our focus: un political declaration target no. 4
TRANSCRIPT
OUR FOCUS:UN POLITICAL DECLARATION TARGET No. 4
54% of all people eligible were receiving antiretroviral therapy in low- and middle-income countries in 2011
Percentage receiving ART in 2011.
Legend
Source: UNAIDS, 2012
Number of people eligiblefor antiretroviral therapy.
Return for investment
Sources: Bärnighausen T et al, The economic benefits of ART: evidence from a complete population cohort in rural South Africa 2nd International HIV Workshop on Treatment as Prevention, Vancouver, Canada, April 2012.
Before treatment After starting treatment
Likelihood of employment before and after starting antiretroviral therapy
KwaZulu-Natal, South Africa
Percentage of people retained in treatment and care after diagnosis, USA and Mozambique
Source: Gardner E M et al. Clin Infect Dis. 2011;52:793-800; Micek et al JAIDS 2009
Dignosed Linked to care Retained in care Eligible for ART Iniatiated ART Adherent/undetectable
Tested <30 days
Mozambique
USA
Diagnosedwith HIV
Linked/enrolled in care
Eligiblefor ART
InitiatedART
Adherentor
undetectableRetained
in care
100%
0
Reta
ined
in
trea
tmen
t and
car
e
Percentage of people retained in treatment and care after diagnosis, USA and Mozambique
Source: Gardner E M et al. Clin Infect Dis. 2011;52:793-800; Micek et al JAIDS 2009
To improve testing: Reduce stigma in the community and in
healthcare settings Strengthen community support and
referral networks Enhance human rights literacy
Dignosed Linked to care Retained in care Eligible for ART Iniatiated ART Adherent/undetectable
Tested <30 days
Mozambique
USA
Diagnosedwith HIV
Linked/enrolled in care
Eligiblefor ART
InitiatedART
Adherentor
undetectableRetained
in care
100%
0
Reta
ined
in
trea
tmen
t and
car
e
Percentage of people retained in treatment and care after diagnosis, USA and Mozambique
Source: Gardner E M et al. Clin Infect Dis. 2011;52:793-800; Micek et al JAIDS 2009
Improve enrolment in care: Expand community-centred
delivery Overcome cost & transport barriers Enhance treatment & rights literacy
Dignosed Linked to care Retained in care Eligible for ART Iniatiated ART Adherent/undetectable
Tested <30 days
Mozambique
USA
Diagnosedwith HIV
Linked/enrolled in care
Eligiblefor ART
InitiatedART
Adherentor
undetectableRetained
in care
100%
0
Reta
ined
in
trea
tmen
t and
car
e
Percentage of people retained in treatment and care after diagnosis, USA and Mozambique
Source: Gardner E M et al. Clin Infect Dis. 2011;52:793-800; Micek et al JAIDS 2009
Get more people on treatment: Enhance peer support programmes Reduce costs Overcome transport barriers Ensure adequate nutrition Reduce stigma in healthcare settings
Dignosed Linked to care Retained in care Eligible for ART Iniatiated ART Adherent/undetectable
Tested <30 days
Mozambique
USA
Diagnosedwith HIV
Linked/enrolled in care
Eligiblefor ART
InitiatedART
Adherentor
undetectableRetained
in care
100%
0
Reta
ined
in
trea
tmen
t and
car
e
Percentage of people retained in treatment and care after diagnosis, USA and Mozambique
Source: Gardner E M et al. Clin Infect Dis. 2011;52:793-800; Micek et al JAIDS 2009
Retain people on treatment: Adherence support programmes Reduce gender inequalities Reduce fear of disclosure Overcome cost and transport barriers Referral and support programmes for
migrants
Dignosed Linked to care Retained in care Eligible for ART Iniatiated ART Adherent/undetectable
Tested <30 days
Mozambique
USA
Diagnosedwith HIV
Linked/enrolled in care
Eligiblefor ART
InitiatedART
Adherentor
undetectableRetained
in care
100%
0
Reta
ined
in
trea
tmen
t and
car
e