Assessing Global HIV Targets in PEPFAR Countries: A Dashboard
Issue Brief
UNAIDS. Global HIV & AIDS statistics — 2020 Fact Sheet; accessed January 2021.
UNAIDS, 90-90-90: An ambitious treatment target to help end the AIDS epidemic, October 2014, accessed: https://www.unaids.org/sites/default/files/media_asset/90-90-90_en.pdf. UNAIDS. UNAIDS, 2025 AIDS Targets, accessed: https://aidstargets2025.unaids.org/#
PEPFAR, Strategy for Accelerating HIV/AIDS Epidemic Control (2017-2020), September 2017.
UNAIDS, "Ratio of new HIV infections to number of people living with HIV improving", April 2020. UNAIDS, "Making the End of AIDS Real: Consensus building around what we mean by epidemic control", October 2017.
PEPFAR bilateral programs span more than 50 countries (and more countries are reached through U.S. contributions to the Global Fund).
UNAIDS, Global AIDS Update 2020: Seizing the Moment, July 2020.
The 90-90-90 global targets are based on a shifting denominator with each target based on a subset of the overall care continuum (i.e. the second “90” is based on the first “90”—those that know their status—and the third “90” is based on the second “90” – those that are on ART). To translate the second and third “90s” into a continuum of care metric using everyone living with HIV as the denominator, the targets are calculated to equal 90-81-73. Fast-Track Cities, Frequently Asked Questions about 90-90-90 Targets, the HIV Care Continuum, the Updated National HIV/AIDS Strategy (NHAS), and the Fast-Track Cities Initiative, accessed from: http://www.fast-trackcities.org/sites/default/files/FAQ%20FTCI%20and%20updated%20NHAS.pdf
In its 2020 World AIDS Day report, UNAIDS released updated targets for 2025. UNAIDS, Press release: UNAIDS calls on countries to step up global action and proposes bold new HIV targets for 2025, November 2020.
UNAIDS, 90-90-90: An ambitious treatment target to help end the AIDS epidemic, October 2014, accessed: https://www.unaids.org/sites/default/files/media_asset/90-90-90_en.pdf
UNAIDS. Press release: UNAIDS report on the global AIDS epidemic shows that 2020 targets will not be met because of deeply unequal success; COVID-19 risks blowing HIV progress way off course; July 2020.
UNAIDS. 2025 AIDS Targets; November 2020, accessed: https://www.unaids.org/en/resources/presscentre/pressreleaseandstatementarchive/2020/december/20201126_bold-new-aids-targets-for-2025.
UNAIDS. Making the end of AIDS real: What we Mean by “Epidemic Control.” October 2017, accessed: https://www.unaids.org/sites/default/files/media_asset/glion_oct2017_meeting_report_en.pdf, Ghys, P. D., Williams, B. G., Over, M., Hallett, T. B., & Godfrey-Faussett, P. (2018). Epidemiological metrics and benchmarks for a transition in the HIV epidemic. PLoS medicine, 15(10), e1002678. https://doi.org/10.1371/journal.pmed.1002678
UNAIDS. Making the end of AIDS real: What we Mean by “Epidemic Control.” October 2017, accessed: https://www.unaids.org/sites/default/files/media_asset/glion_oct2017_meeting_report_en.pdf
PEPFAR, PEPFAR 2020 Country Operational Plan Guidance for all PEPFAR Countries, January 2020.
It is important to note that incidence rates are different within different populations and contexts and should be monitored in conjunction with the number of new HIV infections. For instance, among populations experiencing population growth, the number of new HIV infections could be increasing while the incidence rate is decreasing. Ghys, P. D., Williams, B. G., Over, M., Hallett, T. B., & Godfrey-Faussett, P. (2018). Epidemiological metrics and benchmarks for a transition in the HIV epidemic. PLoS medicine, 15(10), e1002678. https://doi.org/10.1371/journal.pmed.1002678
UNAIDS. Making the end of AIDS real: What we Mean by “Epidemic Control.” October 2017, accessed: https://www.unaids.org/sites/default/files/media_asset/glion_oct2017_meeting_report_en.pdf