Leaving no one behind
Lessons from implementation of policies for universal HIV treatment to universal health coverage
Bibliographic Data
| ID | 19533838 |
|---|---|
| Authors | Yibeltal Assefa (0000-0003-2393-1492, Queensland University of Technology, corresponding author), P Hill (0000-0001-7091-5108, The University of Queensland), Peter S Hill, Willemien Van Damme (0000-0002-6344-3007, Instituut voor Tropische Geneeskunde), Judith A Dean (0000-0002-2513-2013, The University of Queensland), Judith Dean, Charles F Gilks (0000-0002-8953-3123, The University of Queensland) |
| Year | 2020 |
| Volume | 16 |
| Issue | 1 |
| Pages | 17-17 |
| Publication date | 2020-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Globalization and Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-8603 • E-ISSN: 1744-8603 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1186/s12992-020-00549-4 |
| PMID | 32093771 |
| OpenAlex | W3010768418 |
| Language | EN |
| Citations received | 9 |
| References cited | 21 |
BACKGROUND: The third Sustainable Development Goal (SDG - 3) aims to ensure healthy lives and promote well-being for all at all ages. SDG-3 has a specific target on universal health coverage (UHC), which emphasizes the importance of all people and communities having access to quality health services without risking financial hardship. The objective of this study is to review progress towards UHC using antiretroviral treatment (ART) as a case study. METHODS: We used a mixed-methods design including qualitative and quantitative approaches. We reviewed and synthesised the evidence on the evolution of the WHO HIV treatment guidelines between 2002 and 2019. We calculated ART coverage over time by gender, age group, and location. We also estimated ART coverage differences and ratios. FINDINGS: ART guidelines have evolved from "treating the sickest" to "treating all". ART coverage increased globally from under 7% in 2005 to 62% in 2018. There have been successes in increasing ART coverage in all populations and locations. However, progress varies by population and location in many regions. There is inequity in ART coverage: women (68%) versus men (55%), and adults (62%) versus children (54%). This inequity has widened over time, and with expanded ART eligibility criteria. On the other hand, data from at least one high-burden country (Ethiopia) shows that inequity among regions has narrowed over time due to the improvements in the primary health care systems and implementation of the public health approach in the country. CONCLUSION: ART coverage has increased at global, regional and national levels to all population groups. However, the gains have not been equitable among locations and populations. Policies towards universality may widen the inequity in resource-limited settings unless countries take precautions and "put the last first". We argue that primary health care and public health approaches, with multi-sectoral actions and community engagement, are vital to minimize inequity, achieve UHC and leave no one behind
Economic growth · Economics · Environmental health · Health care · Health services research · Population · Public health · Universal design · Global Maternal and Child Health · Healthcare Systems and Reforms · HIV/AIDS Research and Interventions · Medicine · Nursing · Health Policy
Intersectional (in) equities in contact coverage of maternal and newborn health services in Nepal
Leaving no one behind
Effectiveness of same-day antiretroviral therapy initiation in retention outcomes among people living with human immunodeficiency virus in Ethiopia
The Association Between HIV Testing Modality and Antiretroviral Therapy Initiation Among Men Who Have Sex with Men in Selected Provinces of South Africa
Structural violence and the uncertainty of viral undetectability for African, Caribbean and Black people living with HIV in Canada
Linkage to and retention in chronic care among patients diagnosed with hypertension, diabetes, or HIV in Dimamo PHRC clinics, South Africa
How does HIV testing modality impact the cascade of care among persons diagnosed with HIV in Ethiopia
HIV Testing and HIV Positivity Among People Who Inject Drugs (PWIDs) With and Without History of High-Risk Behaviors
Legislatively Excluded, Medically Uninsured and Structurally Violated
Revisiting Alma-Ata
The WHO public-health approach to antiretroviral treatment against HIV in resource-limited settings
Transforming Our World
Antiretroviral Therapy for the Prevention of HIV-1 Transmission
The Inverse Care Law
Closing the gap in a generation
Improved long-term antiretroviral treatment outcomes amongst patients receiving community-based adherence support in South Africa
| Citations per year | 1.5 |
|---|---|
| Citation span | 2020 - 2026 (7) |
| Highly cited | No |