Consensus statement on the role of health systems in advancing the long-term well-being of people living with HIV.
Jeffrey Victor LazarusKelly Safreed-HarmonAdeeba KamarulzamanJane AndersonRicardo Baptista LeiteGeorg Martin Norbert BehrensLinda-Gail BekkerSanjay BhaganiDarren A BrownGraham BrownSusan BuchbinderCarlos F CaceresPedro E CahnPatrizia Maria CarrieriGeorgina CaswellGraham S CookeAntonella d'Arminio MonforteNikos DedesJulia Del AmoRichard ElliottWafaa M El-SadrMaría José Fuster-Ruiz de ApodacaGiovanni GuaraldiTimothy B HallettRichard HardingMargaret E HellardShabbar JaffarMeaghan KallMarina B KleinSharon R LewinKen MayerJosé Antonio Pérez-MolinaDoreen MoraaDenise NanicheDenis NashTeymur NooriAnton L PozniakReena RajasuriarPeter ReissNesrine A RizkJürgen RockstrohDiana RomeroCaroline Anne SabinDavid SerwaddaLaura Jane WatersPublished in: Nature communications (2021)
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.