n South African Medical Journal - Health policy : how different are the costs and consequences of delayed versus immediate HIV treatment? : forum




A recent major report, commissioned by the South African Government, examines alternative long-term scenarios for the costs and benefits of HIV prevention and treatment, and care for orphans and others affected by AIDS in South Africa. Not considered by the report is what one might call 'treatment-centred prevention' (TcP), by which we mean a combination of regular testing for HIV, immediate highly active antiretroviral therapy (HAART) offered to all infected individuals, and other proven HIV prevention methods. Such an approach could dramatically reduce infectiousness of HIV-positive people, leading to critical reductions in the rate of new infections.


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