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

JV Lazarus; K Safreed-Harmon; A Kamarulzaman; J Anderson; RB Leite; G Behrens; LG Bekker; S Bhagani; D Brown; G Brown; S Buchbinder; C Caceres; PE Cahn; P Carrieri; G Caswell; GS Cooke; AD Monforte; N Dedes; J del Amo; R Elliott; WM El-Sadr; MJ Fuster-Ruiz de Apodaca; G Guaraldi; T Hallett; R Harding; M Hellard; S Jaffar; M Kall; M Klein; SR Lewin; K Mayer; JA Pérez-Molina; D Moraa; D Naniche; D Nash; T Noori; A Pozniak; R Rajasuriar; P Reiss; N Rizk; J Rockstroh; D Romero; C Sabin; D Serwadda; L Waters

Journal article

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

JV Lazarus, K Safreed-Harmon, A Kamarulzaman, J Anderson, RB Leite, G Behrens, LG Bekker, S Bhagani, D Brown, G Brown, S Buchbinder, C Caceres, PE Cahn, P Carrieri, G Caswell, GS Cooke, AD Monforte, N Dedes, J del Amo, R Elliott Show all

Nature Communications | Published : 2021

DOI: 10.1038/s41467-021-24673-w

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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.