TY - JOUR
T1 - Emerging priorities for HIV service delivery
AU - Ford, Nathan
AU - Geng, Elvin
AU - Ellman, Tom
AU - Orrell, Catherine
AU - Ehrenkranz, Peter
AU - Sikazwe, Izukanji
AU - Jahn, Andreas
AU - Rabkin, Miriam
AU - Addo, Stephen Ayisi
AU - Grimsrud, Anna
AU - Rosen, Sydney
AU - Zulu, Isaac
AU - Reidy, William
AU - Lejone, Thabo
AU - Apollo, Tsitsi
AU - Holmes, Charles
AU - Kolling, Ana Francisca
AU - Lesihla, Rosina Phate
AU - Nguyen, Huu Hai
AU - Bakashaba, Baker
AU - Chitembo, Lastone
AU - Tiriste, Ghion
AU - Doherty, Meg
AU - Bygrave, Helen
N1 - Publisher Copyright:
This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.
PY - 2020/2
Y1 - 2020/2
N2 - According to the Joint United Nations Programme on HIV/AIDS (UNAIDS), in 2018, an estimated 37.9 million people were living with HIV worldwide. There were also 1.7 million new infections and 770,000 deaths. At the end of June 2019, 24.5 million people were receiving antiretroviral therapy (ART). Nonetheless, increased access to high-quality ART services is needed to further reduce mortality and new infections and to optimize long term outcomes. In this article, we summarize priorities for HIV service delivery research and guidance identified through a World Health Organization (WHO) consultation held at the end of 2018. The priorities identified include linkage from HIV testing to care; rapid initiation of ART (including out-of-facility ART initiation); task sharing and decentralization, including children and patients on second line; ART delivery for stable clients; adherence, retention, and reengagement in care; management of advanced HIV disease; provision of welcoming health services; and strengthening of service integration, particulary for NCDs and family planning. Ongoing evaluation is needed to determine the net effects of introducing differentiated service delivery models, in terms of health service inputs and long-term outcomes for people living with HIV.
AB - According to the Joint United Nations Programme on HIV/AIDS (UNAIDS), in 2018, an estimated 37.9 million people were living with HIV worldwide. There were also 1.7 million new infections and 770,000 deaths. At the end of June 2019, 24.5 million people were receiving antiretroviral therapy (ART). Nonetheless, increased access to high-quality ART services is needed to further reduce mortality and new infections and to optimize long term outcomes. In this article, we summarize priorities for HIV service delivery research and guidance identified through a World Health Organization (WHO) consultation held at the end of 2018. The priorities identified include linkage from HIV testing to care; rapid initiation of ART (including out-of-facility ART initiation); task sharing and decentralization, including children and patients on second line; ART delivery for stable clients; adherence, retention, and reengagement in care; management of advanced HIV disease; provision of welcoming health services; and strengthening of service integration, particulary for NCDs and family planning. Ongoing evaluation is needed to determine the net effects of introducing differentiated service delivery models, in terms of health service inputs and long-term outcomes for people living with HIV.
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U2 - 10.1371/JOURNAL.PMED.1003028
DO - 10.1371/JOURNAL.PMED.1003028
M3 - Article
C2 - 32059023
AN - SCOPUS:85079529685
SN - 1549-1277
VL - 17
JO - PLoS medicine
JF - PLoS medicine
IS - 2
M1 - e1003028
ER -