Reimagining HIV service delivery: the role of differentiated care from prevention to suppression

• Published in: Journal of the International AIDS Society Vol. 19; no. 1; pp. 21484 - n/a
• Main Authors: Grimsrud, Anna, Bygrave, Helen, Doherty, Meg, Ehrenkranz, Peter, Ellman, Tom, Ferris, Robert, Ford, Nathan, Killingo, Bactrin, Mabote, Lynette, Mansell, Tara, Reinisch, Annette, Zulu, Isaac, Bekker, Linda‐Gail
• Format: Journal Article
• Language: English
• Published: Switzerland International AIDS Society 01-01-2016; John Wiley & Sons, Inc; Wiley
• Subjects: Acquired immune deficiency syndrome; AIDS; AIDS treatment; Analysis; Antiretroviral agents; Antiviral agents; Care and treatment; Civil society; Dosage and administration; Drug therapy; Health aspects; Highly active antiretroviral therapy; HIV; HIV infection; HIV patients; Human immunodeficiency virus; Medical tests; Prevention; Public health; Quality; Risk factors; Sexually transmitted diseases; Viewpoint; South Africa; Mozambique; Myanmar (Burma); Malawi; United States > US; Africa; Ukraine; Uganda; Thailand; Durban South Africa; Switzerland
• ISSN: 1758-2652; 1758-2652
• DOI: 10.7448/IAS.19.1.21484

The recently updated World Health Organization (WHO) consolidated guidelines on the use of antiretroviral therapy (ART) recommending to “treat all” mark a paradigm shift in the delivery of HIV treatment: from who is eligible and when to start ART, to how to provide client‐centred and high‐quality care to all people living with HIV (PLHIV). While national policies endorsing differentiated care are necessary for scale‐up of HIV services, successful implementation will be dependent on an enabling environment inclusive of a robust drug supply (including fast tracked drug pick‐ups and 3–6 month ART refills); access to laboratory monitoring, in particular viral load; a reliable monitoring and evaluation system; and recognition of lay workers. [...]leveraging the concept of differentiated care beyond HIV to other chronic diseases for all clients will strengthen health systems and contribute to reaching Sustainable Development Goal 3 – “good health and well‐being” [ 19].