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March 27, 2024The Lancet Public HealthOpen Access

Strategic planning for the second era of the HIV epidemic

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Authors

Linda‐Gail BekkerLinda‐Gail BekkerDesmond Tutu HIV FoundationRWRobin WoodRutgers, The State University of New Jersey

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Implication

Mathematical modelling study demonstrates that scaling back population screening delays virtual elimination in South Africa, highlighting the need for strategic resource allocation.

Key Points

  • Scaling back general population screening delays progress toward virtual hiv elimination and increases long-term mortality, despite offering immediate financial savings.
  • Projected targets require 29.3 billion dollars annually by 2025 across developing nations, whereas service reductions raise long-term antiretroviral therapy costs.
  • Mathematical model simulation using the Thembisa model projects epidemic trajectories through 2100, tracking demographic patterns, treatment rates, and transmission.
  • Highlights the necessity of targeted testing and expanded pre-exposure prophylaxis in high-incidence settings, warning against short-term fiscal disengagement.

Cite This Study

Bekker et al. (2024) studied this question.

synapsesocial.com/papers/68e722feb6db64358769c506https://doi.org/10.1016/s2468-2667(24)00051-3
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Future HIV epidemic trajectories in South Africa and projected long-term consequences of reductions in general population HIV testing: a mathematical modelling study2024 · 23 citations
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  5. 5Development, Calibration and Performance of an HIV Transmission Model Incorporating Natural History and Behavioral Patterns: Application in South Africa2014 · 23 citations