PUB120 - Publication Only
GIVAR: "Monitoring the timely access of antiretroviral drugs"
M. Castillo Castro1, J.M. Campos Guevara2, L. López Tocón3, T. Ayala Rojas4, C. Gallagher5, J.C. Cruz Requenes6, R. Revollar Delgado7, P. Anamaría Cárdenas8, J. Arana Flores3
1GIVAR, Coordinación, Lima, Peru, 2Cepesju, Lima, Peru, 3GIVAR, Lima, Peru, 4Aid for Aids, Lima, Peru, 5Sí, da Vida, Lima, Peru, 6PROSA, Lima, Peru, 7Peruanos Positivos, Lima, Peru, 8Via Libre, Lima, Peru
Background: For many years, people with HIV, died in Peru, in the absence of antiretroviral drugs. In 2004, the Central Government is committed to provide antiretroviral treatment to people with HIV under the Global Fund support. However, during the years of the program implementation of HAART, many episodes of shortages occur up to 3 months of delays. In 2010, several organizations reported more than 300 users who had been without medication. The shortage occurred in hospitals of Social Security, Ministry of Health and the Police.
Description: GIVAR born as a citizen initiative to seek solution to shortages of drugs and make a website (www.givarperu.org) where you can receive complaints online that are verified and reported by a thermometer which acts as an alert to the authorities to solve the problem of shortages. Parallel workshops were conducted with PLWHA and technical proposals for health care reform, carried out by the government of President Ollanta Humala are given. It also works against ARV patent monopoly as Atazanavir.
Lessons learned: The surveillance as a tool for enforcing rights of people living with HIV, is key to the change and improvement of public policies. The management of virtual tools as an agile, secure and confidential to complaints about the lack of medicines. The acceptance of GIVAR lies in the confidence of the users to provide a problem in other areas and would not do because it is the collective, who intermediate to try to crack the case.
Conclusions/Next steps: The online reporting system has been crucial to measure the magnitude of ARV problem. At present, there are considerable improvements in ARV supply system, corporate procurement process, schedule more in line with the need and implementation of mechanisms for transparency and warning of possible shortages of ARVs in hospitals. We also have as a challenge, incorporating our technical approach in the New Health Reform, which improves the supply system and generate favorable public policies on behalf of the rights of people with HIV in Peru.
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