Time for the Elimination of Hepatitis C Virus as a Global Health Threat

Ward, John W.; Hinman, Alan R.; Alter, Harvey J.

doi:10.1002/9781119436812.ch70

Cited by 2 publications

(1 citation statement)

References 132 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Highly curative direct acting antiviral medications were made available to all people living with chronic HCV infection in Australia in 2016 [2]. Since then, a global effort was established to eliminate HCV [3, 4], including cascade of care consensus [5], analyses of investments and phasing of efforts [6, 7] and establishment of global targets [8].…”

Section: Introductionmentioning

confidence: 99%

The ‘missing’ in the ‘endgame’ of hepatitis C elimination: A qualitative study in New South Wales, Australia

Treloar,

Lancaster,

Rhodes

et al. 2024

Drug and Alcohol Review

View full text Add to dashboard Cite

IntroductionAfter a promising start in Australia, elimination efforts for hepatitis C are not on track. Following the global campaign to ‘find the missing’ in hepatitis C response, this qualitative study explores stakeholder perspectives on the ‘missing’ in the ‘endgame’ of hepatitis elimination in the state of New South Wales, Australia.MethodTwenty‐eight key informants working in New South Wales, elsewhere in Australia and internationally in high income countries participated in a semi‐structured qualitative interview. Analysis examined key informant accounts of the ‘missing’ in efforts to eliminate hepatitis C.ResultsParticipants' accounts framed the missing in relation to epidemiological knowledge, making‐up four population categories ‘missing’ or ‘missed’ in hepatitis C response. In turn, accounts situated the missing in relation to where and how individuals were presumed to connect, or not, with existing health‐care infrastructures. This gave rise to concerns about the capacity of health services to be made available for those at risk or in need, with systems said to create opportunities for people to ‘miss out’ on hepatitis C services.Discussion and ConclusionsThe ‘missing’ in the ‘endgame’ of hepatitis C elimination effort is not simply a function of who—populations missed—but of where and how, that is, situation and context. Our findings encourage a focus on how services, systems and contexts may create situations in which people become missed or are ‘made missing’ from care. We therefore advocate for a systemic, and not only population‐based, approach in the final push towards hepatitis C's elimination.

show abstract