Treatment Action Campaign - Campaign For Access To Antiretrovirals

Campaign For Access To Antiretrovirals

According to TAC's founder, two million South Africans died prematurely of AIDS during the term of former President Mbeki, and many of these deaths could have been prevented by timely implementation of access to anti-HIV drugs.

Following their legal victories, and facing continuing refusal by the government to make antiretrovirals available, TAC began a campaign for universal access to AIDS treatment through the public health system. In a national congress in 2002, the group decided to confront the government on this issue, first enacting a thousands-strong march on Parliament in February 2003, and then beginning a civil disobedience campaign in March 2003. After assurances from people within the government that a treatment plan would be forthcoming, TAC suspended its civil disobedience campaign.

In the summer of 2003, TAC obtained and leaked an internally circulated government report showing that treatment would be cost-effective by reducing costly hospitalizations within the public-sector health system; however, the government did not endorse the report and condemned the leak. In August 2003, at its next annual congress, TAC voted to resume civil disobedience. TAC members also voted to recommend that Achmat take his medications, which he agreed he would do. At the same time, TAC began a Treatment Project to distribute medications to its activists and to other community members.

Shortly after the Congress, and before the civil disobedience campaign resumed, the Cabinet voted to begin roll-out of antiretroviral access through public-sector health clinics. In the South African system, the Cabinet can overrule the President, and it appeared to have done so in this case.

Although the Cabinet voted to reaffirm that South African AIDS policy is based on the evidence that HIV causes AIDS, former President Thabo Mbeki continued to support the AIDS denialist position, as did his Minister of Health, Manto Tshabalala-Msimang. The Minister of Health put special emphasis on nutrition as an alternative to antiretroviral treatment. As the top health official of South Africa, she was a particular target of TAC activism. Tshabalala-Msimang was removed as Health Minister in September 2008 after President Mbeki left office, a move hailed by the Treatment Action Campaign.

Although antiretroviral access is now official policy, its implementation has been spotty. TAC continues to protest and sue the government (working with the AIDS Law Project) in order to continue to influence the speed of and approach to the rollout.