Quality of life is emerging as the fourth component of the continuum of care for people living with HIV.
Buzzwords, such as "patient-centred care" and "chronic care principles", are being used without strategies to measure what this means, especially for community interventions. Initiatives, such as the publication, Beyond viral suppression …, by Lazarus et al and the Fast Track Cities Quality of Life survey, have sparked activity on the medical side of the response. Positive health dignity and prevention remains the standard describing the holistic needs of people living with HIV. Yet few programmes are designed to provide person-centred tools to manage needs across siloed medical and community-based programmes. Key populations will benefit from the addition of the fourth “90”, including increased access to testing, better retention to care and the development of relevant programmes. This session explores aspects of quality of life for people living with HIV, including: descriptions of innovative programmes; barriers to implementing person-centred approaches; identification of the medical/community interface; and strategies to develop SMART indicators and/or a theory of change model for the fourth “90”.

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