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 M. N. Behrens, Linda‐Gail Bekker, Sanjay Bhagani, Darren A. Brown, Graham Brown, Susan Buchbinder, Carlos F. Cáceres, Pedro Cahn, Patrizia Carrieri, Georgina Caswell, Graham Cooke, Antonella d’Arminio Monforte, Nikos Dedes, Julia del Amo, Richard Elliott, Wafaa El‐Sadr, María José Fuster-Ruiz de Apodaca, Giovanni Guaraldi, Timothy B. Hallett, Richard Harding, Margaret Hellard, Shabbar Jaffar, Meaghan Kall, Marina B. Klein, Sharon R. Lewin, Ken Mayer, José A. Pérez‐Molina, Doreen Moraa, Denise Naniche, Denis Nash, Teymur Noori, Anton Pozniak, Reena Rajasuriar, Peter Reiss, Nesrine Rizk, Jürgen K. Rockstroh, Diana Romero, Caroline Sabin, David Serwadda, Laura Waters
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.