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 World Health Organization
 Collaborating Center on
 Pharmaceutical Policy

    Improving Access to and Use of Essential Medicines

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Medicines and Insurance Coverage (MedIC) Initiative



Glossary of Terms Used for Pharmaceuticals and Pharmaceutical Policies in Low- and Middle-Income Countries


ARV Policy and Management Short Course

Funding through the Global Fund, PEPFAR, and other initiatives has recently transformed AIDS into a treatable disease in developing and transitional countries. Resources such as antiretrovirals (ARVs) and diagnostics are now available; however, rapid scale-up of AIDS treatment programs has not occurred, in part due to ARV drug management issues. ARV drug management issues include difficulties with pharmaceutical supply systems and logistics, insufficient human resources to provide antiretroviral therapy (ART), and barriers to ARV adherence. Successful HIV/AIDS treatment programs rely on consistent, uninterrupted supplies of ARVs, appropriate ARV prescribing, and adherence by consumers. Ineffective ARV management can lead to treatment failures, ARV resistance, and insufficient program uptake. This course provides practical skills to effectively manage unique challenges that present in ARV management.

The course, conducted in collaboration with WHO, attracts a mix of current MPH students and experienced public health practitioners. The format is highly interactive, with presentations by international experts followed by facilitated group exercises and discussion. Case studies and guided readings are provided, with substantial preparation required for each session. Useful articles and resources are also provided. A focus group session with persons living with HIV/AIDS is conducted during class to expose participants to patient challenges in adhering to ARV regimens. A field visit to an ARV Adherence Clinic is arranged.


Information from the Third International Conference for Improving Use of Medicines, ICIUM2011