From vertical silos to integrated care: administrative agility and normalization of HIV services in Tamil Nadu, India
Essa M. Rafique, Abdul M. Ruknudin, Sadiq Bukhari, Mohammad A. Akbarsha · 2026
Read From vertical silos to integrated care: administrative agility and normalization of HIV services in Tamil Nadu, India by Essa M. Rafique, Abdul M. Ruknudin, Sadiq Bukhari, Mohammad A. Akbarsha (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13591694.txt.
Description
Essa M Rafique and three colleagues review, in 2026, how Tamil Nadu, an Indian state once heavy with HIV, reversed its epidemic early and kept it down. They weigh state data from 2000 to 2024 against peer states and strong global performers. The review credits nimble administration: quick program shifts, joined up TB and HIV care, and services folded into normal clinics rather than kept in stand alone silos.
New infections fell by 94 percent across the period, and adult prevalence dropped to a small fraction of its 2000 level. The state also first in India met the world mark for ending mother to child spread. Rafique and the team offer the model as a transferable plan for other low resource settings.
Catalog record
| CREATOR | Essa M. Rafique, Abdul M. Ruknudin, Sadiq Bukhari, Mohammad A. Akbarsha |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 66450 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |