Expanding Global HIV Treatment

Case Studies from the Field

Authors

  • J.J. Furin,

    1. Division of Social Medicine and Health Inequalities, Brigham and Women's Hospital, Boston, Massachusetts, USA
    2. Partners In Health, Boston, Massachusetts, USA
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  • H.L. Behforouz,

    1. Division of Social Medicine and Health Inequalities, Brigham and Women's Hospital, Boston, Massachusetts, USA
    2. Partners In Health, Boston, Massachusetts, USA
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  • S.S. Shin,

    1. Division of Social Medicine and Health Inequalities, Brigham and Women's Hospital, Boston, Massachusetts, USA
    2. Partners In Health, Boston, Massachusetts, USA
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  • J.S. Mukherjee,

    1. Division of Social Medicine and Health Inequalities, Brigham and Women's Hospital, Boston, Massachusetts, USA
    2. Partners In Health, Boston, Massachusetts, USA
    3. Program in Infectious Disease and Social Change, Department of Social Medicine, Harvard Medical School, Boston, Massachusetts, USA
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  • J. Bayona,

    1. Program in Infectious Disease and Social Change, Department of Social Medicine, Harvard Medical School, Boston, Massachusetts, USA
    2. Socios En Salud, Lima, Peru
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  • P.E. Farmer,

    1. Division of Social Medicine and Health Inequalities, Brigham and Women's Hospital, Boston, Massachusetts, USA
    2. Partners In Health, Boston, Massachusetts, USA
    3. Program in Infectious Disease and Social Change, Department of Social Medicine, Harvard Medical School, Boston, Massachusetts, USA
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  • J.Y. Kim,

    1. Division of Social Medicine and Health Inequalities, Brigham and Women's Hospital, Boston, Massachusetts, USA
    2. Partners In Health, Boston, Massachusetts, USA
    3. Program in Infectious Disease and Social Change, Department of Social Medicine, Harvard Medical School, Boston, Massachusetts, USA
    4. Harvard School of Public Health, Boston, Massachusetts, USA
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  • S. Keshavjee

    1. Division of Social Medicine and Health Inequalities, Brigham and Women's Hospital, Boston, Massachusetts, USA
    2. Partners In Health, Boston, Massachusetts, USA
    3. Program in Infectious Disease and Social Change, Department of Social Medicine, Harvard Medical School, Boston, Massachusetts, USA
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Address for correspondence: Salmaan Keshavjee, Division of Social Medicine and Health Inequalities, Brigham and Women's Hospital, FXB Bldg.—7th floor, 651 Huntington Ave., Boston, MA 02115. Voice: 617-432-3215; fax: 617-432-6958.
 skeshavjee@partners.org

Abstract

In the last 25 years, human immunodeficiency virus (HIV) has become the leading infectious killer of adults globally, with an estimated 44 million people infected with the virus worldwide. Most of these individuals live in poor regions of the world, particularly sub-Saharan Africa. Although a great deal of work has been done in identifying and treating individuals with the disease, there has been little action to date to address the complex socioeconomic factors that lie at the heart of this global pandemic. Understanding and responding to such factors is of paramount importance if HIV infection is to be managed in a meaningful way. This article explores the social context of people living with HIV in three different geographic and epidemiologic settings and highlights the social factors that shape and define an individual's risk of acquiring HIV. It also discusses unique programs aimed at addressing the complex realities of the world in which HIV thrives. These programs can act as models of HIV prevention and treatment.

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