Re: Why start antiretroviral therapy for people living with HIV so late?

January 17, 2011

Dear Group member,

It is appreciable that we start the ART as early as possible if the patient

found to be positive with CD 4 count less 350. We agree the views expressed by

the sender. The points that I wish to add on this.

1. What is the mechanism we have to identify the PLHIVs.

2. Why the treatment is not given early.

3. Wy we are not able to cover all the PLHIVS under ART regimen.

4. Why the treatment is discontinued abruptly and later on reporting for second

line drug treatment.

5. How to manage the above situation.

The policy makers have to examine the cause and try to come to a consensus to

treat the PLHIVS early and to give good relief to the needy people.

The AN mothers tested for HIV positive under the Prevention of Parent to Child

Transmission are not fully covered for ART early for the reasons best known to

the implemending Agencies.

We have to plug the loop-holes in this program.Likewise similar action shall be

taken in other PLHIVs also.

The Government and Research Agencies may give fool-proof methods to give the

early treatment for them.

The NGOs and the Govt staff shall be entusted this task to give early treatment

than at present.The follow up of the patients under treatment need to be

monitored than at present.

May I suggest the authorities may experiment the model we adopt in the case

treatment of TB cases like DOTS to treat the HIV patients.

T.K.Satagopan

e-mail: <tk_satagopan@...>

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