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Abdool Karim Salim
JAIDS Journal of Acquired Immune Deficiency Syndromes: January 2016
doi: 10.1097/01.qai.0000479623.24773.8d
Abstract: PDF Only

Enormous gains have been made in controlling the HIV epidemic over the past decade, saving millions of people from infection and AIDS- related illness and death. In 2013, the number of new HIV infections had decreased by 38% since 2001 to 21 million, and the number of AIDS-related deaths decreased by 35% since 2005 to 15 million. In some parts of the world, mother-to-child transmission of HIV has been virtually eliminated. Continued scientific discovery and activism, along with resource mobilisation, political commitment, and implementation has created this favourable trajectory. Scientific breakthroughs and innovation in all facets of the response, and the generation and use of evidence and data have been and will continue to be essential to the success of the AIDS response. This presentation draws upon the UNAIDS-Lancet Commission on “Defeating AIDS—Advancing Global Health” to describe some of the lessons from the AIDS response that could inform the global health. For example, health-system adaptations (eg, standardising first- line regimens, fixed-dose combinations) and innovations (eg, point of care or home-based HIV testing, peer support for treatment, task-shifting, community mobilization) have provided important lessons on how health services can sustainably reach ever increasing numbers of patients in need of treatment. Indeed, these lessons are being used by the health services in chronic disease care (eg, diabetes and hypertension). The AIDS response has also pioneered rigorous monitoring of a broad set of indicators. This kind of tracking has been a crucial way to hold leaders, institutions, and governments accountable and to adjust AIDS responses. The future of Global Health could be profoundly impacted by drawing up the efforts by UN agencies to end AIDS as a public health threat by 2030.

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