The Arua Hospital AIDS Program today commemorated two years of providing free access to antiretroviral (ARV) treatment for nearly 1,100 people living with HIV/AIDS in Arua, a rural region in northwestern Uganda.
The community celebration included dramatic performances as well as visits by Jim Muhwezi, Minister of Health of Uganda, Stephen Lewis, UN Special Envoy on HIV/AIDS in Africa, and others.
A partnership between the Arua Regional Referral Hospital and the international medical humanitarian organization Médecins Sans Frontières, the Arua Hospital AIDS Program also marked the occasion by releasing a clinical monitoring report showing how well patients are responding to ARV therapy and pointing to the urgent need for expansion of access to free ARV treatment in Uganda.
"After two years of providing ARV therapy, we want to share our experience with others who are undertaking efforts to increase access to HIV/AIDS treatment and care in Arua and beyond," said Dr. Olaro, Medical Superintendent of Arua Regional Referral Hospital and the Arua Hospital AIDS Program. "Although our program has improved the lives of more than a thousand patients and their families, we must be modest regarding our achievements, be aware of the important challenges that we face, and remind ourselves that over one million people have died in Uganda since the epidemic first appeared."
Providing treatment free of charge; adopting simplified treatment protocols and regimens, particularly the use of an inexpensive generic three-in-one fixed-dose combination (FDC) pill taken twice a day; and working in close partnership with the local ministry of health, the community, and people living with HIV/AIDS; are all factors that have made the expansion of the Arua AIDS Program possible.
The experience in Arua has also revealed challenges similar to those found in other MSF ARV programs, including the need for decentralized health services, increased human resources, and improved and cheaper diagnostic tools and medicines, especially for second-line and pediatric treatment.