The Curaçao Cohort Studies: An analysis of the implementation of combination antiretroviral therapy in Curaçao

de Groot-Hermanides, H., 2015, [S.l.]: [S.n.]. 144 p.

Research output: ThesisThesis fully internal (DIV)Academic

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  • Hillegonda de Groot-Hermanides
This thesis provides a detailed description of the HIV-1 epidemic and treatment of HIV-1 infected individuals in Curaçao. We conclude that the immunological, virological and clinical responses to cART in Curaçao are sub-optimal due to late cART initiation and low rates of retention in care. Given the results presented in this thesis, we suggest creating a HIV care model aimed at maximizing the therapeutic and preventive effects of cART by focusing on early identification of HIV-1 infection followed by immediate cART initiation with life-long monitoring. Importantly, these strategies require the integration of HIV care into primary health care provision in Curaçao and tasks shifting from infectious disease medical specialists to general practitioners.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
  • Duits, Ashley, Supervisor
  • de Wolf, Frank, Supervisor, External person
  • Werf, van der, Tjip, Assessment committee
  • Prins, J.M., Assessment committee, External person
  • Goudsmit, J., Assessment committee, External person
Award date7-Jan-2015
Place of Publication[S.l.]
Print ISBNs9789461087102
Publication statusPublished - 2015

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