Presentation is loading. Please wait.

Presentation is loading. Please wait.

Moving to the final chapter of the AIDS epidemic.

Similar presentations

Presentation on theme: "Moving to the final chapter of the AIDS epidemic."— Presentation transcript:

1 Moving to the final chapter of the AIDS epidemic

2 The agreed target are about to expire…

3 20152003 Treatment continues to expand

4 20152003 Treatment continues to expand

5 UNAIDS PCB calls for new targets Targets drive progress New scientific evidence Post 2015 Accountability A winnable challenge

6 The choices Status quo Continue the current pace WHO 2013 guidelines Rapid scale-up to universal access

7 The treatment target

8 The new treatment paradigm Single target → Cascade target Death → Death and transmission Number → Equity Incremental funding→ Frontload Investments

9 90% of HIV+ people tested is possible

10 Source: Demographic and Health Surveys Men Women HIV+ population tested at least once

11 Access To Virologic HIV Testing (Early Infant Diagnosis) 2012 *Lesotho data represents 2011 coverage data Source: UNAIDS, UNICEF and WHO, 2013 Global AIDS Response Progress Reporting, and UNAIDS modeling2012 HIV and AIDS estimates.

12 90% of eligible people on treatment is possible

13 high coverage in several countries Brazil UNGASS Country Progress Report (2012) UNAIDS Situation Room

14 90% virally suppressed is possible

15 Proportion (95% CI) of patients with undetectable VL in a nationally representative sample of HIV-infected adults on ART in Rwanda Source: Basinga P et al. (2013) PLoS Site S Site T Total 100.00% 80.00% 60.00% 40.00% 20.00% Site A Site B Site C Site D Site E Site F Site G Site H Site I Site J Site K Site L Site M Site N Site O Site P Site Q Site R 83%

16 Preparedness is key

17 Challenges ahead: 1- Societal Lack of knowledge of HIV status Punitive policies and laws Stigma and discrimination

18 Challenges ahead: 2- delivery systems Source: Location, Location: Connecting people faster to HIV services, UNAIDS; Geneva, 2013 Relative likelihood of HIV-positive adults (15-49 years) accessing antiretroviral therapy due to the distance from their nearest primary healthcare facility.

19 Uptake of pediatric HIV services after introduction of family-based approach Luyirika et al. PLoS ONE, 2013

20 Cost of treatment per ART patient year by country US Dollars Challenges ahead: 3- diverse facility level costs *Republic of South Africa: costs include updated antiretroviral prices, which were renegotiated by the RSA government in early 2010 and are 53% lower than those observed during the costing period. US$ Average Maximum Minimum US$136 US$186 US$232 US$278 US$682 South Africa*

21 Challenges ahead: 4- treatment cascade Sources: 1. UNAIDS 2012 estimates; 2. Demographic and Health Surveys, 2007–2011 (; 3. Kranzer, K., van Schaik, N., et al. (2011), PLoS ONE; 4. GARPR 2012; 5. Barth R E, van der Loeff MR, et al. (2010), Lancet Infect Disease. Notes: No systematic data are available for the proportion of people living with HIV who are linked to care, although this is a vital step to ensuring viral suppression in the community.

22 Challenges ahead: 5- Financing Malawi Lesotho Zimbabwe Mozambique Burundi Uganda Central African Rep. Tanzania Zambia Swaziland Kenya Liberia Togo Rwanda Sierra Leone Cameroon Chad Guinea-Bissau Côte d’Ivoire Botswana Haiti Guinea Namibia Djibouti Nigeria South Africa Burkina Faso Niger Benin Eritrea Ghana Mali Cambodia Belize Myanmar Senegal ART costs as a percentage of GDP 012345678% 2% – 5% 5% – 8% 0.1% – 1% 1% – 2% Source: Williams arXiv 2012:

Download ppt "Moving to the final chapter of the AIDS epidemic."

Similar presentations

Ads by Google