WHO Prequalified ARVs: What They Are, Why They Matter, and How They Save Lives

When it comes to treating HIV, not all antiretroviral drugs are created equal. WHO prequalified ARVs, antiretroviral medications reviewed and approved by the World Health Organization for safety, quality, and effectiveness. Also known as WHO-listed ARVs, these are the only drugs trusted by governments, NGOs, and global health programs to treat millions of people in countries with limited resources. This isn’t just paperwork—it’s a lifeline. If a drug isn’t WHO prequalified, it’s often not available through major aid programs like PEPFAR or the Global Fund, even if it’s sold in pharmacies. That’s because prequalification means the drug has been tested under real-world conditions, manufactured to strict standards, and proven to work consistently across diverse populations.

What makes a drug WHO prequalified? It’s not just about the active ingredient. The manufacturer must prove they can produce the same high-quality product every single batch, no matter where it’s made. This includes rigorous testing for purity, stability, and how the drug breaks down in the body. Antiretroviral drugs, medications that stop HIV from multiplying in the body like tenofovir, efavirenz, and dolutegravir are the backbone of modern HIV treatment. But only the prequalified versions are guaranteed to deliver the right dose, every time. For someone in rural Uganda or rural Bangladesh, that consistency means the difference between viral suppression and drug resistance.

These drugs don’t just treat individuals—they stop transmission. When people take their WHO prequalified ARVs consistently, their viral load drops so low that they can’t pass HIV to others. That’s why global health agencies push for universal access to these specific drugs. HIV treatment, the ongoing use of antiretroviral therapy to control the virus and prevent disease progression is no longer a luxury. It’s a public health strategy. And it only works if the drugs are reliable. That’s why clinics in low-income countries don’t just accept any generic—they ask: Is it WHO prequalified?

You’ll find these drugs in the posts below because they’re central to real-world medication safety. Some articles talk about drug interactions that can mess with ARV levels—like how certain antibiotics or herbal supplements can make them less effective or more toxic. Others cover how patients in resource-limited settings manage side effects, stick to regimens, or avoid treatment interruptions that lead to resistance. There’s even discussion on how generic versions enter the market and whether they meet the same standards as branded ones. All of it ties back to one truth: if the ARV isn’t WHO prequalified, the risk goes up—for the patient, for the community, for the entire health system.

What you’ll find here isn’t theory. It’s the real stuff—what works, what doesn’t, and what happens when things go wrong. Whether you’re a patient, a caregiver, or just someone trying to understand global health, these posts give you the facts you need to know what makes a good ARV truly good.

Caden Harrington - 23 Nov, 2025

Antiretroviral Generics in Africa: How Local Production Is Transforming HIV Treatment Access

African-made antiretroviral generics are transforming HIV treatment access across the continent, reducing dependence on imports, cutting costs, and building local health sovereignty. With WHO-prequalified drugs now in use, the future of HIV care in Africa is being shaped by African innovation.