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Previous Volume 349:814-815 August 21, 2003 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: As a clinician who delivers antiretroviral therapy in Africa, I have to stress just how far we are from achieving the goal articulated by former president William J. Clinton in his Sounding Board article on the AIDS pandemic (May 1 issue).¹ In Kenya, a great deal of medical care is supplied by nonphysician clinical officers and nurses who lack oversight and have relatively little training. There is no requirement or mechanism for continuing medical education, and brief instructional seminars will not be sufficient. A model involving the use of unsupervised nonphysician providers in rural areas is unlikely . . . [Full Text of this Article]

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