Mental health and HIV: research priorities related to the implementation and scale up of ‘treat all’ in sub-Saharan Africa
Year: 2018
Type: article
Abstract: World Health Organization (WHO) guidelines call for antiretroviral therapy (ART) for all people living with HIV (PLWH) regardless of CD4 cell count, a policy often referred to as 'treat all'. This article seeks to: (1) provide an overview of mental health research among PLWH in sub-Saharan Africa (SSA) and interventions or strategies to address comorbid mental illness among those living with HIV; and (2) describe key mental health-related recommendations to inform the successful implementation and scale up of 'treat all' policies in SSA. An initial set of mental health-related research recommendations was developed by a working group comprising investigators affiliated with the International epidemiology Databases to Evaluate AIDS (IeDEA) consortium. Recommendations were shared with those who attended the All-Africa IeDEA Meeting in Kigali, Rwanda in November 2017 and refined following the meeting. Recommendations reflect a need for epidemiological research to examine the prevalence, incidence, and impact of mental health multimorbidities on HIV treatment outcomes, intervention research to examine the extent to which improving the mental health of people living with HIV enhances HIV treatment outcomes, and implementation science research to evaluate promising models of integrated mental health and HIV care. Key research recommendations can advance understanding and treatment of mental illness among those living with HIV in sub-Saharan Africa and beyond.
Source: Journal of Virus Eradication
Institutions: University of North Carolina at Chapel Hill, City University of New York, Université de Bordeaux, Inserm, Bordeaux Population Health, The Ohio State University, American Foundation for AIDS Research, Johns Hopkins University, Moi University, Albert Einstein College of Medicine, Yale University, VA Connecticut Healthcare System
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,950
Funders: amfAR, The Foundation for AIDS Research, National Center for Global Health and Medicine, Universitas Udayana, University of New South Wales, Yonsei University, Capital Medical University, Mahidol University, Universiti Malaya, Universitas Indonesia, Taipei Veterans General Hospital, National Institutes of Health, Yonsei University College of Medicine, Fakultas Kedokteran, Universitas Indonesia, National Institute of Mental Health, National Cancer Institute, National Institute of Allergy and Infectious Diseases, National Institute of Child Health and Human Development, National Center for Advancing Translational Sciences, Eunice Kennedy Shriver National Institute of Child Health and Human Development
OpenAlex ID: W2985805647