n Southern African Journal of HIV Medicine - On a never-ending waiting list : toward equitable access to antiretroviral treatment? experiences from Zambia : HIV management

Volume 2006, Issue 25
  • ISSN : 1608-9693
  • E-ISSN: 2078-6751



Universal access to antiretroviral (ARV) medication for HIV / AIDS is the clarion call of the WHO/UNAIDS 3 by 5 Initiative. Treatment coverage, however, remains highly uneven. This sharpens the question of who exactly is accessing ARVs and whether access is challenging inequality or reinforcing it. Issues of distributive justice have long been debated in health policy, but the practical challenges of ARV distribution are relatively new. In exploring what a more equitable process of ARV distribution could involve, this article draws on a human rights framework using case study material from Zambia.

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