Fernet Leandre

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OBJECTIVE To scale-up a successful HIV/AIDS treatment project and provide comprehensive care to an entire Département du Centre (population 550 000) in rural Haiti, thereby demonstrating that community-based treatment of HIV is feasible and highly effective in resource-limited settings, and serving as a successful model for others to replicate. (More)
Since 2002, the HIV Equity Initiative of the nongovernmental organization Partners in Health has been expanded in conjunction with the Haitian MOH to cover 7 public clinics. More than 8000 HIV-positive persons, 2300 of whom are on antiretroviral therapy (ART) are now followed. This article describes the interventions to promote access to care and adherence(More)
Last year, HIV surpassed other pathogens to become the world’s leading infectious cause of adult death. More than 90% of deaths occur in poor countries, yet new antiretroviral therapies have only led to a drop in AIDS deaths in industrialised countries. The main objections to the use of these agents in less-developed countries have been their high cost and(More)
In 2000, acquired immunodeficiency syndrome (AIDS) overtook tuberculosis (TB) as the world's leading infectious cause of adult deaths. In affluent countries, however, AIDS mortality has dropped sharply, largely because of the use of highly active antiretroviral therapy (HAART). Antiretroviral agents are not yet considered essential medications by(More)
Paul Farmer*, Charles Patrick Almazor, Emily T. Bahnsen, Donna Barry, Junior Bazile, Barry R. Bloom, Niranjan Bose, Thomas Brewer, Stephen B. Calderwood, John D. Clemens, Alejandro Cravioto, Eddy Eustache, Gregory Jérôme, Neha Gupta, Jason B. Harris, Howard H. Hiatt, Cassia Holstein, Peter J. Hotez, Louise C. Ivers, Vanessa B. Kerry, Serena P. Koenig,(More)
Three decades ago, the world's ministries of health declared primary health care--the delivery of basic preventive and curative services--a top priority. Since then, however, the world's poorest countries have not met most primary health care goals. Twenty-six years after the Declaration of Alma Ata, we are said to be living in a time of "limited(More)
AIMS The goals of this study were to (1) estimate the prevalence of HIV infection among women accessing services at a women's health center in rural Haiti and (2) to identify economic risk factors for HIV infection in this population. METHODS Women who accessed healthcare services at this center between June 1999 and December 2002 were recruited to(More)
HIV/AIDS has become the world’s leading infectious cause of adult deaths and takes its greatest toll in remote, resource poor areas. Dramatic improvements in survival have been seen with use of antiretroviral drugs in developed countries and in Brazil. Since 2001, substantial resources have been pledged to treat HIV infected patients in developing(More)
Haiti's HIV/AIDS program is one of the most successful in the world, with a declining HIV prevalence, and treatment outcomes that rival those of industrialized nations. It is now on the way to providing universal treatment for HIV/AIDS nationwide. This success is tied to a strong foundation for HIV care that was in place before external funding became(More)