An Equity-Focused Care Continuum Framework for Mpox and Future Infectious Disease Outbreaks: A Public Health of Consequence, July 2023

After 40 years of efforts to address inequities in HIV prevention and treatment, one of the most useful tools to emerge is a framework for outlining prevention and treatment services- the HIV care continuum. Briefly, the care continuum is a framework that identifies the steps, or "bars," a...

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Bibliographic Details
Published in:American journal of public health (1971) 2023-07, Vol.113 (7), p.729-731
Main Authors: Pitts, Robert A, Cifuentes Kottkamp, Angelica, Mgbako, Ofole
Format: Article
Language:English
Subjects:
Access
Contact tracing
COVID-19 vaccines
Disease
Disease Outbreaks - prevention & control
Emergency medical care
Emergency medical services
Emergency services
Epidemics
Equity
Health care
Health care access
Health services
HIV
Human immunodeficiency virus
Humans
Immunization
Inequality
Infectious diseases
LGBTQ people
Medical decision making
Medical treatment
Mental health services
Monkeypox
Mpox (monkeypox)
Outbreaks
Patients
Prevention
Primary care
Public Health
Signs and symptoms
Stigma
Uninsured people
Vaccines
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Summary:After 40 years of efforts to address inequities in HIV prevention and treatment, one of the most useful tools to emerge is a framework for outlining prevention and treatment services- the HIV care continuum. Briefly, the care continuum is a framework that identifies the steps, or "bars," a person can take from time of HIV diagnosis, treatment initiation, and retention in care, to achieve viral suppression (https://bit.ly/3MPscEQ). Utilizing this framework can also elucidate the pressure points at each stage of the continuum where inequities persist, causing widening of gaps that prevent people from progressing successfully from testing to treatment. Public health practitioners can employ the care continuum framework to serve as a model for what could have been an equity-based approach to respondingto COVID-19 and mpox and what should be an equity-based approach for future infectious disease outbreaks.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2023.307326