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dc.contributor.authorDuncombe, Chris
dc.contributor.authorRosenblum, Scott
dc.contributor.authorHellmann, Nicholas
dc.contributor.authorHolmes, Charles
dc.contributor.authorWilkinson, Lynne
dc.contributor.authorBiot, Marc
dc.contributor.authorBygrave, Helen
dc.contributor.authorHoos, David
dc.contributor.authorGarnett, Geoff
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.
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
refterms.dateFOA2019-03-04T11:45:05Z
html.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.


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