IMPLEMENTATION SCIENCE: A MISSING PUZZLE PIECE TO IMPROVING HIV HEALTH OUTCOMES
Together with the medical community, we’re using Implementation Science to help close the gaps between evidence and practice in HIV care
By Maggie Czarnogorski, Head of Innovation and Implementation Science at ViiV Healthcare.
Answering difficult questions through Implementation Science
In the last 30 years, scientific advancements have made it possible for people living with HIV to manage their condition and live
These statistics indicate that our global goal of meeting the UNAIDS 90-90-90 targets – diagnosing 90 percent of all HIV-positive people, providing antiretroviral therapy (ART) for 90 percent of those diagnosed, and achieving viral suppression for 90 of those treated by the year 2020 – may be slipping out of reach.
We must now answer a difficult question: Why, when there are highly effective HIV treatment regimens and strategies to help people adhere to their medication, are we failing to improve outcomes across the continuum of HIV care?
This is exactly the conundrum that Implementation Science seeks to understand and address. By identifying and closing the gaps between scientific innovation and actual, real-world practice, we can make real progress in improving outcomes for people living with HIV.
Getting under the skin of HIV Implementation Science
At the heart of
For example, a physician might be able to prescribe the best medicines available to treat HIV, but if a patient has difficulty getting transportation to and from a clinic or pharmacy, care and treatment become inaccessible. Unconventional work hours, child and family care demands and availability of services or resources can all be barriers to successful implementation of HIV treatment programmes.
Spotlight on Implementation Science
What’s the best way to get people living with HIV to access the medicines, services
At ViiV Healthcare, we believe that effective strategies that address the challenges of delivering HIV care management in real-world settings will bring us closer to ending the epidemic.
Implementation Science takes into account that the real world is not as perfect as clinical trials. We need to understand how to structure programmes that address the real needs of patients living with HIV and give the clinic/HIV providers the tools necessary to best support their patients.
These statistics highlight a critical implementation gap - the gap between what we know works and what we are actually achieving in HIV prevention, care
Video Interview – Maggie Czarnogorski
Implementation science research is the scientific study of implementation strategies that will help—adoption and integration of evidence-based interventions, from the research world into the clinical world. The science comes in because
Anything from clinical research findings
Our focus in implementation science is to focus on retention in care, making sure that we improve quality of life, and make sure quality of life is a consistent message for people living with HIV.
Our MISSION to Support Implementation Science
ViiV Healthcare established the Measuring Implementation Science Strategies in HIV Outcomes Network (MISSION) – a team of professionals working across the HIV landscape to address gaps in the care continuum.
MISSION includes members from international institutions, such as AIDSMAP, and renowned academic institutions and HIV centers, including McGill University, Canada, King’s College London, London School of Hygiene and Tropical Medicine, Chelsea, and Westminster Hospital, London.
We are also collaborating with the broader HIV community to close the implementation gaps between evidence, policy
Viiv Healthcare is committed to working with our partners in the HIV community to improve everything from ensuring access to HIV treatment to finding ways to make it easier for people living with HIV to take their medicines regularly.
Dr. Andrew Zolopa, Global Medical Director at ViiV Healthcare, says ViiV is contributing to the growing importance of implementation science:
Knowing where and how to deliver these interventions is vital to providing a consistent standard of care that improves the quality of life for people living with HIV, helps them to engage in care, and accelerates our journey toward achieving the UNAIDS “90-90-90” goals for 2020.
We encourage you to visit our dedicated Implementation Science site to learn more.