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Cortes CP, Sued O, Wong WCW, Borquez A, Ssonko C, Parczewski M, DeJong J, Saphonn V, Sinha A, Cabieses B. Humanising and optimising HIV health care for refugees and asylum seekers. Lancet HIV 2024; 11:e861-e872. [PMID: 39536774 DOI: 10.1016/s2352-3018(24)00233-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Revised: 08/19/2024] [Accepted: 08/21/2024] [Indexed: 11/16/2024]
Abstract
Displaced populations living with HIV, including refugees and asylum seekers, face substantial challenges across various regions globally. The intersection of forced migration and HIV presents both shared challenges and region-specific differences. Key issues include little access to health care, pervasive stigma, discrimination, and disruptions in the continuity of HIV care. Refugees often encounter barriers such as legal, cultural, and economic disparities that impact their overall health outcomes. Although HIV prevalence differs across regions, displaced populations consistently face disproportionate challenges including high-risk environments and little health-care access. Addressing these challenges requires a focus on equitable health-care access, with both actionable local interventions and broader global policy changes and an emphasis on long-term sustainability. Reliable and continuous drug supplies, interagency collaboration, and holistic health-care approaches are essential. International collaboration, robust evidence generation, and comprehensive responses are urgently needed to address the complex interplay between forced migration and HIV among vulnerable populations.
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Affiliation(s)
- Claudia P Cortes
- Department of Medicine, Faculty of Medicine, Universidad de Chile, Santiago, Chile; Center For HIV/AIDS Integral Research, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
| | - Omar Sued
- Pan American Health Organization, Washington, DC, USA
| | - William C W Wong
- Department of Family Medicine & Primary Care, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China
| | - Annick Borquez
- Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego, San Diego, CA, USA
| | - Charles Ssonko
- Chronic & Infectious Disease Team, Manson Unit Médecins Sans Frontières, London, UK; Médecins Sans Frontières Operational Center, Amsterdam, Netherlands
| | - Miłosz Parczewski
- Department of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University, Szczecin, Poland
| | - Jocelyn DeJong
- Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | | | | | - Báltica Cabieses
- Center of Global Intercultural Health, Faculty of Medicine Clínica Alemana, Universidad del Desarrollo, Santiago, Chile; Faculty of Psychology, Universidad del Desarrollo, Santiago, Chile
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Wirtz AL, Page KR, Spiegel PB. Ensuring the right to health for migrants and refugees. Lancet HIV 2024; 11:e797-e798. [PMID: 39536775 DOI: 10.1016/s2352-3018(24)00275-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2024] [Accepted: 10/16/2024] [Indexed: 11/16/2024]
Affiliation(s)
- Andrea L Wirtz
- Department of Epidemiology, Center for Public Health and Human Rights, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205, USA; Department of International Health, Center for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
| | - Kathleen R Page
- Department of Epidemiology, Center for Public Health and Human Rights, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205, USA; Department of International Health, Center for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Division of Infectious Disease, Johns Hopkins School of Medicine, Baltimore, USA
| | - Paul B Spiegel
- Department of International Health, Center for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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