Ep. 10 ”Systems of Care”

Health inequities don’t just happen. They’re made by the broken parts of broken systems. And when those systems are left unfixed, the divide between the people with the most need and the people with the most resources grows even wider. In this episode, we’re joined by two guests who are championing system reform and person-centered care to overcome inequalities in the global response to HIV. 

Our guests are:

Professor Kevin Fenton, the London Regional Director at the Office for Health Improvement and Disparities and President of the United Kingdom Faculty of Public Health.

Dr. Oni Blackstock, an HIV researcher, physician, and founder of Health Justice, an organization helping health organizations achieve workplace equity and overcome health disparities.

This podcast was created and fully funded by Gilead Sciences, Inc. GILEAD, the GILEAD logo, and the & design are trademarks of Gilead Sciences, Inc. © 2023 Gilead Sciences, Inc. All rights reserved. IHQ-UNB-4668 Date of Preparation September 2023.

References:

CDC. HIV in the Southern United States. September 2019. Accessed September 19, 2023. Available at: cdc.gov/hiv/pdf/policies/cdc-hiv-in-the-south-issue-brief.pdf

Fuller H, Dubbala K, Obiri D, et al. Addressing vaccine hesitancy to reduce racial and ethnic disparities in COVID-19 vaccination uptake across the UK and US. Front Public Health. 2021;9:789753. doi:10.3389/fpubh.2021.789753

GOV.UK. England on Track to End New HIV Transmissions by 2030. Accessed September 22 2023. Available at: https://www.gov.uk/government/news/england-on-track-to-end-new-hiv-transmissions-by-2030

HPTN096. Getting to Zero Among Black MSM in the American South: Testing the Efficacy of an Integrated Intervention Strategy. Accessed September 19, 2023. Available at: Getting to Zero Among Black MSM in the American South: Testing the Efficacy of an Integrated Intervention Strategy

Kaiser Family Foundation. Status of State Medicaid Expansion Decisions. Accessed September 19, 2023. Available at: https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/

Malebranche DJ, Peterson JL, Fullilove RE, Stockhouse RW. Race and sexual identity: perceptions about medical culture and healthcare among black men who have sex with men. J Natl Med Assoc. 2004;96:97-107

National AIDS Trust. HIV in the UK Statistics. Accessed September 19, 2023. Available at: https://www.nat.org.uk/about-hiv/hiv-statistics

The path that ends AIDS: UNAIDS Global AIDS Update 2023. Geneva: Joint United Nations Programme on HIV/AIDS; 2023. Licence: CC BY-NC-SA 3.0 IGO

UK Office for National Statistics. Updating ethnic contrasts in deaths involving the coronavirus (COVID-19), England: 8 December 2020 to 1 December 2021. Accessed September 19, 2023. Available at: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/articles/updatingethniccontrastsindeathsinvolvingthecoronaviruscovid19englandandwales/8december2020to1december2021

UK Office for National Statistics. Coronavirus and vaccine hesitancy, Great Britain: 9 August 2021. Accessed September 19, 2023. Available at:  https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandwellbeing/bulletins/coronavirusandvaccinehesitancygreatbritain/9august2021

Zang X, Krebs E, Mah C, et al. Can the 'Ending the HIV Epidemic' initiative transition the USA towards HIV/AIDS epidemic control? AIDS. 2020;34(15):2325-2328. doi: 10.1097/QAD.0000000000002668