diminishing availability of publicly funded slots for antiretroviral initiation among hiv-infected art-eligible patients in uganda减少可用性的公共资金资助的名额抗逆转录病毒开始感染艾滋病毒的art-eligible患者在乌干达.pdfVIP

Diminishing Availability of Publicly Funded Slots for Antiretroviral Initiation among HIV-Infected ART-Eligible Patients in Uganda 1,5 4,5 4 4,5 Elvin H. Geng , Mwebesa B. Bwana , Jerome Kabakyenga , Winnie Muyindike , Nneka I. 3,4 4,5 4 1,2,5 3,4,5 Emenyonu , Nicholas Musinguzi , Peter Mugyenyi , Jeffrey N. Martin , David R. Bangsberg * 1 Division of HIV/AIDS, Department of Medicine, San Francisco General Hospital, San Francisco, California, United States of America, 2 Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, United States of America, 3 Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard, Massachusetts General Hospital Center for Global Health, Harvard Medical School, Boston, Massachusetts, United States of America, 4 Mbarara University of Science and Technology, Mbarara, Uganda, 5 The East Africa International Databases to Evaluate AIDS Consortium Abstract Background: The impact of flat-line funding in the global scale up of antiretroviral therapy (ART) for HIV-infected patients in Africa has not yet been well described. Methods: We evaluated ART-eligible patients and patients starting ART at a prototypical scale up ART clinic in Mbarara, Uganda between April 1, 2009 and May 14, 2010 where four stakeholders sponsor treatment – two PEPFAR implementing organizations, the Ugandan Ministry of Health – Global Fund (MOH-GF) and a private foundation named the Family Treatment Fund (FTF). We assessed tempor