In 2014 the United Nations (UN) introduced ambitious targets to stop the spread of HIV and lay the foundation for ending the AIDS epidemic.
The 90-90-90 programme states that:1
Living with HIV (PLHIV) will know their HIV status.
With diagnosed HIV infection will receive sustained ART.
Receiving ART will have viral suppression.
Increasing the proportion of PLHIV who know their HIV status requires moving beyond a passive approach to testing, which relies on individuals recognising their own risk and coming forward to be tested, to identifying PLHIV who remain undiagnosed, and providing support and referral pathways to health care services.1
It is critical to normalise HIV testing and to build a culture of early and regular screening for key populations such as gay men, transgender people, women at greater risk, and men who have sex with men. To achieve this, barriers to testing need to be removed and knowledge about the need for routine testing among health professionals and the community needs to increase.
ART should be initiated for all PLHIV, regardless of CD4+ count.
Ongoing viral suppression, maintenance of immune function, lifelong good health and prevention of HIV transmission.
Treatment strategies are tailored to individual needs.
Indications and principles to consider when switching ART.