Abstract:
As people age with HIV, their needs increase beyond solely managing HIV care. Ageing people with HIV, defined as
people with HIV who are 50 years or older, face increased risk of both age-regulated comorbidities and ageing-related
issues. Globally, health-care systems have struggled to meet these changing needs of ageing people with HIV. We
argue that health systems need to rethink care strategies to meet the growing needs of this population and propose
models of care that meet these needs using the WHO health system building blocks. We focus on care provision for
ageing people with HIV in the three different funding mechanisms: President’s Emergency Plan for AIDS Relief and
Global Fund funded nations, the USA, and single-payer government health-care systems. Although our categorisation
is necessarily incomplete, our efforts provide a valuable contribution to the debate on health systems strengthening
as the need for integrated, people-centred, health services increase.
