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Verfasst von:Bulstra, Caroline A. [VerfasserIn]   i
 Hontelez, Jan [VerfasserIn]   i
 Bärnighausen, Till [VerfasserIn]   i
Titel:Which delivery model innovations can support sustainable HIV treatment?
Verf.angabe:Caroline A Bulstra, Jan AC Hontelez, Osondu Ogbuoji and Till Bärnighausen
E-Jahr:2019
Jahr:28 Nov 2019
Umfang:9 S.
Teil:volume:18
 year:2019
 number:4
 pages:315-323
 extent:9
Fussnoten:Gesehen am 14.01.2020
Titel Quelle:Enthalten in: African journal of AIDS research
Ort Quelle:Grahamstown : NISC, 2002
Jahr Quelle:2019
Band/Heft Quelle:18(2019), 4, Seite 315-323
ISSN Quelle:1727-9445
Abstract:The rapid scale-up of antiretroviral treatment (ART) for HIV since the mid-2000s, mostly through disease-specific or “vertical” programmes, has been a highly successful undertaking, which averted millions of deaths and prevented many new infections. However, the dynamics of the HIV epidemic and changing political and financial commitment to fight the disease will likely require new models for the delivery of ART over the coming decades if the promises of universal treatment are to be met. Delivery model innovations for ART are intended to improve both the effectiveness and efficiency of the HIV treatment cascade, reaching new people who require ART and providing ART to more people without an increase in resources. We describe twelve models for ART delivery, which could be achieved through five categories of delivery innovations: integrating ART (“vertical ART plus”, “partially-integrated ART” and “fully-integrated ART”); modifying steps in the ART value chain (“professional task-shifted ART”, “people task-shifted ART” and “technology-supported ART”); eliminating steps in the ART value chain (“immediate ART” and “less frequent ART pick-up”); changing ART locations (“private-sector ART”, “traditional-sector ART” and “ART outside the health sector”); and keeping the status quo (“vertical ART”). The different delivery model innovations are not mutually exclusive and several could be combined, such as “vertical ART plus” with “task-shifted ART”. Suitability of the models will highly depend on local and national contexts, including existing health systems resources, available funding, and type of HIV epidemic. Future implementation research needs to identify which models are the best fit for different contexts.
DOI:doi:10.2989/16085906.2019.1686033
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.2989/16085906.2019.1686033
 DOI: https://doi.org/10.2989/16085906.2019.1686033
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:AIDS
 delivery model innovations
 health systems
 HIV
 integration
 sustainability
K10plus-PPN:1687309647
Verknüpfungen:→ Zeitschrift

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