WHO guideline on HIV service delivery
Updated guidance on the integration of diabetes, hypertension and mental health services, and interventions to support adherence to antiretroviral therapy

Overview
This WHO guideline recommends integrating services for hypertension, diabetes, and mental health (including depression, anxiety, and substance use) into HIV service delivery. It also provides updated recommendations on adherence support interventions shown to improve viral suppression and other health outcomes.
The guideline offers practical implementation guidance for countries and key stakeholders as well as outlining key research gaps. As life expectancy for people living with HIV continues to increase, managing noncommunicable diseases, mental health, and adherence to antiretroviral therapy is essential to sustaining treatment success, quality of life, and engagement in care. A life course approach addresses these needs from childhood through older age. Service integration supports more person-centred, coordinated care across the life course.
The recommendations and guidance will be included in the future update of the Chapter on HIV Service Delivery as part of the Consolidated guidelines on HIV prevention, testing, treatment, service delivery and monitoring: recommendations for a public health approach.
Web annexes
Web annex A: summary of declarations of interest (PDF, 165 kB)
Web annex B: systematic review abstracts and GRADE evidence profiles (PDF, 550 kB)
Web annex C: client preferences survey (PDF, 200 kB)
Web annex D: evidence-to-decision summary of judgements (PDF, 135 kB)
Related
Consolidated guidelines on HIV prevention, testing, treatment, service delivery and monitoring: recommendations for a public health approach – July 2021 | Guideline