Charles Holmes MD, MPH, FIDSA Profile picture
Doc, Diplomat & Dad | Prof & Dir @Georgetown_CIGH | Snr Adv to CEO, @GatesMRI | Fmr CMO @PEPFAR & Dep US Global AIDS Coord under Obama-Biden, CEO CIDRZ

Jul 19, 2018, 6 tweets

Even as HIV/AIDS-related deaths have reached lowest level of this century, new @UNAIDS report unaids.org/sites/default/… notes that we're NOT on track to reach 2020 global goals for reducing #HIV deaths.

We believe reductions in mortality cannot be taken for granted with treatment scale-up. Deaths must be tracked at the subnational, and program-level in order to ensure program performance. This is especially impt as we implement @WHO advanced HIV care guidelines and #diff care

To do this, we must step up efforts to trace lost patients and document true outcomes, including causes of death, and track new indicators for death. Investments in #CRVS (Civil registration and vital statistics) and networked information systems are also on the critical path

Vital status registries are of immense importance because they record seminal events such as births and deaths, and allow for better policymaking, economic and public health decisions in terms of allocation of resources and quality improvement down to the site level @WBG_Health

The return on investment for these types of improvements may start in health services but it will ultimately provide clarity that will enable acceleration of education aims, innovative financing and insurance schemes, employment, land rights and other development goals

Whether HIV, NCDs or #maternal and #childhealth, "Death should not be a silent event, and clinic sites and programs that understand their true outcomes have a powerful tool with which to make change"

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