Can India achieve UNAIDS’ target by 2030?
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20240640Keywords:
Immune deficiency disorder, AIDS, Bharath, Global targetsAbstract
The world is embarking on a fast-track strategy to end the AIDS epidemic by 2030. UNAIDS is targeted towards achieving the 95-95-95 strategy by 2025. Scaling up prevention, testing and treatment services towards HIV/AIDS is paramount in achieving these targets. To understand the status of India in achieving these targets, review of trials registered in the CTRI registry was done and found that among the 155 included trials, most (n=45, 29%) of the trials were drug trails, few were vaccine trials (n=6, 3.8%). Out of 155 studies, forty-one (20%) were in line to reach UNAIDS’ targets. The primary focus of those studies was improving CD4 counts and suppression of viral load (third target of UNAIDS’) (n=12, 7.7%), and the minimal focus was on promoting treatment adherence (second target of UNAIDS’) (n=11, 7%) and promotion of HIV testing (first target of UNAIDS’) (n=4, 2.5%). As prevention is always better than care, research should be encouraged towards prevention of HIV, which in turn facilitates achieving UNAIDS’ 2025 and 2030 targets.
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References
Woldesenbet S, Cheyip M, Lombard C, Manda S, Ayalew K, Kufa T, et al. Progress towards the UNAIDS 95-95-95 targets among pregnant women in South Africa: Results from the 2017 and 2019 national Antenatal HIV Sentinel Surveys. PLoS One. 2022;17(7):e0271564.
UNAIDS. Global HIV and AIDS statistics-2019 fact sheet. Geneva: UNAIDS. 2019. Available at https://www.unaids.org/en/resources/fact-sheet. Accessed on 2 January 2024.
UNAIDS. UNAIDS Data 2020. Geneva: UNAIDS. 2020. Available at https://www.unaids.org/ en/resources/documents/2020/unaids-data. Accessed on 2 January 2024.
UNAIDS. 90-90-90: an ambitious treatment target to help end the AIDS epidemic. Geneva: UNAIDS. 2014. Available at https://www.unaids.org/en/ resources/documents/2017/90-90-90. Accessed on 2 January 2024.
Stover J, Bollinger L, Izazola JA, Loures L, DeLay P, Ghys PD, et al. What Is Required to End the AIDS Epidemic as a Public Health Threat by 2030? The Cost and Impact of the Fast-Track Approach. PloS one. 2016;11(5):e0154893.
Clinical Trials Registry - India (CTRI). Available at: https://ctri.nic.in/Clinicaltrials/login.php. Accessed on 2 February. 2024.
CDC. Centers for Disease Control and Prevention. 2022. Let’s Stop HIV Together. Available at: https://www.cdc.gov/stophivtogether/hiv-stigma/ ways-to-stop.html. Accessed on 2 February. 2024.
Enriquez M, McKinsey DS. Strategies to improve HIV treatment adherence in developed countries: clinical management at the individual level. HIV/AIDS-Res Palliative Care. 2011;3:45-51.
Addressing HIV-related Intersectional Stigma and Discrimination-National Institute of Mental Health (NIMH). 2022. Available at: https://www.nimh. nih.gov/about/director/messages/2022/addressing-hiv-related-intersectional-stigma-and-discrimination. Accessed on 2 February. 2024.
2025 AIDS TARGETS-UNAIDS. Available at: https://aidstargets2025.unaids.org/. Accessed on 2 February. 2024.
The HIV and AIDS (P and C) Act, 2017 | National AIDS Control Organization. MoHFW, GoI. Available at: https://naco.gov.in/hiv-aids-p-c-act-2017. Accessed on 2 February. 2024.
