Goals of the HIV community include dramatically reducing the number of new infections and ensuring that people living with HIV have a long life of high quality, using rights-based approaches. This talk will examine global progress towards reaching ambitious aims such as reducing the number of new HIV infections from 1.8 million in 2016 to 500,000 in 2020, and 200,000 in 2030. This goal is operationalized as ’90-90-90′ i.e. that by 2020, 90% of all people living with HIV will know their HIV status, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy, and 90% of all people receiving antiretroviral therapy will have viral suppression. Immense progress has been made recently to increase uptake of HIV testing (for example through expansion of community-based and HIV self-testing kits), linkage to care (including through offering immediate ART to those newly diagnosed) and improving adherence (including through community-based and psycho-social support strategies). There are striking gaps in the uptake of testing and treatment for many groups, including the young, males and key populations, but several recent studies are using innovative strategies to improve uptake in these groups. To ‘bend and end’ the HIV epidemic curve, greater focus is needed on i) expanding use of innovative strategies for HIV prevention and treatment access for the young, males and vulnerable populations, ii) expansion of flexible and adaptive strategies to respond rapidly to diverse epidemics, and iii) sustained funding to enable expanded coverage of HIV treatment and prevention services.
CROI Conference
