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 ElliottWafaa 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

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

86 Citations (Scopus)
17 Downloads (Pure)

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.

Original languageEnglish
Article number4450
JournalNature Communications
Volume12
DOIs
Publication statusPublished - 16 Jul 2021

Bibliographical note

Funding Information: The authors declare no competing interests.

Open Access: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

Publisher Copyright:© 2021, The Author(s).

Citation: Lazarus, J.V., Safreed-Harmon, K., Kamarulzaman, A. et al. Consensus statement on the role of health systems in advancing the long-term well-being of people living with HIV. Nat Commun 12, 4450 (2021).

DOI: https://doi.org/10.1038/s41467-021-24673-w

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