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Global, regional and country-level 90–90–90 estimates for 2018: assessing progress towards the 2020 target
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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919229/ https://www.ncbi.nlm.nih.gov/pubmed/31490781 http://dx.doi.org/10.1097/QAD.0000000000002355 |
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author | Marsh, Kimberly Eaton, Jeffrey W. Mahy, Mary Sabin, Keith Autenrieth, Christine S. Wanyeki, Ian Daher, Juliana Ghys, Peter D. |
author_facet | Marsh, Kimberly Eaton, Jeffrey W. Mahy, Mary Sabin, Keith Autenrieth, Christine S. Wanyeki, Ian Daher, Juliana Ghys, Peter D. |
author_sort | Marsh, Kimberly |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6919229 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-69192292020-03-10 Global, regional and country-level 90–90–90 estimates for 2018: assessing progress towards the 2020 target Marsh, Kimberly Eaton, Jeffrey W. Mahy, Mary Sabin, Keith Autenrieth, Christine S. Wanyeki, Ian Daher, Juliana Ghys, Peter D. AIDS Editorial 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. Lippincott Williams & Wilkins 2019-12-15 2019-09-03 /pmc/articles/PMC6919229/ /pubmed/31490781 http://dx.doi.org/10.1097/QAD.0000000000002355 Text en Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | Editorial Marsh, Kimberly Eaton, Jeffrey W. Mahy, Mary Sabin, Keith Autenrieth, Christine S. Wanyeki, Ian Daher, Juliana Ghys, Peter D. Global, regional and country-level 90–90–90 estimates for 2018: assessing progress towards the 2020 target |
title | Global, regional and country-level 90–90–90 estimates for 2018: assessing progress towards the 2020 target |
title_full | Global, regional and country-level 90–90–90 estimates for 2018: assessing progress towards the 2020 target |
title_fullStr | Global, regional and country-level 90–90–90 estimates for 2018: assessing progress towards the 2020 target |
title_full_unstemmed | Global, regional and country-level 90–90–90 estimates for 2018: assessing progress towards the 2020 target |
title_short | Global, regional and country-level 90–90–90 estimates for 2018: assessing progress towards the 2020 target |
title_sort | global, regional and country-level 90–90–90 estimates for 2018: assessing progress towards the 2020 target |
topic | Editorial |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919229/ https://www.ncbi.nlm.nih.gov/pubmed/31490781 http://dx.doi.org/10.1097/QAD.0000000000002355 |
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