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Getting to Zero Begins With Getting to Ten.

Judith D Auerbach1

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Summary

The 90-90-90 targets for HIV/AIDS response overlook crucial gaps, leaving 10-10-10 populations behind. Critical analysis reveals measurement limitations and the need for broader social research to achieve zero HIV infections.

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Area of Science:

  • Public Health
  • Epidemiology
  • Social Sciences

Background:

  • The global 90-90-90 targets aim for 90% HIV status awareness, 90% on antiretroviral treatment, and 90% viral suppression by 2020.
  • These targets are the primary framework for monitoring HIV response progress globally.
  • However, they may deflect attention from specific populations disproportionately affected by HIV and the '10-10-10' left behind.

Purpose of the Study:

  • To critically examine the 90-90-90 targets.
  • To investigate the status and challenges of the '10-10-10' populations not reached by current targets.
  • To highlight core issues and questions for achieving the 'get to zero' HIV/AIDS goal.

Main Methods:

  • Critical analysis of the 90-90-90 targets and their implications.
  • Review of existing data and literature on the '10-10-10' populations.
  • Identification of measurement limitations and research gaps.

Main Results:

  • The 90-90-90 framework, while useful, has limitations in its measurement and scope.
  • Focusing solely on antiretroviral treatment and people living with HIV neglects broader epidemic aspects.
  • Significant disparities exist in who is reached by the 90-90-90 framework, indicating unmet needs.

Conclusions:

  • The current HIV/AIDS monitoring framework needs re-evaluation to include the '10-10-10' populations.
  • More basic social research is essential to understand and address the underlying factors of disparities.
  • Achieving zero HIV infections requires a more inclusive and comprehensive approach beyond the 90-90-90 targets.