It’s over fine years,since ARVs were widely spoken off. Before that those who took they had to import from South Africa and other developed nations
now for The past five years, patients have revived themselves, they are healthy in terms of weight management, they are fit for producing, so they are not too dependant.
beside the fact that ARVs are available to anyone, there are factors determining when to start and a choice of therapy.
first of all there is an issue of risk of clinical disease progression, i.e.CD4 count,viral load.
also the patient has to be willing to start the therapy. here, counseling is done, the patient learns the pros and cons of ARVs.
ability and motivation of patient to adhere to therapy, is also a factor of the subject matter.
in Africa,few people know of their drug toxicity profile. this reminds us of what drugs we are allergic to e.g. SULFUR.
While on ARVs, a patient has to know about drug to drug interaction. can this person take other pills along with ARVs e.g. pain killers, vomiting resistance pills e.g fenegan, or iron tablets or syrups e.g folic acid, and hemo-up. what must the dosage be, 1/2 or normal dose? for how long,less than seven days or exactly seven days. all this a patient have to be aware of.
lastly one has to learn about pill burden and dosing schedule. this requires discipline on taking drugs. it has to be on the accurate time, no missing out. it is not for ARVs takers only, everyone on any drug has to follow dosing schedule.
there are a few question I like to raise, they have always been on my mind,”why shouldn’t the government put a policy of providing food and fruits to patients with HIV and on ARVs intake?
it will would easen the burden to lowly earners of less than a dollar per day. we know that many African societies face the problem of extended families, the higher the family the more the food. and we know that most families get 2-3 meals per day and mostly not well balanced. most meals lack vegetables and fruits which are very important to patients, not only HIV+ but also all patients in general.
w when we talk of HIV/AIDS challenges the issue is not “can Africa cope”, the issue is does Africa what to cope?”