HIV Specialist - June 2021 - 22

A Perspective on
HIV Treatment and Prevention in
ETHIOPIA
BY: ANTENEH ZEWDE, MD, ZACH KALTENBORN, MD, ASIYA JEYLAN HUSSEN, BSC, MSC
I
N THE UNITED STATES, HIV clinicians are already selecting patients for long-acting injectable anti-retroviral therapy (ARV)
and preparing for long-acting pre-exposure prophylaxis (PrEP).1-6 While these innovations are exciting and welcome, there
is a staggering divide in the daily provision of HIV care across the world, especially in sub-Saharan Africa. Clinicians struggle
with inadequate testing supplies, medication shortages, shifts in funding priorities, and severe opportunistic infections. While a
significant proportion of patients diagnosed with HIV in the United States may have advanced disease, there are major differences in
how clinicians are recommended to approach the management and evaluation of these patients.7
Integrase inhibitor-based therapy is
relatively new across much of the developed
world and ARV options are limited. Efforts
to improve access to and the acceptance of
pre-exposure PrEP are underway but differ
substantially between countries and regions.
While most countries across the world have
22 JUNE 2021 HIVSPECIALIST WWW.AAHIVM.ORG
aspirational goals for ending the HIV epidemic,
the export of policies with roots in systems
of inequity could ultimately undermine efforts
to curb the spread of HIV by replicating
these same patterns in other countries.8
In Ethiopia, substantial progress has been
made over the last several decades to reduce
the burden of HIV. The ARV clinic within
the Adama Hospital Medical College is one
of the largest government affiliated clinics in
the Oromia region and serves a large number
of people living with HIV. We will consider
several aspects of HIV care within this
context to highlight important differences
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HIV Specialist - June 2021

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