HIV treatment and care systems: the way forward.


Ross, DA; South, A; Weller, I; Hakim, J; (2012) HIV treatment and care systems: the way forward. AIDS (London, England), 26 Suppl 2. S147-52. ISSN 0269-9370 DOI: https://doi.org/10.1097/QAD.0b013e32835bde37

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Abstract

This article summarizes the conclusions and recommendations from the articles in this supplement. It presents a call for greater clarity of thinking related to projections of future need for HIV treatment and care. The demands placed on HIV treatment and care services will increase for the foreseeable future while the resources available for this are likely to remain constant or to decline. This highlights the need for realistic budgeting by national governments. The key strategies that should be employed to sustain HIV treatment and care programmes in high HIV-prevalence low and middle-income countries over the coming decade include further decentralization, task shifting, and integration of HIV services with other chronic disease treatment services. At the same time, greater attention will need to be given to the provision of mental healthcare for those living with HIV; to the specific treatment needs of children, adolescents, pregnant women and older people; and to the standard collection of validated indicators of treatment outcomes within national programmes. For the considerable gains that have been achieved to be sustained, funders - both internal and external to the country concerned - need to prioritize investment in operations research to maximise the efficiency of their other investments in HIV treatment and care services.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Epidemiology and Population Health > Dept of Medical Statistics
Research Centre: Tropical Epidemiology Group
PubMed ID: 23303436
URI: http://researchonline.lshtm.ac.uk/id/eprint/610223

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