Changing models of care to improve progression through the HIV treatment cascade in different populations

Current Opinion in HIV and AIDS
Charles B Holmes, Ian Sanne

Abstract

With global guidelines recommending earlier treatment for HIV infection, there will be increased demand for care and treatment services. Although health systems delivering HIV care globally have made advances in decentralizing to lower level health centers and enabling nurse-based delivery of antiretroviral treatment, they remain largely clinic based. Innovators have recently developed newer community-based care delivery models that could extend the capacity of stretched health systems to accommodate further increases in patient volumes. This review will focus on the programme outcomes from new care models and consider their ability to have an impact at scale. Numerous patient-centered models of care have been developed to target patients stable on treatment and minimize clinic utilization. In rural areas, these models are aimed at reducing travel times and related costs, whereas models in urban and semi-urban areas focus on decreasing clinic congestion and patient wait times. Each of these models benefits from a focus on community support, and they demonstrate excellent retention in the care cascade for patients self-selecting into them. Care models including nontraditional community-oriented care for well patients, largely de...Continue Reading

References

Nov 19, 2010·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Tom DecrooNathan Ford
Jun 4, 2014·Tropical Medicine & International Health : TM & IH·Marielle BemelmansNathan Ford
Jun 6, 2014·Tropical Medicine & International Health : TM & IH·Tom DecrooMarie Laga
Oct 9, 2014·Journal of the International AIDS Society·Freya RasschaertWim Van Damme
Jan 15, 2015·Tropical Medicine & International Health : TM & IH·Chris DuncombeGeoff Garnett
May 6, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Matthew P Fox, Sydney Rosen
May 30, 2015·Journal of the International AIDS Society·Anna GrimsrudLandon Myer

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Citations

Feb 20, 2016·Current HIV/AIDS Reports·Ingrid T Katz, David R Bangsberg
Apr 21, 2018·Journal of the International AIDS Society·Edward A OladeleKwasi Torpey
Jun 12, 2017·BMJ Open·Matthew P FoxIan Sanne
Apr 26, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Stephanie KandasamiMark Dybul
Nov 30, 2019·African Journal of AIDS Research : AJAR·Caroline A BulstraTill Bärnighausen
May 17, 2019·Clinical Microbiology Reviews·Paul K DrainNigel Garrett
Jun 25, 2017·BMC Health Services Research·Adrianna MurphyKiran Jobanputra
Sep 14, 2017·AIDS Research and Human Retroviruses·Benjamin ChimukangaraCollen Masimirembwa
Aug 30, 2021·Archives of public health = Archives belges de santé publique·Canada ParrishMari M Kitahata

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