Monitoring HIV Treatment and the Health Sector Cascade: From Treatment Numbers to Impact

被引:0
作者
Daniel Low-Beer
Michel Beusenberg
Chika Hayashi
Txema Calleja
Kimberly Marsh
Awandha Mamahit
Theresa Babovic
Gottfried Hirnschall
机构
[1] WHO,HIV Department
[2] UNAIDS,undefined
来源
AIDS and Behavior | 2017年 / 21卷
关键词
HIV; Treatment; Health sector cascade; Sustainable development goals; Impact; Program improvement;
D O I
暂无
中图分类号
学科分类号
摘要
Although not originally part of the MDGs, HIV treatment has been at the center of global HIV reporting since 2003, marked by achievement of the target of 15 million people receiving treatment before 2015 and 18.2 million (16.1–19.0 million) by mid 2016. Monitoring of treatment has been strengthened with harmonized partner reporting and accountability with regular, annual reports. Beyond treatment numbers, increasingly measures of treatment adherence, retention and outcomes have been reported though with varying quality and completeness. However, with the sustainable development goals (SDGs), monitoring treatment is changing in three important ways. First, treatment monitoring is shifting from numbers to coverage and gaps in a cascade of services to achieve universal access. Secondly, this requires greater emphasis on disaggregated, individual level patient and case monitoring systems, which can better support linkage, retention and chronic, long term care. Thirdly, the prevention, testing and treatment cascade with a clear results chain, links treatment numbers to impact, in terms of reduced viral load, mortality and incidence. This agenda will require a greater contribution of routine impact evaluation alongside monitoring, with treatment seen as part of a cascade of services to ensure impact on mortality and incidence. In conclusion, the shift from monitoring treatment numbers to treatment linked to universal access to prevention, testing and treatment and impact on mortality and incidence, will be critical to monitor, evaluate, and improve HIV programs as part of the SDGs.
引用
收藏
页码:15 / 22
页数:7
相关论文
共 50 条
[41]   Improved HIV and Substance Abuse Treatment Outcomes for Released HIV-Infected Prisoners: The Impact of Buprenorphine Treatment [J].
Springer, Sandra Ann ;
Chen, Shu ;
Altice, Frederick L. .
JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE, 2010, 87 (04) :592-602
[42]   Mental Health Treatment Patterns in Perinatally HIV-Infected Youth and Controls [J].
Chernoff, Miriam ;
Nachman, Sharon ;
Williams, Paige ;
Brouwers, Pim ;
Heston, Jerry ;
Hodge, Janice ;
Di Poalo, Vinnie ;
Deygoo, Nagamah Sandra ;
Gadow, Kenneth D. .
PEDIATRICS, 2009, 124 (02) :627-636
[43]   Modelling Botswana's HIV/AIDS response and treatment policy changes: Insights from a cascade of mathematical models [J].
Kaisara, Tefa ;
Nyabadza, Farai .
MATHEMATICAL BIOSCIENCES AND ENGINEERING, 2023, 20 (01) :1122-1147
[44]   The impact of HIV on cities in the era of treatment: A global perspective [J].
Nash, Denis ;
Elul, Batya .
TECHNOLOGY IN SOCIETY, 2006, 28 (1-2) :195-223
[45]   Substance use: Impact on adherence and HIV medical treatment [J].
Gonzalez A. ;
Barinas J. ;
O'Cleirigh C. .
Current HIV/AIDS Reports, 2011, 8 (4) :223-234
[46]   Impact of HIV infection on treatment outcome of tuberculosis in Europe [J].
Karo, Basel ;
Krause, Gerard ;
Hollo, Vahur ;
van der Werf, Marieke J. ;
Castell, Stefanie ;
Hamouda, Osamah ;
Haas, Walter .
AIDS, 2016, 30 (07) :1089-1098
[47]   Antiretroviral therapy interruptions: impact on HIV treatment and transmission [J].
Dubrocq, Gueorgui ;
Rakhmanina, Natella .
HIV AIDS-RESEARCH AND PALLIATIVE CARE, 2018, 10 :91-101
[48]   Cultural interventions addressing disparities in the HIV prevention and treatment cascade among Black/African Americans: a scoping review [J].
Vitsupakorn, Shawin ;
Pierce, Nia ;
Ritchwood, Tiarney D. .
BMC PUBLIC HEALTH, 2023, 23 (01)
[49]   The role of the health system in HIV treatment-as-prevention [J].
Baernighausen, Till .
AIDS, 2010, 24 (17) :2741-2742
[50]   A Framework for Health Communication Across the HIV Treatment Continuum [J].
Babalola, Stella ;
Van Lith, Lynn M. ;
Mallalieu, Elizabeth C. ;
Packman, Zoe R. ;
Myers, Emily ;
Ahanda, Kim Seifert ;
Harris, Emily ;
Gurman, Tilly ;
Figueroa, Maria-Elena .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2017, 74 :S5-S14