Zimbabwe battles high bills for third line HIV drugs

Zimbabwe faces big money problems buying special HIV drugs for 603 patients each month. These advanced medicines cost thousands of dollars when normal HIV drugs cost only about $8 monthly. The country struggles even more because help from other nations keeps going down. Tests that check which drugs will work for resistant HIV add extra costs.

Patients need to take their first medicines correctly every day. Many people skip doses because they heard wrong information about traditional healing or spirits causing their illness instead of HIV. Others simply forget to take pills or lose them. This causes the HIV to change and fight against the drugs. Unlike other health problems where missing medicine occasionally might not matter as much, HIV requires perfect pill-taking.

Dr. Owen Mugurungi from the Health Ministry explained that first-line HIV treatment costs just $6-$8 monthly per person. Second-line treatment jumps higher. Third-line therapy reaches $86-$90 monthly—ten times more expensive than basic options. Some patients need treatments not even registered in Zimbabwe. The health system must find ways to bring these rare medicines into the country for specific patients.

The hardest part involves testing which exact drugs each patient needs when standard options stop working. Each person shows different resistance patterns, requiring unique drug combinations. Companies make fewer of these special medicines because not many people need them. When manufacturers produce smaller amounts of any product, prices go up dramatically. The 603 patients needing these advanced treatments represent a huge drain on Zimbabwe's limited healthcare budget.

Money spent on these expensive treatments takes away funds from other important health programs. The healthcare system wants fewer patients moving to second and third treatment levels. Medical staff work hard to help patients stay on first-line therapy through better education about HIV. They ask media outlets to fight against dangerous myths that cause people to stop taking their life-saving medicines. Perfect medicine-taking remains the best way to prevent the need for costly advanced treatments.
 

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