Diosana, Jezelle B. PSY 1Y2-5
Diosana, Jezelle B. PSY 1Y2-5
PSY 1Y2-5
The goals are 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 (ART), and 90% of people receiving ART will achieve viral
suppression. The report states that considerable progress has been made towards
the 90-90-90 targets, but there are gaps along the continuum that vary across
regions. Globally, more than two-thirds of people living with HIV knew their status
in 2016. Around 77% of them were on treatment, and 82% of those on treatment
had suppressed viral loads. In 2016, around 19·5 million people with HIV (53%) were
on treatment, up from 17·1 million in 2015. Progress in the world's most affected
areas, eastern and southern Africa, has been striking. With rapid scaling up of
treatment in combination with existing prevention interventions, AIDS-related
deaths have nearly halved in the past 6 years. New infections have declined from
around 1·1 million to about 790 000, a 29% reduction. The region's progress across
the three 90s is comparable with that in Latin America, and if progress is sustained
both are likely to achieve the targets alongside western and central Europe and
North America, which have already met the 2020 goal.
Progress is less positive elsewhere. In the Middle East and north Africa, trends
vary, and although numbers of new infections seem stable since 2010, AIDS-
related mortality has increased in the past decade. In the same period in eastern
Europe and central Asia, the number of new infections has risen to 190 000 in 2016,
a 60% increase. The region's HIV epidemic is mainly within two countries: Russia
and Ukraine. People who inject drugs accounted for 42% of new HIV infections in
the region in 2015. In both countries, there are large gaps across the 90-90-90
continuum. HIV testing and treatment coverage are low. Key populations in these
regions are unable to access services and linkage to care is weak. These regions
are unlikely to meet the 90-90-90 target.