Monitoring HIV Treatment and the Health Sector Cascade

Although not originally part of the MDGs, HIV treatment has been at the center of global HIV reporting since 2003, marked by achievement of the target of 15 million people receiving treatment before 2015 and 18.2 million (16.1-19.0 million) by mid 2016. Monitoring of treatment has been strengthened with harmonized partner reporting and accountability with regular, annual reports. Beyond treatment numbers, increasingly measures of treatment adherence, retention and outcomes have been reported though with varying quality and completeness. However, with the sustainable development goals (SDGs), monitoring treatment is changing in three important ways. First, treatment monitoring is shifting from numbers to coverage and gaps in a cascade of services to achieve universal access. Secondly, this requires greater emphasis on disaggregated, individual level patient and case monitoring systems, which can better support linkage, retention and chronic, long term care. Thirdly, the prevention, testing and treatment cascade with a clear results chain, links treatment numbers to impact, in terms of reduced viral load, mortality and incidence. This agenda will require a greater contribution of routine impact evaluation alongside monitoring, with treatment seen as part of a cascade of services to ensure impact on mortality and incidence. In conclusion, the shift from monitoring treatment numbers to treatment linked to universal access to prevention, testing and treatment and impact on mortality and incidence, will be critical to monitor, evaluate, and improve HIV programs as part of the SDGs

Accountability · Environmental health · Health psychology · Incidence (geometry · Intensive care medicine · Political science · Public health · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing

• HIV response financing challenges in Sub-Saharan Africa

  Open Access•Benard W Kulohoma, Colette Adhiambo Wesonga•Frontiers in Public Health•2025

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• Awareness, treatment, and control among adults living with arterial hypertension or diabetes mellitus in two rural districts in Lesotho

  Open Access•Lucía González Fernández, Emmanuel Firima et al.•PLOS Global Public Health•2024

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• Risk factors, barriers and facilitators for linkage to antiretroviral therapy care

  Darshini Govindasamy, Nathan Ford et al.•AIDS•2012

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• Prevention of HIV-1 Infection with Early Antiretroviral Therapy

  Myron S Cohen, Ying Qing Chen et al.•New England Journal of Medicine•2011

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