The  session was on integrating topics in the area of HIV and Ageing, including research, clinical care and socio-behavioral aspects. The session examined gaps in knowledge and indicated directions in how to translate scientific findings into strategies for optimum service provision, within local socio-economic and cultural context, for older people living with HIV and those affected by HIV.

Topics included regional differences in prevalence and incidence of HIV in older adults, new and evolving challenges in biomedical research, integration of clinical care for individuals aging with HIV, and socio-behavioral issues for such individuals. An international panel discussion followed with people living with HIV, researchers, clinicians and policy makers.

To optimize healthcare, the following gaps should be addressed:

·         HIV complications leading to non-adherence and co-infections.

·         Lack of coordinated communication between HIV and non-HIV services, better linkages between institutions.

·         Poly-pharmacy can be more harmful than good; HCPs should only prescribe what is needed.

·         HIV and testing programmes for older people.

·         Clinicians should be aware of the needs of older HIV patients.

·         More research focusing on medical and physco-social issues in older HIV patients.

Socio-behavioral issues:

·         Individual, behavioral – substance use, mental health and cognitive impairment

·         Social – networks and support, stigma and ageism.

·         Structural – syringe exchange programmes, barrier to accessing services.

The session called for necessary linkages with the national policy and integrated HIV services.  There are common challenges with other chronic conditions and this has a policy implication. HIV services should be linked to co-morbid specialist services such as CVD, renal, etc.   Multidisciplinary teams need education in social issues with biomedical and behavioral expertise.