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Consensus statement on the role of health systems in advancing the long-term well-being of people living with HIV

Author

Listed:
  • Jeffrey V. Lazarus

    (Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona)

  • Kelly Safreed-Harmon

    (Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona)

  • Adeeba Kamarulzaman

    (University of Malaya
    International AIDS Society (IAS))

  • Jane Anderson

    (Homerton University Hospital NHS Foundation Trust)

  • Ricardo Baptista Leite

    (Portuguese National Parliament)

  • Georg Behrens

    (Medizinische Hochschule Hannover (MHH))

  • Linda-Gail Bekker

    (The Desmond Tutu HIV Centre)

  • Sanjay Bhagani

    (Royal Free London NHS Trust and University College London)

  • Darren Brown

    (Chelsea and Westminster NHS Foundation Trust)

  • Graham Brown

    (Centre for Social Impact, University of New South Wales)

  • Susan Buchbinder

    (Bridge HIV, San Francisco Department of Public Health)

  • Carlos Caceres

    (Universidad Peruana Cayetano Heredia)

  • Pedro E. Cahn

    (Fundación Huésped)

  • Patrizia Carrieri

    (Sciences Economiques & Sociales de la Santé & Traitement de l’Information Médicale, ISSPAM)

  • Georgina Caswell

    (Global Network of People Living with HIV (GNP+))

  • Graham S. Cooke

    (Imperial College London)

  • Antonella d’Arminio Monforte

    (University of Milan)

  • Nikos Dedes

    (Positive Voice)

  • Julia Amo

    (Ministry of Health)

  • Richard Elliott

    (HIV Legal Network)

  • Wafaa M. El-Sadr

    (ICAP at Columbia University)

  • María José Fuster-Ruiz de Apodaca

    (Spanish AIDS Interdisciplinary Society (SEISIDA)
    Universidad Nacional de Educación a Distancia)

  • Giovanni Guaraldi

    (Università degli studi di Modena e Reggio Emilia)

  • Tim Hallett

    (Imperial College London)

  • Richard Harding

    (King’s College London)

  • Margaret Hellard

    (Burnet Institute)

  • Shabbar Jaffar

    (Liverpool School of Tropical Medicine)

  • Meaghan Kall

    (Public Health England)

  • Marina Klein

    (McGill University Health Centre Research Institute)

  • Sharon R. Lewin

    (The University of Melbourne at the Peter Doherty Institute for Infection and Immunity
    The Royal Melbourne Hospital at the Peter Doherty Institute for Infection and Immunity
    The Alfred and Monash University)

  • Ken Mayer

    (Fenway Health and Harvard Medical School)

  • Jose A. Pérez-Molina

    (Hospital Universitario Ramón y Cajal)

  • Doreen Moraa

    (ESA YOUTH 2030)

  • Denise Naniche

    (Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona)

  • Denis Nash

    (City University of New York Graduate School of Public Health and Health Policy)

  • Teymur Noori

    (European Centre for Disease Control and Prevention)

  • Anton Pozniak

    (Chelsea and Westminster NHS Foundation Trust
    London School of Hygiene and Tropical Medicine)

  • Reena Rajasuriar

    (University of Malaya)

  • Peter Reiss

    (University of Amsterdam)

  • Nesrine Rizk

    (American University of Beirut)

  • Jürgen Rockstroh

    (University Hospital Bonn)

  • Diana Romero

    (City University of New York Graduate School of Public Health and Health Policy)

  • Caroline Sabin

    (University College London)

  • David Serwadda

    (Makerere University School of Public Health)

  • Laura Waters

    (Central and North West London NHS Trust)

Abstract

Health systems have improved their abilities to identify, diagnose, treat and, increasingly, achieve viral suppression among people living with HIV (PLHIV). Despite these advances, a higher burden of multimorbidity and poorer health-related quality of life are reported by many PLHIV in comparison to people without HIV. Stigma and discrimination further exacerbate these poor outcomes. A global multidisciplinary group of HIV experts developed a consensus statement identifying key issues that health systems must address in order to move beyond the HIV field’s longtime emphasis on viral suppression to instead deliver integrated, person-centered healthcare for PLHIV throughout their lives.

Suggested Citation

  • Jeffrey V. Lazarus & Kelly Safreed-Harmon & Adeeba Kamarulzaman & Jane Anderson & Ricardo Baptista Leite & Georg Behrens & Linda-Gail Bekker & Sanjay Bhagani & Darren Brown & Graham Brown & Susan Buch, 2021. "Consensus statement on the role of health systems in advancing the long-term well-being of people living with HIV," Nature Communications, Nature, vol. 12(1), pages 1-14, December.
  • Handle: RePEc:nat:natcom:v:12:y:2021:i:1:d:10.1038_s41467-021-24673-w
    DOI: 10.1038/s41467-021-24673-w
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