Hanging in the balance will be the lives of the 10 million people in urgent need of treatment, at a time when the latest science tells us that treating HIV not only saves lives, but also dramatically reduces transmission of the virus from one person to another \u2013 by 96 percent.<\/strong><\/p>\n Ten years ago, at the first major UN meeting on HIV\/AIDS, then- Secretary-General Kofi Annan called for a \u2018war chest\u2019 to respond to the epidemic.<\/p>\n The decade that followed saw an unprecedented mobilistion of political will and funding to put six million people put on life-saving antiretroviral drugs (ARVs).\u00a0But much more is needed to break the back of the epidemic.<\/p>\n <\/p>\n HIV: Reducing pressure on health services by task-shifting<\/a> from MSF<\/a> on Vimeo<\/a>.<\/p>\n MSF began treating HIV\/AIDS in 2000, and has seen the tremendous positive effect treatment has had on people and communities, reducing deaths and illness. The introduction of ARVs has transformed HIV from a death sentence to a manageable chronic disease.<\/p>\n More and more people are receiving treatment \u2013 now more than six million in developing countries \u2013 and there are now new tools, treatment strategies and innovations that can help reach even more people.<\/p>\n One major factor that allowed treatment scale-up to today\u2019s levels was the fact that the price of ARVs dropped dramatically over the past decade, from more than US$10,000 in 2000 to roughly $150 today.<\/p>\n This price decline has made lifesaving drugs accessible to millions of people in developing countries. The newer generation of ARVs has fewer side-effects, which has a positive effect on people\u2019s ability to adhere to their treatment.<\/p>\n An MSF nurse examines the lungs of a TB\/HIV co-infected patient in Chiradzulu District Hospital, Malawi. \u00a9 Julie Remy<\/p><\/div>\n <\/p>\n<\/div>\n Another factor that has helped expand treatment is bringing care closer to patients, to local community clinics and health posts.<\/p>\n This has particularly improved access to treatment for people in remote rural areas, who otherwise would struggle to find time and money to travel to distant central hospitals.<\/p>\n Innovative models where patients are empowered to play an active role in managing their own treatment has also helped solve some of the issues related to distance, and has helped alleviate the burden on health systems.<\/p>\n Moreover, shifting tasks from doctors to nurses, and in turn from nurses to lay workers, has reduced the pressure on overburdened health staff without compromising on quality of care.<\/p>\n The lessons learned over the last decade have shown us how to reach people with care in developing countries.<\/p>\n The World Health Organization now recommends people receive better-tolerated medicines, earlier in their disease progression, before they become very sick.\u00a0This is an important step in the right direction.<\/p>\n And there are innovations on the way that could help us more easily reach even more people:\u00a0 new drugs and innovative formulations; ways of producing drugs that could bring their cost down; simpler and easier-to-use diagnostic tools to monitor how patients are doing on treatment \u2013 these will help make the job of scaling up treatment even more feasible.<\/p>\n But all of this requires political will \u2013 this cannot be done without the financial resources from international donors and domestic investments in the countries affected.<\/p>\n Scaling up treatment to all people in need will only be possible if leaders honor their past commitments by providing sustained funding, and by ensuring that drugs are affordable and available.<\/p>\n Leaders also need to support policies to put effective treatment strategies in place and support the research and development of better, more affordable and simpler-to-use medicines and medical tools.<\/p>\n The job is far from finished.\u00a0The lessons of how to reach more people with care, coupled with the critical new science that shows us treatment can help us get ahead of the wave of new infections, tell us that now is the time to push forward with ambitious plans to get treatment to people in need.<\/p>\n There is simply no excuse for politicians to neglect the 10 million people who will die without treatment in the next several years.<\/p>\nSee all campaigning videos created for UN High Level Meeting<\/strong><\/a><\/h5>\n
MSF and HIV<\/h2>\n
Bringing care to patients<\/h2>\n
![\"\"](\"http:\/\/www.faceofmalawi.com\/wp-content\/uploads\/2011\/05\/doctor.jpg\" "\\"doctor\\"")
HIV treatment innovations<\/h2>\n
Political leaders must act<\/h2>\n
![\"an](\"http:\/\/www.msf.org.uk\/UploadedImages\/fbb50223-685e-486d-a453-bbd648df2326.jpg\")
An MSF officer checks how patients are doing with ARV treatment. \u00a9 Julie Remy<\/strong><\/p>\n<\/div>\nNo excuse<\/h2>\n