{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:51:46Z","timestamp":1787014306554,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,1,24]],"date-time":"2017-01-24T00:00:00Z","timestamp":1485216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000805","name":"European Centre for Disease Prevention and Control","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000805","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      The European Centre for Disease Prevention and Control (\n                      <jats:styled-content style=\"fixed-case\">ECDC<\/jats:styled-content>\n                      ) supports countries to monitor progress in their response to the\n                      <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                      epidemic. In line with these monitoring responsibilities, we assess how, and to what extent, the continuum of care is being measured across countries.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:styled-content style=\"fixed-case\">ECDC<\/jats:styled-content>\n                      sent out questionnaires to 55 countries in Europe and Central Asia in 2014. Nominated country representatives were questioned on how they defined and measured six elements of the continuum. We present our results using three previously described frameworks [breakpoints; Joint United Nations Programme on\n                      <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                      \/\n                      <jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content>\n                      (\n                      <jats:styled-content style=\"fixed-case\">UNAIDS<\/jats:styled-content>\n                      ) 90\u201090\u201090 targets; diagnosis and treatment quadrant].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty countries provided data for at least one element of the continuum. Countries reported most frequently on the number of people diagnosed with\n                      <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                      infection (37; 93%), and on the number in receipt of antiretroviral therapy (\n                      <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content>\n                      ) (35; 88%). There was little consensus across countries in their approach to defining linkage to, and retention in, care. The most common breakpoint (&gt;19% reduction between two adjacent elements) related to the estimated number of people living with\n                      <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                      who were diagnosed (18 of 23; 78%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      We present continuum data from multiple countries that provide both a snapshot of care provision and a baseline against which changes over time in care provision across Europe and Central Asia may be measured. To better inform\n                      <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                      testing and treatment programmes, standard data collection approaches and definitions across the\n                      <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                      continuum of care are needed. If countries wish to ensure an unbroken\n                      <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                      continuum of care, people living with\n                      <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                      need to be diagnosed promptly, and\n                      <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content>\n                      needs to be offered to all those diagnosed.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.12480","type":"journal-article","created":{"date-parts":[[2017,1,24]],"date-time":"2017-01-24T05:32:31Z","timestamp":1485235951000},"page":"490-499","source":"Crossref","is-referenced-by-count":34,"title":["<scp>HIV<\/scp>\n                    continuum of care in Europe and Central Asia"],"prefix":"10.1111","volume":"18","author":[{"given":"RS","family":"Drew","sequence":"first","affiliation":[{"name":"Independent Consultant Stowmarket UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Rice","sequence":"additional","affiliation":[{"name":"HIV Measurement and Surveillance Methodology Consortium London School of Hygiene and Tropical Medicine London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"R\u00fc\u00fctel","sequence":"additional","affiliation":[{"name":"Infectious Diseases and Drug Monitoring Department National Institute for Health Development Tallinn Estonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Delpech","sequence":"additional","affiliation":[{"name":"HIV and STI Department Centre for Infectious Disease Surveillance and Control Public Health England London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KA","family":"Attawell","sequence":"additional","affiliation":[{"name":"Independent Consultant London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DK","family":"Hales","sequence":"additional","affiliation":[{"name":"Independent Consultant New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Velasco","sequence":"additional","affiliation":[{"name":"ISGlobal Barcelona Centre for International Health Research (CRESIB) Hospital Clinic \u2013 University of Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AJ","family":"Amato\u2010Gauci","sequence":"additional","affiliation":[{"name":"Programme on HIV, STI and Viral Hepatitis European Centre for Disease Prevention and Control Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Pharris","sequence":"additional","affiliation":[{"name":"Programme on HIV, STI and Viral Hepatitis European Centre for Disease Prevention and Control Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Tavoschi","sequence":"additional","affiliation":[{"name":"Programme on HIV, STI and Viral Hepatitis European Centre for Disease Prevention and Control Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Noori","sequence":"additional","affiliation":[{"name":"Programme on HIV, STI and Viral Hepatitis European Centre for Disease Prevention and Control Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,1,24]]},"reference":[{"issue":"47","key":"e_1_2_9_2_1","first-page":"1618","article-title":"Vital Signs: HIV prevention through care and treatment \u2014 United States","volume":"60","author":"Cohen SM","year":"2011","journal-title":"MMWR"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciq243"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.6841"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.79.927.36"},{"key":"e_1_2_9_6_1","unstructured":"WHO.Global update on HIV treatment 2013: results impact and opportunities [Internet].2013[cited 2016 Aug 4]. 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