A new study published in the Journal of the International AIDS Society shows that the World Health Organization’s (WHO) 2015 recommendation for immediate treatment of all people living with human immunodeficiency virus (HIV) has become the standard of care across HIV clinics in countries around the world. While most countries have adopted the WHO’s “Treat All” recommendation, the extent to which these guidelines had been translated into practice at HIV clinics around the world was previously unknown.
Based on a survey conducted at more than 200 HIV care and treatment sites in the 41 countries that participate in the International epidemiology Databases to Evaluate AIDS (IeDEA) research consortium, this study found that site-level uptake of the Treat All practice is almost universal. While studies of prior changes in HIV treatment guidelines had shown delays in implementation, this study found the roll-out of Treat All practices has been rapid, with a median lag of one month between national policy change and site-level introduction. The study also found that sites in low- and lower-middle income countries generally initiate patients on HIV treatment within 14 days of confirming HIV diagnoses.
The study was led by researchers at the CUNY Institute for Implementation Science in Population Health (ISPH) at the CUNY Graduate School of Public Health and Health Policy (CUNY SPH).Friday Letter Submission, Publish on July 19