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A historical review of HIV prevention and care initiatives in British Columbia, Canada: 1996-2015
Introduction: British Columbia has made significant progress in the treatment and prevention of HIV since 1996, when Highly Active Antiretroviral Therapy (HAART) became available. However, we currently lack a historical summary of HIV prevention and care interventions implemented in the province sin...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5640311/ https://www.ncbi.nlm.nih.gov/pubmed/28953322 http://dx.doi.org/10.7448/IAS.20.1.21941 |
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author | Olding, Michelle Enns, Ben Panagiotoglou, Dimitra Shoveller, Jean Harrigan, P Richard Barrios, Rolando Kerr, Thomas Montaner, Julio S. G. Nosyk, Bohdan |
author_facet | Olding, Michelle Enns, Ben Panagiotoglou, Dimitra Shoveller, Jean Harrigan, P Richard Barrios, Rolando Kerr, Thomas Montaner, Julio S. G. Nosyk, Bohdan |
author_sort | Olding, Michelle |
collection | PubMed |
description | Introduction: British Columbia has made significant progress in the treatment and prevention of HIV since 1996, when Highly Active Antiretroviral Therapy (HAART) became available. However, we currently lack a historical summary of HIV prevention and care interventions implemented in the province since the introduction of HAART and how they have shaped the HIV epidemic. Guided by a socio-ecological framework, we present a historical review of biomedical and health services, community and structural interventions implemented in British Columbia from 1996–2015 to prevent HIV transmission or otherwise enhance the cascade of HIV care. Methods: We constructed a historical timeline of HIV interventions implemented in BC between 1996 and 2015 by reviewing publicly available reports, guidelines and other documents from provincial health agencies, community organizations and AIDS service organizations, and by conducting searches of peer-reviewed literature through PubMed and Ovid MEDLINE. We collected further programmatic information by administering a data collection form to representatives from BC’s regional health authorities and an umbrella agency representing 45 AIDS Service organizations. Using linked population-level health administrative data, we identified key phases of the HIV epidemic in British Columbia, as characterized by distinct changes in HIV incidence, HAART uptake and the provincial HIV response. Results and Discussion: In total, we identified 175 HIV prevention and care interventions implemented in BC from 1996 to 2015. We identify and describe four phases in BC’s response to HIV/AIDS: the early HAART phase (1996–1999); the harm reduction and health service scale-up phase (2000–2005); the early Treatment as Prevention phase (2006–2009); and the STOP HIV/AIDS phase (2010-present). In doing so, we provide an overview of British Columbia’s universal and centralized HIV treatment system and detail the role of community-based and provincial stakeholders in advancing innovative prevention and harm reduction approaches, as well as “seek, test, treat and retain” strategies. Conclusions: The review provides valuable insight into British Columbia’s HIV response, highlights emerging priorities, and may inform future efforts to evaluate the causal impact of interventions. |
format | Online Article Text |
id | pubmed-5640311 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-56403112017-10-23 A historical review of HIV prevention and care initiatives in British Columbia, Canada: 1996-2015 Olding, Michelle Enns, Ben Panagiotoglou, Dimitra Shoveller, Jean Harrigan, P Richard Barrios, Rolando Kerr, Thomas Montaner, Julio S. G. Nosyk, Bohdan J Int AIDS Soc Review Article Introduction: British Columbia has made significant progress in the treatment and prevention of HIV since 1996, when Highly Active Antiretroviral Therapy (HAART) became available. However, we currently lack a historical summary of HIV prevention and care interventions implemented in the province since the introduction of HAART and how they have shaped the HIV epidemic. Guided by a socio-ecological framework, we present a historical review of biomedical and health services, community and structural interventions implemented in British Columbia from 1996–2015 to prevent HIV transmission or otherwise enhance the cascade of HIV care. Methods: We constructed a historical timeline of HIV interventions implemented in BC between 1996 and 2015 by reviewing publicly available reports, guidelines and other documents from provincial health agencies, community organizations and AIDS service organizations, and by conducting searches of peer-reviewed literature through PubMed and Ovid MEDLINE. We collected further programmatic information by administering a data collection form to representatives from BC’s regional health authorities and an umbrella agency representing 45 AIDS Service organizations. Using linked population-level health administrative data, we identified key phases of the HIV epidemic in British Columbia, as characterized by distinct changes in HIV incidence, HAART uptake and the provincial HIV response. Results and Discussion: In total, we identified 175 HIV prevention and care interventions implemented in BC from 1996 to 2015. We identify and describe four phases in BC’s response to HIV/AIDS: the early HAART phase (1996–1999); the harm reduction and health service scale-up phase (2000–2005); the early Treatment as Prevention phase (2006–2009); and the STOP HIV/AIDS phase (2010-present). In doing so, we provide an overview of British Columbia’s universal and centralized HIV treatment system and detail the role of community-based and provincial stakeholders in advancing innovative prevention and harm reduction approaches, as well as “seek, test, treat and retain” strategies. Conclusions: The review provides valuable insight into British Columbia’s HIV response, highlights emerging priorities, and may inform future efforts to evaluate the causal impact of interventions. Taylor & Francis 2017-09-19 /pmc/articles/PMC5640311/ /pubmed/28953322 http://dx.doi.org/10.7448/IAS.20.1.21941 Text en © 2017 Olding M et al; licensee International AIDS Society. http://creativecommons.org/licenses/by/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution 3.0 Unported (CC BY 3.0) License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Olding, Michelle Enns, Ben Panagiotoglou, Dimitra Shoveller, Jean Harrigan, P Richard Barrios, Rolando Kerr, Thomas Montaner, Julio S. G. Nosyk, Bohdan A historical review of HIV prevention and care initiatives in British Columbia, Canada: 1996-2015 |
title | A historical review of HIV prevention and care initiatives in British Columbia, Canada: 1996-2015 |
title_full | A historical review of HIV prevention and care initiatives in British Columbia, Canada: 1996-2015 |
title_fullStr | A historical review of HIV prevention and care initiatives in British Columbia, Canada: 1996-2015 |
title_full_unstemmed | A historical review of HIV prevention and care initiatives in British Columbia, Canada: 1996-2015 |
title_short | A historical review of HIV prevention and care initiatives in British Columbia, Canada: 1996-2015 |
title_sort | historical review of hiv prevention and care initiatives in british columbia, canada: 1996-2015 |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5640311/ https://www.ncbi.nlm.nih.gov/pubmed/28953322 http://dx.doi.org/10.7448/IAS.20.1.21941 |
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