Background: In 2014, the Joint United Nations Programme on HIV/AIDS (UNAIDS) and partners set the 90-90-90 target for the year 2020: diagnose 90% of all people living with HIV (PLHIV); treat 90% of people who know their status; and suppress the virus in 90% of people on treatment. In 2015, countries began reporting to UNAIDS on progress against 90-90-90 using standard definitions and methods. Methods: We used data submitted to UNAIDS from 170 countries to assess countryspecific progress towards 90-90-90 through 2018. To assess global and regional progress, overall and by sex for adults aged 15 years and older, we combined country-reported data with estimates generated with a Bayesian hierarchical model. Results: A total of 60 countries reported on all three 90s in 2018, up from 23 in 2015. Among all PLHIV worldwide, 79% (67-92%) knew their HIV status. Of these, 78% (69-82%) were accessing treatment and 86% (72-92%) of people accessing treatment had suppressed viral loads. Of the 37.9 million (32.7-44.0 million) PLHIV worldwide, 53% (43-63%) had suppressed viral loads. The gap to fully achieving 73% of PLHIV with suppressed viral load was 7.7 million; 15 countries had already achieved this target by 2018. Conclusion: Increased data availability has led to improved measures of country and global progress towards the 90-90-90 target. Although gains in access to testing and treatment continue, many countries and regions are unlikely to reach the 90-90-90 target by 2020.

 HIV Testing Coverage Rate: The HIV testing coverage rate is 88% in rural areas and 69% in urban areas. Regarding sex, the coverage rate is 83% for women and 72% for men.  HIV Prevalence: HIV prevalence is 13.2% among all respondents 15-49 years of age. Prevalence is 15.4% among women and 10.1% among men.  Youth HIV Prevalence: Prevalence among young people age 15-24 years is 6.9%, but relatively higher among women (9.8%) and for all youth in the 23-24 year age group (14.9%).

BackgroundSince at least the late 1990s, HIV has been viewed as a major threat to efforts by countries to reduce under-5 mortality. Previous work has documented increased under-5 mortality due to HIV from 1990 to 1999 in Africa. The current analysis presents estimates and trends in under-5 mortality due to HIV in low- and middle-income countries by region up to 2009.MethodsThe analyses are based on the national models of HIV and AIDS produced by country teams in coordination with UNAIDS and its partners for the years 1990–2009. These models produce a time series of estimates of HIV-related mortality as well as overall mortality in children aged <5 years.Results and conclusionThese analyses indicate that, in 2009, HIV accounted for roughly 2.1% (1.2–3.0%) of under-5 deaths in low- and middle-income countries and 3.6% (2.0–5.0%) in sub-Saharan Africa. The percentage of under-5 deaths due to HIV has been falling in the last decade—for example, from 2.6% (1.6–3.5%) in 2000 to 2.1% (1.2–3.0%) in 2009 in low- and middle-income countries and from 5.4% (3.3–7.3%) in 2000 to 3.6% (2.0–5.0%) in 2009 in sub-Saharan Africa. This fall in the percentage of under-5 deaths due to HIV has been driven by a combination of factors including scale-up of prevention of mother-to-child transmission programmes and treatment for pregnant women and children as well as a decrease in the prevalence of HIV among pregnant women.