ARV Stockouts Undermine Efforts to Fight HIV
This report details four case studies of sub-Saharan African countries with different HIV burdens and variable supply-chain models, comparing those models in terms of robustness and flexibility to deliver ART. Context-specific methodologies to actively measure patient access and solve stockouts are proposed. Innovative approaches and initiatives are presented and assessed based on their effectiveness in improving ART access and simplifying ART delivery for people living with HIV. The analysis shows that diverse logistical, managerial and legislative challenges prevent many country programs from providing consistent and timely supplies of ARVs to patients.