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The (political) economics of antiretroviral treatment in developing countries

机译：发展中国家抗逆转录病毒治疗的（政治）经济学

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摘要

Despite unprecedented international mobilisation to support universal provision of highly active antiretroviral therapy (HAART), national governments continue to play the key role in determining access to treatment. Whereas some AIDS-affected countries have performed as well as or better than expected given their level of development, institutional characteristics and demographic challenges (e.g. Thailand and Brazil), others (notably South Africa) have not. This article argues that the 'economics' of antiretroviral drug delivery is at heart a political-economy of access to treatment. It depends on commitment on the part of national governments to negotiate with pharmaceutical companies over patented antiretroviral drug prices, on their policy towards compulsory licensing, and on the approach they adopt to delivering HAART. Civil society has an important role to play in encouraging governments to become, and remain, committed to taking action to ensure sustainable and widespread access to HAART.
机译：尽管国际空前动员以支持普遍提供高活性抗逆转录病毒疗法（HAART），但各国政府在确定获得治疗的机会方面仍继续发挥关键作用。考虑到一些受艾滋病影响的国家的发展水平，体制特征和人口挑战（例如泰国和巴西），其表现好于或好于预期，而其他国家（尤其是南非）则没有。本文认为，抗逆转录病毒药物递送的“经济学”本质上是获得治疗的政治经济学。这取决于各国政府与制药公司就获得专利的抗逆转录病毒药物价格进行谈判的承诺，其强制许可政策以及他们采用的交付HAART的方式。民间社会在鼓励政府成为和保持致力于采取行动以确保可持续和广泛获得HAART方面可以发挥重要作用。

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