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The HIV PandemicLocal and Global Implications$
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Eduard J. Beck, Nicholas Mays, Alan W. Whiteside, and José M. Zuniga

Print publication date: 2007

Print ISBN-13: 9780199237401

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780199237401.001.0001

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(p.429) Chapter 29 Brazil
The HIV Pandemic

Maya L Petersen

Claudia Travassos

Francisco I Bastos

Mariana A Hacker

Eduard J Beck

José Carvalho de Noronha

Oxford University Press

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

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