About the 3 by 5 Strategy

WHO is moving urgently towards achieving the target: to deliver antiretroviral therapy (ART) to 3 million people with HIV/AIDS living in developing countries before the end of 2005. It has devised a five pillar strategy:

1. Develop Global Leadership, Alliances And Advocacy

  • Advocate for funding, together with UNAIDS and other partners, raising money for drugs, training and strengthening country health services.
  • Commit hundreds of personnel at the country level to the 3 by 5.
  • Publish, with UNAIDS, ethical guidelines promoting equity and human rights in ART.

2. Provide Urgent, Sustained Country Support

  • Provide emergency response teams for high burden countries, as requested by the country, to assess need and help define 3 by 5 targets.
  • Encourage national political commitment for 3 by 5.
  • Work with national governments to strengthen health systems to respond to the crisis.
  • Start the emergency expansion of Training with a goal to train 100 000 professional and lay staff.
  • Strengthen Physical Resources like laboratories and testing equipment.

3. Simplify Standardized Tools and Assure Quality

  • Establish uniform standards and simplified tools to track ART.
  • Identify multiple entry points for treatment, including TB and reproductive health programs, NGO’s, faith-based organizations and other potential providers of antiretroviral therapy.
  • Simplify Treatment Regimes and Guidelines for antiretroviral therapy.

4. Create An Effective, Reliable Supply Of Medicines And Diagnostics

  • Establish an AIDS Medicines and Diagnostics Service to assist countries to secure uninterrupted access to appropriately priced, quality, antiretrovirals and diagnostics.
  • Disseminate information on legal and regulatory issues, prices and sources.
  • Develop and distribute technical tools for supply and demand forecasting, procurement, quantification, and supply-chain management.
  • Continue the pre-qualification of manufacturers and products.
  • Assist buyers to obtain best prices for individual or pooled demand.
  • Arrange for targeted technical and operational support to countries.

5. Rapidly Identifying And Reapplying New Knowledge And Successes

  • Establish global communication systems to share progress and experience.
  • Document early successes and share them with all partners.
  • Develop and carry-out an appropriate operational research agenda.
  • Build a situation room to track progress towards 3 by 5 Milestones.
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