Rapid scale-up of antiretroviral treatment in Ethiopia: successes and system-wide effects

Yibeltal Assefa, Degu Jerene, Sileshi Lulseged, Gorik Ooms, Wim Van Damme

Research output: Contribution to journalArticlepeer-review


There has been substantial expansion of access to ART and HIV counseling and testing in Ethiopia, whilst maintaining the performance of other health programs such as tuberculosis and maternal and child health services.
Task shifting to the health officers, nurses, and health extension workers is thought to be responsible for these successes.
However, HIV prevention interventions and management of chronic care patients are lagging behind. This may be due to lack of attention to these health care areas and to physicians leaving the public sector for NGOs, including AIDS-related NGOs.
Prevention of HIV infection, retention of patients in chronic care, and retention of physicians in the public sector need urgent attention for effective and sustainable HIV/AIDS and health systems responses in the long term.
Original languageEnglish
Article numbere1000056
Number of pages4
JournalPLoS Medicine
Issue number4
Publication statusPublished - 2009 Apr 28
Externally publishedYes

Subject classification (UKÄ)

  • Public Health, Global Health, Social Medicine and Epidemiology

Free keywords

  • Anti-Retroviral Agents/therapeutic use
  • Counseling
  • Ethiopia
  • HIV Infections/drug therapy
  • Humans
  • Preventive Health Services
  • Public Health
  • Workforce


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