics for monitoring patient adherence to treatment as well as drug resistance. In the first six months of this strategy, progress was made towards the goal of increasing access to treatment. But much remains to be done, and urgently, if the world is to meet its target of providing treatment to three million people by the end of 2005. (excerpt)