Imperial College London
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ProfessorTimothyHallett

Faculty of Medicine, School of Public Health

Professor of Global Health
 
 
 
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Contact

 

+44 (0)20 7594 1150timothy.hallett

 
 
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Location

 

School of Public HealthWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Delva:2012:10.1371/journal.pmed.1001258,
author = {Delva, W and Eaton, JW and Meng, F and Fraser, C and White, RG and Vickerman, P and Boily, M-C and Hallett, TB},
doi = {10.1371/journal.pmed.1001258},
journal = {PLOS Medicine},
title = {HIV Treatment as Prevention: Optimising the Impact of Expanded HIV Treatment Programmes},
url = {http://dx.doi.org/10.1371/journal.pmed.1001258},
volume = {9},
year = {2012}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Until now, decisions about how to allocate ART have largely been based on maximising the therapeutic benefit of ART for patients. Since the results of the HPTN 052 study showed efficacy of antiretroviral therapy (ART) in preventing HIV transmission, there has been increased interest in the benefits of ART not only as treatment, but also in prevention. Resources for expanding ART in the short term may be limited, so the question is how to generate the most prevention benefit from realistic potential increases in the availability of ART. Although not a formal systematic review, here we review different ways in which access to ART could be expanded by prioritising access to particular groups based on clinical or behavioural factors. For each group we consider (i) the clinical and epidemiological benefits, (ii) the potential feasibility, acceptability, and equity, and (iii) the affordability and cost-effectiveness of prioritising ART access for that group. In re-evaluating the allocation of ART in light of the new data about ART preventing transmission, the goal should be to create policies that maximise epidemiological and clinical benefit while still being feasible, affordable, acceptable, and equitable.
AU  - Delva,W
AU  - Eaton,JW
AU  - Meng,F
AU  - Fraser,C
AU  - White,RG
AU  - Vickerman,P
AU  - Boily,M-C
AU  - Hallett,TB
DO  - 10.1371/journal.pmed.1001258
PY  - 2012///
SN  - 1549-1277
TI  - HIV Treatment as Prevention: Optimising the Impact of Expanded HIV Treatment Programmes
T2  - PLOS Medicine
UR  - http://dx.doi.org/10.1371/journal.pmed.1001258
UR  - http://hdl.handle.net/10044/1/39249
VL  - 9
ER  -
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