Nature Communications (Jul 2021)
Consensus statement on the role of health systems in advancing the long-term well-being of people living with HIV
- 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 Buchbinder,
- Carlos Caceres,
- Pedro E. Cahn,
- Patrizia Carrieri,
- Georgina Caswell,
- Graham S. Cooke,
- Antonella d’Arminio Monforte,
- Nikos Dedes,
- Julia del Amo,
- Richard Elliott,
- Wafaa M. El-Sadr,
- María José Fuster-Ruiz de Apodaca,
- Giovanni Guaraldi,
- Tim Hallett,
- Richard Harding,
- Margaret Hellard,
- Shabbar Jaffar,
- Meaghan Kall,
- Marina Klein,
- Sharon R. Lewin,
- Ken Mayer,
- Jose A. Pérez-Molina,
- Doreen Moraa,
- Denise Naniche,
- Denis Nash,
- Teymur Noori,
- Anton Pozniak,
- Reena Rajasuriar,
- Peter Reiss,
- Nesrine Rizk,
- Jürgen Rockstroh,
- Diana Romero,
- Caroline Sabin,
- David Serwadda,
- Laura Waters
Affiliations
- 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
- 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
- Center for Research in Sexuality, AIDS and Society, Universidad Peruana Cayetano Heredia
- Pedro E. Cahn
- Fundación Huésped
- Patrizia Carrieri
- Aix Marseille Univ, Inserm, IRD, SESSTIM, 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 del Amo
- National Plan on AIDS, 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)
- Giovanni Guaraldi
- Modena HIV Metabolic Clinic, 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
- Department of Infectious Diseases, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity
- Ken Mayer
- Fenway Health and Harvard Medical School
- Jose A. Pérez-Molina
- Infectious Diseases Department, 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
- Reena Rajasuriar
- University of Malaya
- Peter Reiss
- Amsterdam University Medical Centers, 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
- DOI
- https://doi.org/10.1038/s41467-021-24673-w
- Journal volume & issue
-
Vol. 12,
no. 1
pp. 1 – 14
Abstract
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.
