However, they remain marginalized and largely out of reach of HIV services in most countries. The report shows that many of the 19 countries that achieved the 90—90—90 targets by have been leaders in differentiated service delivery, where facility-based services are complimented by community-led services.
Most have also included key populations as central to their responses. HIV testing and treatment has been scaled up massively over the past 20 years. Some However, gaps in service provision are much larger for children than for adults.
Many children were not tested for HIV at birth and remain unaware of their HIV status, making finding them and bringing them into care a major challenge.
Confronting inequalities also shows that women and girls in sub-Saharan Africa continue to be at a higher risk of HIV infection, with gender inequality and gender-based violence at the centre of that risk.
Gender inequalities and gender-based violence rob women and girls of their fundamental human rights, including the right to education, health and economic opportunities. This increases their risk of HIV infection and blocks access to services. Poverty and lack of schooling are also formidable barriers to health and HIV services. The report shows how family planning services for women and voluntary medical male circumcision for men and boys are much less likely to be accessed by people living in poverty.
Poverty is also a driver of migration, which has been shown to severely impact access to HIV services and puts lives in danger as migrants flee conflict and poverty in the hope of safety and economic security.
The data needed to assess how far this objective is met is not yet available for all countries, but progress is being made, with 76 countries having access to data for all three targets in , an increase over just the preceding year, where only 55 countries had that data. Over time, more and better data from countries will steadily reduce uncertainties. This summary is free and ad-free, as is all of our content. You can help us remain free and independant as well as to develop new ways to communicate science by becoming a Patron!
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