UNAIDS set the 90-90-90 target in 2014. It calls on countries to achieve the following goals:
- 90% of people living with HIV diagnosed by 2020.
- 90% of diagnosed people on ART by 2020.
- 90% of people on ART with an undetectable viral load by 2020.
If all these targets are met, AIDS-related deaths will be cut dramatically and the rate of new HIV infections will fall.
The 9th International AIDS Society Conference on HIV Science (IAS 2017) opened in Paris with the excellent news that the world is on track to meet the 90-90-90 targets for HIV treatment, by 2020. More than half of people living with HIV now have access to antiretroviral therapy (ART), and AIDS-related deaths have fallen by half since 2005. In 2016, 70% of people living with HIV knew their status, 77% of people with a diagnosis were accessing treatment and 82% of people taking ART had achieved viral suppression.
Many countries – the UK included – had already met or were close to achieving the 90-90-90 targets.
The conference heard that the countries with the greatest level of political commitment and leadership had made the most progress towards the 90-90-90 targets. But much more still needs to be done in Eastern Europe and Central Asia, where treatment figures are much lower, with 63% of people living with HIV knowing their status, and only 43% of these accessing ART, although 77% of people on therapy have an undetectable viral load. In Western and Central Africa, just over 40% of people living with HIV were diagnosed but 83% of these were on treatment, with approximately three-quarters achieving viral suppression.
Community health systems and community health workers were credited with being key to the achievement of the targets.
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