Aging with HIV Institute

People Aging With HIV are navigating longer lives within systems that were never designed to support aging, multimorbidity, or long-term stability. Clinical advances have extended life expectancy, but the systems surrounding care—workforce pipelines, financing structures, and service integration—have not kept pace. As a result, many experience uneven access to aging-appropriate services, including highly complex and long-term care needs, as policy and reimbursement pressures place the long-term sustainability of HIV care systems at risk. Healthy aging with HIV depends on care models and workforce capacity that support function, continuity, and stability across later life.

Drawing from HealthHIV’s Fourth Annual State of Aging with HIV™ National Survey findings from consumers and the HIV workforce, the Institute explores how clinical realities and patient experience are shaped by current care system capacity, workforce readiness, and access conditions. It also considers how system conditions influence who delivers care and where gaps persist, reshaping the HIV workforce at a critical juncture.

Learning Objectives:

• Describe key issues shaping the experience of aging with HIV, including multimorbidity, mobility limitations, housing instability, and the long-term impacts of accelerated aging and early antiretroviral treatment.
• Assess whether current systems and providers are prepared to meet the full spectrum of aging-related needs in HIV care.
• Explore structural and policy innovation by identifying strategies to align HIV services with healthy aging priorities, invest in workforce readiness, and build models of care that sustain quality of life over time.