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Evidence-Based Medicine in Iberoamerica Problems and Possible Solutions 英文参考文献.docVIP

Evidence-Based Medicine in Iberoamerica Problems and Possible Solutions 英文参考文献.doc

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Evidence-Based Medicine in Iberoamerica Problems and Possible Solutions 英文参考文献

Open access, freely available online Correspondence Estimating the Number of Antiretroviral Treatment Facilities Based on the Wilson–Blower Method In terms of equity, it could be argued, for instance, that the two facilities in the eThekwini district cannot be expected to provide ARVs to the estimated 319,994 individuals with HIV. In comparison, the Umziyathi, Amajuba, Umkhanyakude, Uthungulu, and Ugu districts currently have the same number of ART HCFs as eThekwini, but serve smaller populations (Table 1). This re?ects the fact that the choice of the current facilities was guided more by practical considerations, such as availability of staff and infrastructure, than by the principle of equity as suggested by the World Health Organization [4]. From our calculations, it seems that in order to achieve treatment equity for individuals with HIV in KwaZulu–Natal, more ARV HCFs should be established as follows: 15 in eThekwini, four each in Umgungundlovu and Zululand, three each in Uthukela and Uthungulu, two each in Ugu and iLembe, and one each in Amajuba, Sisonke, Umzinyathi, and Umkhanyakude. Ntambwe Malangu The implementation of the comprehensive plan for the care, management, and treatment of HIV and AIDS in South Africa [1] needs to be supported by all. It is encouraging to note that Wilson and Blower [2] used South Africa to develop a novel method to determine the optimal strategy for allocating antiretroviral treatment (ART) sites among health- care facilities (HCFs) in KwaZulu–Natal. An equitable allocation of HCFs is necessary to ensure that each individual with HIV will have an equal chance of receiving antiretroviral drugs (ARVs). We have applied their method to determine the number of ART HCFs per district in KwaZulu–Natal. As a recommendation, future rollout of ART should take into consideration the principle of equity. This will ensure that all people with HIV have equal access to ARVs from their nearest HCF. We show that by applying the Wilson–Blowe

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