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J Virus Erad. 2018 Nov 15;4(Suppl 2):16-25.

Mental health and HIV: research priorities related to the implementation and scale up of 'treat all' in sub-Saharan Africa.

Author information

1
Department of Psychology, Ohio State University, Columbus, OH, USA.
2
TREAT Asia, amfAR - The Foundation for AIDS Research, Bangkok, Thailand.
3
College of Public Health, Division of Epidemiology, Ohio State University, Columbus, OH, USA.
4
Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
5
Department of Mental Health, Moi Teaching and Referral Hospital and Moi University, Eldoret, Kenya.
6
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
7
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

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.

KEYWORDS:

mental health, HIV, Africa, treat all

PMID:
30515310
PMCID:
PMC6248852

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