Before 2001, many physicians believed ARV in poor resource was an impossible noncost-effective fight. In other words, the poor were uneducated and didn't have the resources to properly adhere to the complicated lifelong ARV regimen. In 2001, Dr. Paul Farmer et al demonstrated that support can be mobilized within poor communities in Haiti and that patients can adhere to difficult drug regimens in the most unpromising surrounds.
I recommend reading the Lancet Journal Article that changed the face of ARV treatment: Community-Based Approaches to HIV Treatment in Resource-Poor Settings
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