Provision and Access

1. Initiatives that provide for early diagnosis and appropriate longitudinal care prior to treatment eligibility are needed to reduce mortality rates among adults accessing treatment. A review found that early mortality among adults accessing antiretroviral therapy can be attributed to late diagnosis of HIV.

Gap noted, for example, in a review of 18 published cohort studies in Africa.

Lawn, D., A. Harries, X. Anglaret, L. Myer, and R. Wood. 2008. “Early Mortality among Adults Accessing Antiretroviral Treatment Programmes in Sub-Saharan Africa.” AIDS 22: 1897-1908.

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