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90-90-90 progress in southern Africa: HIV testing gap needs to be closed in young people and men
Keith Alcorn, 2017-07-25 18:30:00

Three African countries with high burdens of HIV infection are achieving very high levels of HIV treatment initiation and viral suppression but need to make better progress on HIV testing in order to achieve the 90-90-90 targets, according to results from large studies presented on Tuesday at the 9th International AIDS Society Conference on HIV Science in Paris.

Population-based HIV Impact Assessments measure national progress towards the 90-90-90 goals by carrying out household HIV counselling and testing and interviewing people about HIV treatment. The surveys are being coordinated by ICAP at Columbia University, New York, in partnership with the US Centers for Disease Control and Prevention and Ministries of Health in PEPFAR-funded countries.

The surveys are designed to monitor progress and identify areas for new investment and service development.

In particular, the PHIA assessments provide up-to-date information on HIV incidence and prevalence, and information on engagement in care and viral suppression that is independent of facility-based record keeping.

Three PHIA studies, of Malawi, Zambia and Zimbabwe were presented. Each showed that lack of awareness of HIV-positive status is higher in younger people, and that men are more likely to be unaware of their HIV status than women.