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AIDS targets: the fear factor

HIV is not just a health issue but a multi-sectoral issue that requires many different players. Is the UNAIDS HIV '90-90-90' fast-track initiative in Uganda achievable?

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Two women stand next to one another in front of a microphone

ICW Global Chair Martha Tholanah (l) and Deputy Marama Pala (r) at the International AIDS Conference. Photo (c) Alice WelbournUNAIDS has announced that by 2020, 90% of all people living with HIV should know their HIV status, 90% of all people diagnosed with HIV should receive sustained antiretroviral therapy (ART), and 90% of all people receiving anti-retroviral therapy should have achieved viral suppression. By 2030, these targets are all raised to 95%. This is goal of the Fast Track initiative.

Many countries have welcomed and embraced this ambitious target, but the question is whether it is possible to do so.  This is a target that everyone wants to achieve if we are to reduce HIV prevalence, but are we ready as countries to achieve this? In order to do so, people have to be tested, have to start treatment at some stage, and have to adhere to treatment, once started, for life. There are many serious hurdles they can meet along the way.