Reframing HIV Care: Putting People at the Centre of Antiretroviral Delivery

Hdl Handle:
http://hdl.handle.net/10144/338918
Title:
Reframing HIV Care: Putting People at the Centre of Antiretroviral Delivery
Authors:
Duncombe, Chris; Rosenblum, Scott; Hellmann, Nicholas; Holmes, Charles; Wilkinson, Lynne; Biot, Marc; Bygrave, Helen; Hoos, David; Garnett, Geoff
Journal:
Tropical Medicine & International Health
Abstract:
The delivery of HIV care in the initial rapid scale-up of HIV care and treatment was based on existing clinic-based models, which are common in highly resourced settings and largely undifferentiated for individual needs. A new framework for treatment based on variable intensities of care tailored to the specific needs of different groups of individuals across the cascade of care is proposed here. Service intensity is characterized by four delivery components: (1) types of services delivered, (2) location of service delivery, (3) provider of health services, and (4) frequency of health services. How these components are developed into a service delivery framework will vary across countries and populations, with the intention being to improve acceptability and care outcomes. The goal of getting more people on treatment before they become ill will necessitate innovative models of delivering both testing and care. As HIV programs expand treatment eligibility, many people entering care will not be "patients" but healthy, active and productive members of society.(1) In order to take the framework to scale, it will be important to: (1) define which individuals can be served by an alternative delivery framework; (2) strengthen health systems that support decentralization, integration and task shifting; (3) make the supply chain more robust; and (4) invest in data systems for patient tracking and for program monitoring and evaluation. This article is protected by copyright. All rights reserved.
Publisher:
Wiley-Blackwell
Issue Date:
13-Jan-2015
URI:
http://hdl.handle.net/10144/338918
DOI:
10.1111/tmi.12460
PubMed ID:
25583302
Language:
en
ISSN:
1365-3156
Appears in Collections:
HIV/AIDS

Full metadata record

DC FieldValue Language
dc.contributor.authorDuncombe, Chrisen_GB
dc.contributor.authorRosenblum, Scotten_GB
dc.contributor.authorHellmann, Nicholasen_GB
dc.contributor.authorHolmes, Charlesen_GB
dc.contributor.authorWilkinson, Lynneen_GB
dc.contributor.authorBiot, Marcen_GB
dc.contributor.authorBygrave, Helenen_GB
dc.contributor.authorHoos, Daviden_GB
dc.contributor.authorGarnett, Geoffen_GB
dc.date.accessioned2015-01-27T17:52:34Z-
dc.date.available2015-01-27T17:52:34Z-
dc.date.issued2015-01-13-
dc.identifier.citationReframing HIV Care: Putting People at the Centre of Antiretroviral Delivery. 2015: Trop. Med. Int. Healthen_GB
dc.identifier.issn1365-3156-
dc.identifier.pmid25583302-
dc.identifier.doi10.1111/tmi.12460-
dc.identifier.urihttp://hdl.handle.net/10144/338918-
dc.description.abstractThe delivery of HIV care in the initial rapid scale-up of HIV care and treatment was based on existing clinic-based models, which are common in highly resourced settings and largely undifferentiated for individual needs. A new framework for treatment based on variable intensities of care tailored to the specific needs of different groups of individuals across the cascade of care is proposed here. Service intensity is characterized by four delivery components: (1) types of services delivered, (2) location of service delivery, (3) provider of health services, and (4) frequency of health services. How these components are developed into a service delivery framework will vary across countries and populations, with the intention being to improve acceptability and care outcomes. The goal of getting more people on treatment before they become ill will necessitate innovative models of delivering both testing and care. As HIV programs expand treatment eligibility, many people entering care will not be "patients" but healthy, active and productive members of society.(1) In order to take the framework to scale, it will be important to: (1) define which individuals can be served by an alternative delivery framework; (2) strengthen health systems that support decentralization, integration and task shifting; (3) make the supply chain more robust; and (4) invest in data systems for patient tracking and for program monitoring and evaluation. This article is protected by copyright. All rights reserved.en_GB
dc.languageENG-
dc.language.isoenen
dc.publisherWiley-Blackwellen_GB
dc.rightsArchived on this site with the kind permission of Wiley-Blackwell, [url]http://www.blackwell-synergy.com/loi/tmi[/url]en_GB
dc.titleReframing HIV Care: Putting People at the Centre of Antiretroviral Deliveryen
dc.identifier.journalTropical Medicine & International Healthen_GB

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