Achieving Viral Suppression in 90% of People Living With Human Immunodeficiency Virus on Antiretroviral Therapy in Low- and Middle-Income Countries: Progress, Challenges, and Opportunities

作者：Nachega Jean B^*; Sam Agudu Nadia A; Mofenson Lynne M; Schechter Mauro; Mellors John W

来源：Clinical Infectious Diseases, 2018, 66(10): 1487-1491.

DOI：10.1093/cid/ciy008

• human immunodeficiency virus (HIV)
• 90-90-90
• antiretroviral therapy (ARV)
• viral suppression
• low- and middle-in-come countries (LMICs)

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.

• 出版日期2018-5-15