What is the ARV requirement for a given population of HIV + patients

[Guest guest]

Dear forum,

Can anybody share that in the initial stage of the epidemic what is the

proportion of the patients who really need Anti retroviral treatment?

In my opinion many of us are worried about ARV if we spend sufficient time for

OI mangement & counseling related to nutrition and psychosupport then the

situation can chnage. Beacuse any person whomsoever becomes HIV + doesnot need

ARV or even any medicine for intial period.

But the negative impact of awareness and lack of good knowledge about the course

of the disease make even a healthy person sick. If we strengthen our counseling

center in such a way that positive people can drop in any time and they can be

taught about the course of the disaes then it cna be useful.

ARV is just prolongation of life that too is not without side effects and a

positive person waste his crucial productive time in worrying about ARV and

medicine.

Even unavailability of awareness in the medical faclty about starting ARV is

another problem. People prescribing ARVs

even to the patients who really don't need it.

We should promote judicioud use of ARVs. Total number of patients who are on ARV

is not very high and sample prescription audititng should be done so that the

misuse of the use of ARV can be prevented.

Can we think of some kind of insurance/ contributory pension scheme for positive

people. Like if at the time of detcetion of a patient as positive rather

waiting for death he continues his work and give his contribution for his

betterment then at he time of his need he shall be able to get the medicine and

would be able live more productive good quality of life for a longer period.

If the government give its all contribution in the contributory fund and throug

hthis fund ARV are provided to the needy patients.

Anil agarwal

E-mail: <ashuanilus@...>