2. Expand national monitoring of long-term HIV care and outcomes

We know far too little about the quality of health system responses to long-term health challenges faced by people living with HIV. Key questions on which data are needed include: what are the leading causes of mortality among people living with HIV? What are the leading causes of hospitalisation? Has there been an audit of services provided for prevention, treatment and management of comorbidities? Is there an assessment of health-related quality of life? If so, what are the results among people living with HIV in general and among key populations?

Current monitoring efforts should be expanded to reflect the reality of HIV as a long-term condition. Improved monitoring would enable assessment of national progress over time, and analysis of within country variation (for example, in relation to key populations).