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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.502) Chapter 34 Spain
The HIV Pandemic

Jesús Castilla

Isabel Noguer

José Ramón Repullo

Oxford University Press

This chapter reviews Spain's response to its HIV epidemic. The Spanish National Health System provides a framework that can respond quickly to the growing need for HIV control within the population. Its HIV-related interventions have always been based on the principles of free access, universality, and equity. In order to decrease delays in HIV diagnosis, offering confidential and anonymous HIV testing and counselling as widely as possible has also proven highly effective. In particular, providing free antiretroviral drugs to all patients who can benefit from this treatment has proved to be effective in reducing AIDS, premature death, hospital admissions, and length of stay due to opportunistic infections.

Keywords:   National Health System, HIV epidemic, free access, universality, equity, opportunistic infections, HIV infection

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