The continuum of HIV care in Catalonia

Colin N.J. Campbell, Juan Ambrosioni, Jose M. Miro, Anna Esteve, Jordi Casabona, Gemma Navarro, Isabel García, Elena Ferrer, Lluis Force, Cristina Tural

Research output: Contribution to journalArticleResearchpeer-review

10 Citations (Scopus)


© 2015 Taylor & Francis. The objective was to produce a cascade of care for Catalonia to gain a public health perspective on the overall quality of HIV services and allow comparison with other countries. It was constructed using the Integrated Epidemiological Surveillance System of HIV in Catalonia and data from the PISCIS Cohort. Estimates of the number of people living with HIV in Catalonia are modelled using Spectrum Projection Package 2011 (UNAIDS/WHO). Totals for each stage in the cascade are obtained by applying to the preceding stage a proportion estimated from available surveillance and cohort data. Undiagnosed HIV was estimated from the European literature. The proportions retained in care, on ART and virally suppressed were derived from the PISCIS cohort. Programmatic data on ART consumption was used to validate estimates. By the end of 2011 there were about 33,000 people living with HIV in Catalonia, 71% of which had been both diagnosed and linked to care. We estimate that 61% of all HIV infected persons were retained in care, 56% were on ART and 48% were virally suppressed. These figures data are comparable, although slightly lower, than that of France or the UK. The Cascade of HIV Care in Catalonia is similar to other western European countries such as France and the UK. Direct estimates of the undiagnosed HIV population and linkage to care are desirable but the contribution of cohort data to the cascade highlights their continued importance in HIV surveillance and design of evidence-based health strategies.
Original languageEnglish
Pages (from-to)1449-1454
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Issue number12
Publication statusPublished - 2 Dec 2015


  • ART
  • cascade
  • Catalonia
  • HIV
  • Spain


Dive into the research topics of 'The continuum of HIV care in Catalonia'. Together they form a unique fingerprint.

Cite this