Have A Heart, Save My Liver! Which Countries Restrict Treatment?
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Registration of a medicine in a country does not always translate into access. Key populations and marginalized communities disproportionately affected by HCV face stigma, discrimination, and exclusion, which prevent them from accessing a range of health and non-health related services, including the supports needed to initiate treatment on direct-acting antivirals (DAAs). Treatment rationing occurs through different forms of restrictions: based on liver disease stage, abstinence from alcohol and/or substances, and on who is authorized to prescribe DAAs.
A fact sheet, developed by the hepCoalition, shows the three treatment restrictions implemented in 119 countries around the world based on crowdsourced hepatitis C data from mapCrowd, a free, public database managed by Treatment Action Group and Médecins du Monde.