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Session 3 Symposium
Developments in the Global Response to AIDS
Sunday, 3–5 pm
Room 3000
4
The Ugandan Experience in Scaling up HIV/AIDS Treatment and Care
Alex Coutinho*1, P Mugyenyi2, and P Solberg3
1The AIDS Support Org, Kampala, Uganda; 2Joint Clin Res Ctr, Kampala, Uganda; and 3CDC, Kampala, Uganda

Background: In Uganda, use of ARV began to be scaled up in the Joint Clinical Research Center providing ARV to Ugandans who could afford the price as well as some patients who were part of research cohorts. To date, of the 100,000 who require treatment, an estimated 12,000 Ugandans are on ART; and another 1,000,000 Ugandans infected  in the last year.

Results:Two research trials based in TASO centers are aiming to carry out operational research on 2000 TASO clients to see if it is possible to deliver ART to poor, rural-based, infected Ugandans. This will form the basis of a general scale up of ART in TASO.

Conclusions:There are particular challenges in scaling up ARV use in a resource-challenged setting, and this presentation explores those challenges while highlighting the successes of current efforts. The presentation will also discuss the role of the partnership between government, NGO, and the private sector in this scale up.