Working towards viral suppression

While antiretroviral therapy (ART) is recommended for all people living with HIV, appropriate treatment strategies will vary based on individual needs. Recommendations for treatment initiation and switching, based on international guidelines, are provided here.

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

By 20201

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

Making 90-90-90 a reality

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

Starting Treatment

Recommendations for when to start ART in PLHIV.

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Treatment Goals

Ongoing viral suppression, maintenance of immune function, lifelong good health and prevention of HIV transmission.

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Treatment Strategies

Treatment strategies and considerations for individual needs.

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Switching Strategies

Indications and principles to consider when switching ART.

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Treatment Guidelines

A summary of ART guidelines from the United States Department of Health and Human Services (DHHS).

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Regimen Selection

Key considerations that can influence selection of a regimen.

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