Global, regional and country-level 90-90-90 estimates for 2018: assessing progress towards the 2020 target.
AIDS
; 33 Suppl 3: S213-S226, 2019 12 15.
Article
em En
| MEDLINE
| ID: mdl-31490781
ABSTRACT
BACKGROUND:
In 2014, the Joint United Nations Programme on HIV/AIDS (UNAIDS) and partners set the 90-90-90 target for the year 2020 diagnose 90% of all people living with HIV (PLHIV); treat 90% of people who know their status; and suppress the virus in 90% of people on treatment. In 2015, countries began reporting to UNAIDS on progress against 90-90-90 using standard definitions and methods.METHODS:
We used data submitted to UNAIDS from 170 countries to assess country-specific progress towards 90-90-90 through 2018. To assess global and regional progress, overall and by sex for adults aged 15 years and older, we combined country-reported data with estimates generated with a Bayesian hierarchical model.RESULTS:
A total of 60 countries reported on all three 90s in 2018, up from 23 in 2015. Among all PLHIV worldwide, 79% (67-92%) knew their HIV status. Of these, 78% (69-82%) were accessing treatment and 86% (72-92%) of people accessing treatment had suppressed viral loads. Of the 37.9 million (32.7-44.0 million) PLHIV worldwide, 53% (43-63%) had suppressed viral loads. The gap to fully achieving 73% of PLHIV with suppressed viral load was 7.7 million; 15 countries had already achieved this target by 2018.CONCLUSION:
Increased data availability has led to improved measures of country and global progress towards the 90-90-90 target. Although gains in access to testing and treatment continue, many countries and regions are unlikely to reach the 90-90-90 target by 2020.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Nações Unidas
/
Infecções por HIV
/
Fármacos Anti-HIV
/
Vigilância em Saúde Pública
Tipo de estudo:
Screening_studies
Limite:
Humans
Idioma:
En
Revista:
AIDS
Ano de publicação:
2019
Tipo de documento:
Article