n CME : Your SA Journal of CPD - Ethical dilemmas in an antiretroviral clinic - a narrative : main article




The current main ethical issues around antiretrovirals are who to treat and where to treat them. Current treatment guidelines are insufficient to address these ethical issues. <BR>There is a lack of adequate funding, distribution and 'roll-out' of antiretroviral clinics. <BR>In South Africa, less than 1% of people in need of antiretrovirals have been started on treatment. <BR>Denying treatment to patients with a bad prognosis would be a second injustice. <BR>An exclusive focus on determinants of compliance may embody implicit value judgements. <BR>Traditional healers should be incorporated into the formal health care network. <BR>Placing antiretroviral clinics within the existing health care system would entrench existing inequities in health.


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