Highly Active Antiretroviral Therapy and Risky Sex: Is there a Link?

dc.contributor.authorNattrass, Nicoli
dc.date.accessioned2016-05-19T15:59:49Z
dc.date.available2016-05-19T15:59:49Z
dc.date.issued2003
dc.date.updated2016-05-19T15:57:07Z
dc.description.abstractAccording to South Africa's leading demographic model, the provision of highly active antiretroviral therapy (HAART) for people living with AIDS will have positive spin-offs in terms of limiting the spread of HIV/AIDS. The ASSA2000 Interventions Model (an offshoot of the ASSA2000 demographic model of South Africa) predicts that over a million new HIV infections could be averted in the first twelve years if a HAART treatment programme was added to a set of AIDS prevention interventions. In other words, not only is HAART assumed to prolong the lives of AIDS patients, but it is also assumed to save lives by preventing a significant number of new HIV infections. See Johnson and Dorrington (2002) for a discussion of the modelling assumptions and supporting evidence. This link between AIDS treatment and AIDS prevention occurs for two reasons: firstly, HAART lowers the viral loads of AIDS patients, thereby making them less infectious. Secondly, the model assumes that voluntary counselling and testing (VCT) is an integral part of a HAART programme, and that VCT is effective in encouraging people to practice safer sex. This modelled link between AIDS treatment and prevention is, however, contentious. According to a recent Joint Health and Treasury Task Team government report (on the economic of providing HAART in South Africa), there is 'no compelling evidence that antiretrovirals would reduce numbers of new infections' (2003: 18). This is a strange comment, given that the ASSA2000 Interventions model (which, as noted above, assumes the opposite) was used by the task team in their modelling work. Nevertheless, seeing as there is wide-spread concern about the nature of the link between HAART and fewer HIV infections, the matter requires serious consideration.en_ZA
dc.identifier.apacitationNattrass, N. (2003). <i>Highly Active Antiretroviral Therapy and Risky Sex: Is there a Link?</i> University of Cape Town ,Faculty of Humanities ,Centre for Social Science Research(CSSR). Retrieved from http://hdl.handle.net/11427/19733en_ZA
dc.identifier.chicagocitationNattrass, Nicoli <i>Highly Active Antiretroviral Therapy and Risky Sex: Is there a Link?.</i> University of Cape Town ,Faculty of Humanities ,Centre for Social Science Research(CSSR), 2003. http://hdl.handle.net/11427/19733en_ZA
dc.identifier.citationNattrass, N. (2003). Highly Active Antiretroviral Therapy and Risky Sex: Is There a Link?. Centre for Social Science Research, University of Cape Townen_ZA
dc.identifier.ris TY - Working Paper AU - Nattrass, Nicoli AB - According to South Africa's leading demographic model, the provision of highly active antiretroviral therapy (HAART) for people living with AIDS will have positive spin-offs in terms of limiting the spread of HIV/AIDS. The ASSA2000 Interventions Model (an offshoot of the ASSA2000 demographic model of South Africa) predicts that over a million new HIV infections could be averted in the first twelve years if a HAART treatment programme was added to a set of AIDS prevention interventions. In other words, not only is HAART assumed to prolong the lives of AIDS patients, but it is also assumed to save lives by preventing a significant number of new HIV infections. See Johnson and Dorrington (2002) for a discussion of the modelling assumptions and supporting evidence. This link between AIDS treatment and AIDS prevention occurs for two reasons: firstly, HAART lowers the viral loads of AIDS patients, thereby making them less infectious. Secondly, the model assumes that voluntary counselling and testing (VCT) is an integral part of a HAART programme, and that VCT is effective in encouraging people to practice safer sex. This modelled link between AIDS treatment and prevention is, however, contentious. According to a recent Joint Health and Treasury Task Team government report (on the economic of providing HAART in South Africa), there is 'no compelling evidence that antiretrovirals would reduce numbers of new infections' (2003: 18). This is a strange comment, given that the ASSA2000 Interventions model (which, as noted above, assumes the opposite) was used by the task team in their modelling work. Nevertheless, seeing as there is wide-spread concern about the nature of the link between HAART and fewer HIV infections, the matter requires serious consideration. DA - 2003 DB - OpenUCT DP - University of Cape Town J1 - Centre for Social Science Research LK - https://open.uct.ac.za PB - University of Cape Town PY - 2003 T1 - Highly Active Antiretroviral Therapy and Risky Sex: Is there a Link? TI - Highly Active Antiretroviral Therapy and Risky Sex: Is there a Link? UR - http://hdl.handle.net/11427/19733 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/19733
dc.identifier.vancouvercitationNattrass N. Highly Active Antiretroviral Therapy and Risky Sex: Is there a Link?. 2003 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/19733en_ZA
dc.languageengen_ZA
dc.publisher.departmentCentre for Social Science Research(CSSR)en_ZA
dc.publisher.facultyFaculty of Humanitiesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en_ZA
dc.sourceCentre for Social Science Research
dc.source.urihttp://www.cssr.uct.ac.za/
dc.titleHighly Active Antiretroviral Therapy and Risky Sex: Is there a Link?en_ZA
dc.typeWorking Paperen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceResearch paperen_ZA
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