Chapter

Brazil

Maya L Petersen, Claudia Travassos, Francisco I Bastos, Mariana A Hacker, Eduard J Beck and José Carvalho de Noronha

in The HIV Pandemic

Published in print December 2007 | ISBN: 9780199237401
Published online September 2009 | e-ISBN: 9780191723957 | DOI: https://dx.doi.org/10.1093/acprof:oso/9780199237401.003.0029
Brazil

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This chapter reviews Brazil's response to its HIV epidemic. Brazil's reforms in the 1980s produced a healthcare system based on the principle that care should be delivered according to need rather than ability to pay. This commitment to equity played a major role in shaping the nation's response to the HIV epidemic, as is particularly evident in Brazil's provision of free antiretroviral therapy (ART) at the point of delivery. However, dramatic disparities between socio-economic groups and geographical regions in Brazil remain a challenge to the realization of this ideal, both within the HIV programme and across the Brazilian health system more generally.

Keywords: reforms; HIV epidemic; free ART; HIV programme; HIV infection

Chapter.  8462 words.  Illustrated.

Subjects: Public Health and Epidemiology

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