In Health and Demographic Surveillance System (HDSS), the follow-up of individuals aged 15 59 years was categorized into three periods: before ART (1998 2003), during ART scale-up (2004 2007), and after widespread availability of ART (2008 2011).
Most of these laws were passed before the widespread availability of ART had dramatically reduced deaths due to AIDS [ 29] and also before the knowledge that ART reduces HIV transmission risk.
In conclusion, prior to the availability of ART, traditional herbal or spiritual therapies were the only healthcare options available in this community for those with HIV-related disease.
The success of PMTCT programmes should make the problem moot, but in the meantime, the increasing availability of ART and its efficacy means more children growing into healthy adolescents and adults.
But I firmly believe that we could and should do more to democratise not just engagement with art but also the availability of art.
Availability of ART has rapidly increased in Rwanda during the past few years[28].
However it is possible with the increasing availability of ART, more individuals may seek VCT services [19].
Alternatively, with increasing availability of ART, patients may have transferred to another programme, for example a programme closer to their place of residence.
This is in contrast to the US where even before the availability of ART, only 3 4% of the HIV+ patients developed TB.
Another covariate of consent is the availability of ART.
Despite increased availability of ART, children remain a neglected population.
