ETHICAL IMPERATIVE OF POSTTRIAL ACCESS TO ANTIRETROVIRAL TREATMENT

The Ethical Imperative to Eradicate Measles

Durrheim DN1* and Dahl-Regis M2 1University of Newcastle, Australia and Chair of the Western Pacific Measles Verification Commission, Australia 2Chief Medical Officer, Bahamas and Chair of the Pan-American Measles and Rubella Elimination Independent Expert Committee, Australia *Corresponding author: Durrheim DN, University of Newcastle, Australia and Chair of the Western Pacific Measles Verific...

Approaches to rationing antiretroviral treatment: ethical and equity implications.

Despite a growing global commitment to the provision of antiretroviral therapy (ART), its availability is still likely to be less than the need. This imbalance raises ethical dilemmas about who should be granted access to publicly-subsidized ART programmes. This paper reviews the eligibility and targeting criteria used in four case-study countries at different points in the scale-up of ART, wit...

Death competence: an ethical imperative.

The authors argued that death competence, defined as specialized skill in tolerating and managing clients' problems related to dying, death, and bereavement, is a necessary prerequisite for ethical practice in grief counseling. A selected review of the literature tracing the underpinnings of this concept reveals how a robust construct of death competence evolved. Using the vehicle of a case stu...

Financing equitable access to antiretroviral treatment in South Africa

BACKGROUND While South Africa spends approximately 7.4% of GDP on healthcare, only 43% of these funds are spent in the public system, which is tasked with the provision of care to the majority of the population including a large proportion of those in need of antiretroviral treatment (ART). South Africa is currently debating the introduction of a National Health Insurance (NHI) system. Because ...

How should access to antiretroviral treatment be measured?