There is a global movement to increase HIV diagnosis and antiretroviral therapy (ART) initiation, with the ultimate goal for people living with HIV (PLHIV) to achieve viral suppression with good health.
Recommendations for treatment initiation and switching provided here are based on international guidelines.
90 - 90 - 90
In 2014, the United Nations (UN) introduced ambitious targets to stop the spread of HIV and lay the foundation for ending the AIDS epidemic.1
90% of PLHIV will know their HIV status
90% of those diagnosed will receive sustained ART
90% of PLHIV receiving ART will have viral suppression
When these targets are reached ≥73% of PLHIV worldwide will be virally suppressed.1
Increasing the proportion of PLHIV who know their HIV status requires moving beyond a passive approach to testing – which relies on individuals recognising their own risk and coming forward to be tested.1
It is critical to normalise HIV testing and build a culture of early and regular screening for key populations.
To achieve this, we must:
- Increase knowledge for the need for routine testing among health professionals and the community
- Remove barriers to testing
Recommendations for when to start ART in PLHIV.
Ongoing viral suppression, maintenance of immune function, lifelong good health and prevention of HIV transmission.
Treatment strategies and considerations for individual needs.
Indications and principles to consider when switching ART.
A summary of ART guidelines from the United States Department of Health and Human Services (DHHS).
Key considerations that can influence selection of a regimen.