Emerging priorities for HIV service delivery

By Nathan Ford ,Elvin Geng,Tom Ellman,Catherine Orrell,Peter Ehrenkranz,Izukanji Sikazwe,Andreas Jahn,Miriam Rabkin,Stephen Ayisi Addo,Anna Grimsrud,  Professor Sydney Rosen  saac Zulu,William Reidy,Thabo Lejone,Tsitsi Apollo,Charles Holmes,Ana Francisca Kolling,Rosina Phate Lesihla,Huu Hai Nguyen,Baker Bakashaba,Lastone Chitembo,Ghion Tiriste,Meg Doherty,Helen Bygrave  |  | 

According to the Joint United Nations Programme on HIV/AIDS (UNAIDS), in 2018,
an estimated 37.9 million people were living with HIV worldwide. There were also 1.7
million new infections and 770,000 deaths.
• At the end of June 2019, 24.5 million people were receiving antiretroviral therapy
(ART). Nonetheless, increased access to high-quality ART services is needed to further
reduce mortality and new infections and to optimize long term outcomes.
• In this article, we summarize priorities for HIV service delivery research and guidance
identified through a World Health Organization (WHO) consultation held at the end of
• The priorities identified include linkage from HIV testing to care; rapid initiation of
ART (including out-of-facility ART initiation); task sharing and decentralization,
including children and patients on second line; ART delivery for stable clients; adherence,
retention, and reengagement in care; management of advanced HIV disease; provision
of welcoming health services; and strengthening of service integration,
particulary for NCDs and family planning.

Publication details

PLOS Medicine