Journal
CURRENT HIV/AIDS REPORTS
Volume 19, Issue 6, Pages 600-609Publisher
SPRINGER
DOI: 10.1007/s11904-022-00630-0
Keywords
Telehealth; HIV; Low- and middle-income countries; Technology; Telemedicine; Pre-exposure prophylaxis
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This review discusses technology-based interventions for HIV in low- and middle-income countries (LMICs). Telehealth has the potential to expand HIV healthcare access in LMICs, but faces challenges such as cost, infrastructure, and regulatory approval.
Purpose of review This review summarizes technology-based interventions for HIV in low- and middle-income countries (LMICs). We highlight potential benefits and challenges to using telehealth in LMICs and propose areas for future study. Recent findings We identified several models for using telehealth to expand HIV health care access in LMICs, including telemedicine visits for pre-exposure prophylaxis (PrEP) and antiretroviral therapy (ART) services, telementoring programs for providers, and virtual peer-support groups. Emerging data support the acceptability and feasibility of these strategies. However, further investigations are needed to determine whether these models are scalable and sustainable in the face of barriers related to cost, infrastructure, and regulatory approval. HIV telehealth interventions may be a valuable approach to addressing gaps along the HIV care cascade in LMICs. Future studies should focus on strategies for expanding existing programs to scale and for assessing long-term clinical outcomes.
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