Initiatives aimed at improving access to antiretroviral treatment largely ignore the fact that most poor people who suspect they have a sexually transmitted infection seek care in the private sector because of the stigma attached.4 The main care providers for HIV disease in the poorest countries are therefore likely to be private medical practitioners, pharmacists, and traditional and informal providers, such as drug vendors, who are often unregulated and dispense drugs illegally. Improper use of antiretroviral drugs may result in development of resistant HIV, so it is important to take account of private providers and regulate their behaviour.
British Medical Journal, 326, 1382-1384 pp. [doi: 10.1136/bmj.326.7403.1382]
Antiretroviral treatment in developing countries: the peril of neglecting private providers.