Human resources for treating HIV/AIDS

• Verfasst von: Bärnighausen, Till [VerfasserIn]
• Verfasst von: Bloom, David E. [VerfasserIn]
• Verfasst von: Humair, Salal [VerfasserIn]
• Titel: Human resources for treating HIV/AIDS
• Titelzusatz: are the preventive effects of antiretroviral treatment a game changer?
• Verf.angabe: Till Bärnighausen, David E. Bloom, Salal Humair
• E-Jahr: 2016
• Jahr: October7, 2016
• Umfang: 24 S.
• Fussnoten: Gesehen am 19.08.2020
• Titel Quelle: Enthalten in: PLOS ONE
• Ort Quelle: San Francisco, California, US : PLOS, 2006
• Jahr Quelle: 2016
• Band/Heft Quelle: 11(2016,10) Artikel-Nummer e0163960, 24 Seiten
• ISSN Quelle: 1932-6203
• DOI: doi:10.1371/journal.pone.0163960
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Antiretroviral therapy
• Sach-SW: Health care policy
• Sach-SW: HIV
• Sach-SW: HIV epidemiology
• Sach-SW: HIV infections
• Sach-SW: HIV prevention
• Sach-SW: Physicians
• Sach-SW: South Africa
• K10plus-PPN: 1727462734

Abstract

Shortages of human resources for treating HIV/AIDS (HRHA) are a fundamental barrier to reaching universal antiretroviral treatment (ART) coverage in developing countries. Previous studies suggest that recruiting HRHA to attain universal ART coverage poses an insurmountable challenge as ART significantly increases survival among HIV-infected individuals. While new evidence about ART’s prevention benefits suggests fewer infections may mitigate the challenge, new policies such as treatment-as-prevention (TasP) will exacerbate it. We develop a mathematical model to analytically study the net effects of these countervailing factors. Using South Africa as a case study, we find that contrary to previous results, universal ART coverage is achievable even with current HRHA numbers. However, larger health gains are possible through a surge-capacity policy that aggressively recruits HRHA to reach universal ART coverage quickly. Without such a policy, TasP roll-out can increase health losses by crowding out sicker patients from treatment, unless a surge capacity exclusively for TasP is also created.