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Le développement durable en matière de santé passe par la disponibilité, l’accessibilité, la qualité et le bon usage des médicaments.
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Declaration for a framework for action improving access to HIV/AIDS care in developing countries With an estimated 40 million people infected with HIV worldwide and 26 million accumulated deaths, HIV now stands as the worst infectious disease pandemic in recorded history. The threat imposed by HIV is reflected not only in the tragedy of each individual case and his/her affected loved ones but on the global scale of human health and the potential for demographic, economic and political destabilization in many countries. Access to HIV prevention and care services have long been championed by international organizations, governments, non-governmental organizations and community groups. However, we are far short of providing HIV-infected people worldwide with appropriate care. In the last two years, an extraordinary juxtaposition of events has given us an opportunity that must be seized. Since the International AIDS Conference in Durban in July 2000 and the United Nations General Assembly Special Session (UNGASS) in June 2001, the world is mobilized as never before to address the issue of HIV/AIDS in developing countries. The tools which can change the course of the epidemic are in our grasp. The benefits of treatment in terms of preventing illness and death from HIV infection have now been well demonstrated. Access to HIV medications must now be ensured for the millions of infected persons in the developing world within the broader context of appropriate care, prevention and support. Current resource allocations are woefully inadequate, substantially less than 25% of the annual estimated need, to meet this goal. Future generations will judge us harshly if we fail moving rapidly toward the minimum 7-10 billion dollar per year allocation that was called for in June 2001.The purpose of this document is twofold. The first is to set forth a clear framework for improving and accelerating access to care for HIV-infected women and men in the developing world. In particular, the document proposes near-term goals that are achievable. Specific priorities are outlined with a timeline of 18-36 months. The second purpose is to serve as a start for mobilizing organizations and people to an ongoing, progressive, sustainable action plan that will help to make the UNGASS declaration become a reality.This document is the product of a year long consultative process involving 155 experts from 27 countries and 57 national and international organizations. It is the consensus of the participants who convened in Paris at the invitation of the French Ministry of Foreign Affairs, UNAIDS and WHO on 29 November – 1 December 2001. Download the declaration  |
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