I thought of possible interest to you a recent New York Times article from Donald McNeil Jr which opens the debate about the future of donor-funded ART programs in Africa. This article eloquently appeals to raise money for AIDS, if we are serious about continuing saving lives, because the gap between what is needed and what is currently collected is enormous, and growing.
Michel Sidibe, the executive director of UNAIDS, estimated that $27 billion would be needed this year to fight the disease but nothing close to that amount is in the tap despite the ongoing chief sources of money (PEPFAR and UNGlobal Fund to Fight AIDS, TB and Malaria). Indeed, the collapse was set off by the global recession's effect on donors and other multiple reasons.
In the New York Times article, reports of HIV+ patients with advanced immunosuppression in a main HIV Clinic in Kampala, Uganda, are being turned down to start ART because of ART shortage. Recently, I did learn from our GHD Forum similar reports from selected other African countries (DR Congo, etc.). The prospects of future grim and high likelihood of treatment interruptions, drug resistance and virologic failure for those already on ART can therefore be expected to increase.
Not all African countries are equal when it comes to provide ART free of charge to their fellow citizens but wherever you are and do, this is a great time to raise awareness and advocacy to international and national stakeholders, local governments for HIV/AIDS leadership and increased efforts to ensure continuing ART access for those who can't afford it.
The full New York Times article to include interviews of Michel Sidibe (UNAIDS Director), Peter Piot (Former UNAIDS Director), Anthony Fauci (NIH/NIAID Director), Michel Kazatchkine (Director of the UN Global Fund), Peter Mugyenyi (Ugandan AIDS Expert), Eric Goosby (Obama Administration's New Global AIDS Coordinator) etc. can be found at the weblink below: