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 Amo, Richard Elliott, Wafaa 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 and Laura Waters
Additional contact information
Jeffrey V. Lazarus: Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona
Kelly Safreed-Harmon: Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona
Adeeba Kamarulzaman: University of Malaya
Jane Anderson: Homerton University Hospital NHS Foundation Trust
Ricardo Baptista Leite: Portuguese National Parliament
Georg Behrens: Medizinische Hochschule Hannover (MHH)
Linda-Gail Bekker: The Desmond Tutu HIV Centre
Sanjay Bhagani: Royal Free London NHS Trust and University College London
Darren Brown: Chelsea and Westminster NHS Foundation Trust
Graham Brown: Centre for Social Impact, University of New South Wales
Susan Buchbinder: Bridge HIV, San Francisco Department of Public Health
Carlos Caceres: Universidad Peruana Cayetano Heredia
Pedro E. Cahn: Fundación Huésped
Patrizia Carrieri: Sciences Economiques & Sociales de la Santé & Traitement de l’Information Médicale, ISSPAM
Georgina Caswell: Global Network of People Living with HIV (GNP+)
Graham S. Cooke: Imperial College London
Antonella d’Arminio Monforte: University of Milan
Nikos Dedes: Positive Voice
Julia Amo: Ministry of Health
Richard Elliott: HIV Legal Network
Wafaa M. El-Sadr: ICAP at Columbia University
María José Fuster-Ruiz de Apodaca: Spanish AIDS Interdisciplinary Society (SEISIDA)
Giovanni Guaraldi: Università degli studi di Modena e Reggio Emilia
Tim Hallett: Imperial College London
Richard Harding: King’s College London
Margaret Hellard: Burnet Institute
Shabbar Jaffar: Liverpool School of Tropical Medicine
Meaghan Kall: Public Health England
Marina Klein: McGill University Health Centre Research Institute
Sharon R. Lewin: The University of Melbourne at the Peter Doherty Institute for Infection and Immunity
Ken Mayer: Fenway Health and Harvard Medical School
Jose A. Pérez-Molina: Hospital Universitario Ramón y Cajal
Doreen Moraa: ESA YOUTH 2030
Denise Naniche: Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona
Denis Nash: City University of New York Graduate School of Public Health and Health Policy
Teymur Noori: European Centre for Disease Control and Prevention
Anton Pozniak: Chelsea and Westminster NHS Foundation Trust
Reena Rajasuriar: University of Malaya
Peter Reiss: University of Amsterdam
Nesrine Rizk: American University of Beirut
Jürgen Rockstroh: University Hospital Bonn
Diana Romero: City University of New York Graduate School of Public Health and Health Policy
Caroline Sabin: University College London
David Serwadda: Makerere University School of Public Health
Laura Waters: Central and North West London NHS Trust

Nature Communications, 2021, vol. 12, issue 1, 1-14

Abstract: 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.

Date: 2021
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DOI: 10.1038/s41467-021-24673-w

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