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A case study of the provision of antiretroviral therapy for refugees in Tanzania

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Pages 134-147 | Accepted 11 Nov 2008, Published online: 26 Jun 2009
 

Abstract

Tanzania is host to one of the highest refugee populations in the world, with over half a million refugees in 2006. The purpose of this case study was to explore the application of the UNHCR ART policy for the provision of therapeutic, long-term antiretroviral therapy (ART) to refugees in Tanzania. A case study method was used and 18 semi-structured key-informants interviews were conducted in July 2007 with a cross-section of stakeholders involved in provision of ART to refugees in Tanzania. The results suggest positive implementation of the key principles of the UNHCR policy. Some differing opinions existed between respondents over the key principles of considering ART provision at earliest possible stage of displacement, and the criteria for repatriation of refugees. The right of refugees to access ART is increasingly accepted and Tanzania provides a positive example of how ART services can be scaled up for refugees.

Acknowledgements

Funding for the research was provided by the Chevening Scholarship program and the British Council. We are also grateful to Dr Chris Orach for comments on an initial draft. HS and BR designed the study. HS collected and analysed the data. HS and BR drafted the manuscript. The authors declare that they have no competing interests.

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