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Creating Hope: The Origins of ICAP

The MTCT–Plus Initiative, the world’s first multi-country HIV treatment program, was announced at the 14th International AIDS Conference in Barcelona in July 2002. Its aim was to demonstrate to a disbelieving world that it was possible to provide care and antiretroviral (ARV) treatment in resource-limited settings, using programs to prevent mother-to-child transmission of HIV (PMTCT) as an entry point. “We were trying to bridge the gap,” says MTCT–Plus founding director Wafaa El-Sadr. “The world had divided into people who said you’ve got to do prevention, treatment is not an option, and you are going to have raging resistance in Africa; and the few people who were advocating for treatment, saying it was completely unethical not to treat people.” Four years later, the MTCT–Plus Initiative of Columbia University’s Mailman School of Public Health was providing HIV care and treatment for nearly 17,000 people at 14 sites in nine countries. By 2010, ICAP, the successor of the MTCT–Plus Initiative, had provided HIV care and treatment to more than one million people. “Creating Hope: The Origins of ICAP” reflects on the challenges and successes encountered throughout the course of the program.

Available Resources

Creating Hope: The Origins of ICAP (Abridged Version) PDF (6.88 MB)
Creating Hope: The Origins of ICAP (Full Version) PDF (7.88 MB)