Diagnosis and monitoring of HIV programmes to support treatment initiation and follow up and improve programme quality
Journal article in Current Opinion in HIV & AIDS
Purpose of review
The HIV ‘cascade of care’ breaks down at several points, with delayed HIV diagnosis, late treatment initiation, or interruption, leading to new morbidity and mortality and loss of prevention effects. New approaches are needed at each step.
Integrated monitoring systems, using single patient identifiers and utilizing national laboratory data systems, will allow for better characterization and interventions that limit loss to follow up, and allow better pharmacovigilance and programme performance.