Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.
New South Wales HIV Diagnosis and Care Cascade 2016: Meeting the UNAIDS 90-90-90 Targets
NSW HIV Diagnosis and Care Cascade: Meeting the UNAIDS 90-90-90 Target. Phillip Keen, Kirby Institute
Phil discussed the HIV care cascade plan launched in 2014 by UNAIDS to have 90% of PLHIV diagnosed, 90% of people diagnosed with HIV to be on ART, and 90% of those on ART to achieve viral suppression by the year 2020.
In relation to this, where are we now with these targets in various countries and in particular what has been achieved in NSW. Sweden was the 1st country to achieve these targets.
Through increased testing and treating, treating sooner and more aggressively has resulted in NSW to achieve 90-90-90 in 2016. To help meet these targets the way ART was prescibed was changed to not be influenced by factors such CD4 count or symptomatic HIV. So more people commenced on ART that previously had not been, and commencing newly diagnosed HIV on ART within 6 weeks. Also the ways and means of people accessing HIV testing and treatment has increased.
To increase the accuracy of data so as to be considered 'high quality' according to Granich criteria, data surveillance and collection was revised and improved. Now NSW Health has raised the bar in the NSW 2016-2020 HIV Strategy aiming for 95% of people diagnosed with HIV to be on ART and 90% of people newly diagnosed with HIV to be on ART within 6 weeks.