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How far away are we from 20 million on ART by 2020?

How far away are we from 20 million on ART by 2020?. Meg Doherty, MD, MPH, PhD Coordinator Treatment and Care WHO HIV Department, HQ. Global Access to Treatment. 13 million on ART, end 2013 2m in last year; 20m X 20 within reach. 740,000 children on ART – widening gaps in coverage. 12%.

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How far away are we from 20 million on ART by 2020?

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  1. How far away are we from 20 million on ART by 2020? Meg Doherty, MD, MPH, PhD Coordinator Treatment and Care WHO HIV Department, HQ

  2. Global Access to Treatment 13 million on ART, end 2013 2m in last year; 20m X 20 within reach 740,000 children on ART – widening gaps in coverage 12% WHO, Global Treatment Report 2013

  3. Close to 1 million pregnant women received ARVs, 500,000 still being missed

  4. Threshold for ART initiation % CD4 <350 Uptake based on 58 WHO focus countries, by region % CD4 <500 Regardless of CD4 % 83% 17% Total 3% Total 54% Total 43% 38% 12% 50% 30% 20% 10% 20% 60% 80% 37% 80% 63% Uptake of 2013 recommendations as of July 2014

  5. Paediatric ART Age Initiation % Age < 2 yrs Uptake based on 58 WHO focus countries, by region % Age < 5 yrs Other % 33% 17% 50% Total 21% Total 48% Total 22% 40% 20% 40% 38% 20% 20% 25% 20% 38% 80% 12% 40% 40% 21% 67% Uptake of 2013 recommendations as of July 2014

  6. Option B / B + % Option A Uptake based on 58 WHO focus countries, by region % Option B 14% Option B+ % 57% 13% Total 9% Total33% Total 58% 25% 63% 13% 20% 100% 40% 80% 40% 25% 20% 75% Uptake of 2013 recommendations as of July 2014

  7. WHO Innovations in HIV Testing • Self testing • Test for triage • Birth testing and integrated HIV testing for kids

  8. Innovations in Drugs • FDC 2nd and 3rd line • Pellets and 4 in 1 for children • Integrase inhibitors in for both 1st and second line

  9. Innovations in Diagnostics • Increase options & platforms • Maintain quality

  10. Innovations in Service delivery • Community delivery ARV • Integration (Double Dividend for children, UHC) • Learn from implementation science research

  11. Acknowledgements WHO HIV/AIDS Department • Gottfried Hirnschall • Jhoney Barcarolo • Michel Beusenberg • Nathan Ford • Cadi Irvine • Eyerusalem Negussie • Lisa Nelson • Martina Penazzato • Fintan Thompson • Marco Vitoria • Mayada Yousseffox • Gundo Weiler WHO Regions • Emil Asamoah-Odei • Martin Donoghoe • Irina Eramova • Massimo Ghidinelli • Ying-Ru Lo • Frank Lule • Amaya Maw-Naing • Gabriele Riedner • Razia Pendse

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