By Peris S. Jones (auth.)
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Additional resources for AIDS Treatment and Human Rights in Context
A downward pressure upon adherence rates was explained in terms of a generational shift in patients. Many newer patients increasingly access treatment at a stage before they encounter the near-death experiences that the first generation of patients has been dealing with. The inference was that unlike more recent patients, those near death experiences had produced a more zealous and near religious conversion to adherence—a second chance at life and hence was a major contributory factor in high levels of adherence.
So although the government has recently started to boast about its ARV programme as being the biggest (and best) in the world, perhaps one of the most telling indicators of the failures is the “treatment gap” in South Africa. The treatment plan subsequently adopted in November 2003 does build the foundation for the most extensive ARV program in the world, with a target of more than 1 million people on treatment by 2007–8. Implementation of the plan, however, has been criticized due to the slow rollout of treatment.
But whether this has been the case is assessed in Chapter 5. And to illustrate the broader context of poverty and hardship in influencing decision making regarding treatment, Leclerc-Madlala (2006) looks specifically at the role of disability grants. Simply put, while the state decrees discontinuation of the grant as a patient’s health improves, and also following an annual review by the Department of Social Development, this is identified as a disincentive to continuing treatment. The material factors impacting treatment behavior are therefore raised as a matter of urgency (Chapter 7).
AIDS Treatment and Human Rights in Context by Peris S. Jones (auth.)