Theo Smart

I am an activist and medical writer who joined ACT UP New York in 1988 and have more than twenty years of experience writing about HIV treatment for organisations including ACT UP's Treatment & Data Committee, TAG, the PWA Health Group, GMHC, the Physician's Research Network in New York and AmFAR. After the World AIDS Conference in Durban, South Africa, I moved to Cape Town, Africa, where I became involved in a number of projects including serving as editor of the HIV and AIDS Treatment in Practice (HATIP) and www.aidsmap.com, and working to support National Networks of People Living With HIV participating in the HIV Leadership through Accountability Programme (www.hivleadership.org). At present, I work as a freelance writer/editor primarily interested in the scale up and delivery of patient-centred HIV/TB, improved MCH and other primary health care and treatment services in resource limited settings. I believe access to quality healthcare is a human right and believe that health systems and healthcare workers should be empowered to deliver it.

Brazil’s continuing fight against intellectual property laws

My friend Mara Kardas-Nelson wrote an excellent piece in the Mail & Guardian on Brazil’s continuing fight against intellectual property laws that make the cost of second and third line HIV treatment unaffordable for public health programmes. Darunavir and Raltegravir (key third line drugs) each cost $5000 per year in Brazil… and there are 6000 …

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Summary of the new 2013 Guidelines recommendations and key issues from a community and civil society perspective

In the 2013 Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection (2013 Guidelines), the World Health Organization (WHO) takes a welcomed step in recommending that people living with HIV everywhere be offered a standard of antiretroviral treatment and care that is closer to what is available in resource-rich countries. …

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Models of community- & patient-delivered HIV and TB services, pt 1, [Repost]

When this site first went online, we posted the intro to this article, which I wrote last year… I’ve always intended to post the rest of it but never got around to it. Somehow the text got corrupted, but I hope this is closer to what it should be. The rest of the article will …

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Survey for a Community Guide to the 2013 Consolidated ART Guidelines

The Global Network of People Living with HIV (GNP+), the International HIV/AIDS Alliance (the Alliance) and STOP AIDS NOW! (SAN!) have sent out the following request for input on the development of their Community Guide to WHO’s 2013 Consolidated ART Guidelines. Dear fellow community and civil society members, As you may know, WHO recently launched …

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Creating legal environments conducive to HIV testing, treatment and prevention & why dignity is important for health

Theo Smart interviews Edwin Bernard of the HIV Justice Network The following interview is one of five I conducted at IAS 2013 to gather case studies for an internal document for one on the funders of my trip to the meeting. The funder didn’t need the full interview, but we thought that it was too …

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Researching the use of ARVs for Treatment *and* Prevention in Key Populations

“Key populations* have high burdens of HIV with low access to services — and in way too many countries, they are the last people in line. So when we think about changing the guidelines with increasing access to care, that, it seems to me, is the fundamental issue that we need to address. No one …

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2013 International HIV Treatment as Prevention Workshop Report/Materials online

Just as the IAS 2013 conference began in Kuala Lumpur, an email arrived from Vancouver stating that the final 2013 International HIV Treatment as Prevention Workshop report and evaluation are now available and can be downloaded here. In addition, all materials related to the 2013 Workshop, including evaluation, photos, and daily summaries, are available at …

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Communities vital to delivery of the new global HIV treatment guidelines

A joint statement from the Global Network of People Living with HIV (GNP+) in partnership with the International HIV/AIDS Alliance (the Alliance) and STOP AIDS NOW(SAN!) issued today has welcomed WHO’s new Consolidated Guidelines on the use of Antiretroviral Drugs for Treatment and Prevention. The joint statement calls on government, multilateral and bilateral agencies, and …

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WHO releases 2013 Consolidated Guidelines on the Use of ARVs for Treatment and Prevention

WHO released 2013 Consolidated Guidelines on the Use of Antiretroviral Drugs for Treatment and Prevention today at the IAS 2013 conference in Kuala Lumpur, which can be downloaded here: Its key points, according to support materials: Treating adults, adolescents and older children earlier – starting ART in all individuals with a CD4 cell count of …

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