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

DOI
https://doi.org/10.1038/s41467-021-24673-w
Journal volume & issue
Vol. 12, no. 1
pp. 1 – 14

Abstract

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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.