Achieving Viral Suppression in 90% of People Living With HIV on ART in LMICs: Progress, Challenges, and Opportunities

By Jean Nachega, MD, PhD, MPH, DTM&H | 16 May, 2018

Dear Colleagues
Although significant progress has been made, the latest data from low- and middle-income countries show substantial gaps in reaching the third “90%” (viral suppression) of the UNAIDS 90-90-90 goals, especially among vulnerable and key populations. This article discusses critical gaps and promising, evidence-based solutions. There is no simple and/or single approach to achieve the last 90%. This will require multifaceted, scalable strategies that engage people living with human immunodeficiency virus, motivate long-term treatment adherence, and are community-entrenched and -supported, cost-effective, and tailored to a wide range of global communities. To learn more please see attached, the related invited CID commentary that my colleagues and I recently published. Citation: Nachega JB, Sam-Agudu NA, Mofenson LM, Schechter M, Mellors JW. Clin Infect Dis. 2018 May 2;66(10):1487-1491
Best Regards,
Jean B. Nachega, MD, PhD, MPH, FRCP