Ethics & Engagement across the Wellcome Trust Major Overseas Programmes
Happy New Year everyone.
In September 2015 WHO released new HIV treatment guidelines recommending immediate treatment for all individuals that test positive for HIV regardless of their CD4 cell count. These guidelines are pegged on the evidence that earlier use of ART results better, long-term clinical outcomes for people living with HIV as well as reduce transmission and decrease HIV acquisition risk at the population level. Concerns have however been raised regarding the approach including the potential of not getting the services to those who really need them like the key affected populations (this may be a genuine but debatable ethical concern). Thinking aloud though, I am wondering on what this may mean for community engagement. Will universal treatment normalise HIV and change engagement strategies? or will the strategy make it difficult for key populations to access HIV care and treatment and further make community engagement complex?
What is you take?
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