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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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